Missile Injuries: Wound Ballistics and Principles of Management

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Abstract
The principles of the management of missile injuries are as important during peace as war. The incidence of wounds and deaths caused by firearms has progressively increased in the U.S. over the past decade. Despite the large number of trauma victims in general and gunshot wound victims in particular, most surgeons in the U.S. today do not have significant training in trauma. Paradoxically, the U.S. military surgeon sees even less trauma than his civilian counterpart, during peacetime. Missile injuries tend to be concentrated in the inner city and its hospital. This manuscript reviews the basic principles of the management of missile injuries to the various areas of the body in an effort to address an ongoing need for readiness in peace as well as war.

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