Incidence and Cause of Potentially Preventable Death after Civilian Public Mass Shooting in the US
| Autor: | Jordan M. Estroff, Lisbi Rivas, Babak Sarani, Richard Amdur, Bryce R.H. Robinson, Stephen Gondek, Geoff Shapiro, Roger Mitchell, E. Reed Smith, John Fudenberg, Tammy Ju |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Forensic pathology Autopsy Injury Severity Score Cause of Death medicine Humans Mass Casualty Incidents Cause of death Retrospective Studies business.industry Incidence (epidemiology) Incidence Retrospective cohort study humanities United States Mass-casualty incident Emergency medicine Surgery Female Wounds Gunshot business Trauma surgery |
| Zdroj: | Journal of the American College of Surgeons. 229(3) |
| ISSN: | 1879-1190 |
| Popis: | Background The incidence and severity of civilian public mass shooting (CPMS) events continue to rise. Understanding the wounding pattern and incidence of potentially preventable death (PPD) after CPMS is key to updating prehospital response strategy. Methods A retrospective study of autopsy reports after CPMS events identified via the Federal Bureau of Investigation CPMS database from December 1999 to December 31, 2017 was performed. Sites of injury, fatal injury, and incidence of PPD were determined independently by a multidisciplinary panel composed of trauma surgery, emergency medicine, critical care paramedicine, and forensic pathology. Results Nineteen events including 213 victims were reviewed. Mean number of gunshot wounds per victim was 4.1. Sixty-four percent of gunshots were to the head and torso. The most common cause of death was brain injury (52%). Only 12% (26 victims) were transported to the hospital and the PPD rate was 15% (32 victims). The most commonly injured organs in those with PPD were the lung (59%) and spinal cord (24%). Only 6% of PPD victims had a gunshot to a vascular structure in an extremity. Conclusions The PPD rate after CPMS is high and is due mostly to non-hemorrhaging chest wounds. Prehospital care strategy should focus on immediate point of wounding care by both laypersons and medical personnel, as well as rapid extrication of victims to definitive medical care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|