Medico-legal Significance of Impact of Firearm Injuries on human body and Gender Disparity of area involved
Abstract
INTRODUCTION: A firearm may be generally defined as an assembly of a barrel and action from which a projectile is propelled through the deflagration of a propellant. Throughout the world deaths due to firearm weapons have increased tremendously. Every year hundreds of thousands of people die from injuries caused by firearms. In the United States, the risk of death from firearms injuries versus death by RTA is relatively high. There is significant increase during the last decate. The area injured due to firearm is highly significant to determine mortality rate and to update casualty department to make necessary arrangement to save lives.
OBJECTIVE: The main objective of the study is to determine the most common targeted area involved in firearm injuries in males and females.
METHODOLOGY: It is an observational descriptive study conducted for duration of one year in Autopsy Center of Mayo Hospital a tertiary care hospital of Lahore. 576 autopsies were conducted during the year out of which 234 cases were included in the study through non probability convenient technique. Suicidal cases were excluded from the study. The study was conducted in Mayo Hospital, Lahore and data of all firearm fatalities, were collected from the mortuary of the King Edward Medical College, Lahore and data collected during the period from January 2012 to December 2015.
RESULTS: 234 firearm fatalities autopsied taken during the period January 2012-December 2015 were studied. 187 (80%) were victims of homicidal attacks, 24 cases (10%) had history of accidental firearm injuries obtained; and in 12 cases (5%) fatalities were suicidal and in the remaining 12 (5%) the cause(s) of firearm injuries were dacoits.
CONCLUSION: The firearm injury is more frequent in 21-30 years age group. The Young males are more commonly affected and must be targeted for lifestyle adjustments such as training to refrain from anger or disputes. The most common site of injury is Thorax and frequently injured organs are lungs.
KEY WORDS: Firearm injury, autopsy, bullet
References
Bussard ME, Wormley SL Jr, Zent J, eds. NRA Firearms Sourcebook. Washington, DC: The National Rifle Association of America; 2006.
B. RawsonAiming for prevention: medical and public health approaches to small arms, gun violence, and injuryCroat Med J, 4 (2002), pp. 379-385
M. Miller, I.D. Azrae, D. Hemen wayRates of house hold firearm owner ship and homicide across US regions and states, 1988–1997
Am J Public Health, 4 (2007), pp. 626-629
Am J Public Health, 12 (2002), pp. 1988-1993
K.K. ChristoffelFirearm injuries:epidemic then, endemic now
WHO. Injuries and violence prevention department in Small Arms Global Health a contribution to Weapons, July; 2001. p. 9–20
J. Chapman, C.M. MilroyFirearm deaths in Yorkshire and Humberside. Forensic Sci Int, 2 (1992), pp. 181-191
Katherine A. Fowler, Linda L. Dahlberg, Tadesse Haileyesus, and Joseph L. Annest Firearm injuries in the United States, Author Manuscript ,2015 Jun 24.
Butchart, A. and Mikton, C. (2014)Global status report on violence prevention, 2014. Technical Report. WorldHealth Organization.Available from: http://eprints.uwe.ac.uk/30034
Afridi H, Zaman FU, Yousaf1M J. Pattern Of Injury To Internal Organs In Firearm Homicidal Cases - On Autopsy Med. Sci.2014; 22(4): 177-81.
Mirza CF, Khan AW, Malik L, Malik M,Parveen K (2013) An Autopsy Based Study of Pattern of Firearm Injuries in Karachi, Pakistan. Emergency Med3: 165. doi:10.4172/2165-7548.1000165.
H Chotani, J Razzak, and S Luby, Patterns of violence in Karachi, Pakistan, Inj Prev. 2002 Mar; 8(1): 57–59.Marwah S. Mapping Murder: Homicide Patterns And Trends In India An Analysis From 2000-2010 J. S. Asian Stud. 2014; 2(2): 145-63
Ayesha Haider,Jahanzeb Khan,Sohail Kamran, Gomal Journal of Medical Sciences January-March 2014, Vol. 12, No. 1, DEMOGRAPHIC DISTRIBUTION OF HOMICIDAL FIREARM INJURIES IN DERA ISMAIL KHAN
Katherine A. Fowler,a,* Linda L. Dahlberg,a Tadesse Haileyesus,b and Joseph L. AnnestbFirearm injuries in the United States, Author Manuscript ,2015 Jun 24.
WHO. Injuries and violence prevention department in Small Arms Global Health a contribution to Weapons, July; 2001. p. 9–20.
E.W. Streib, J. Hackworth, T.Z. Hay WardFirearm suicide: use of firearm injuries and death surveillance system J Trauma, 3 (2007), pp. 730-734.
BashirZ, RanaPA, MalikSA, ShaheenA. Pattern of Deaths due to firearms in Lahore
A twelve-year study . Pak Postgrad Med J 2000;11(3):109–14.19.
BashirMZ, SaeedA, KhanD, AslamM, IqbalJ, AhmedM. Pattern of homicidal deaths in Faisalabad. J Ayub Med Coll Abbottabad Jun 2004;16(2):57–9.
QadirG, AzizK. The study of Homicidal deaths in Larkana. Pak Postgrad Med 2000;11(2):79–8.
Mian Mujahid Shah, Usman Ali*, Fasseh-uz-Zaman. Morbidity & Mortality Of Firearm Injury In Peshawar Region J Ayub Med Coll Abbottabad2008;20(2).
