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5 Cards in this Set

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  • Back
Define low velocity vs. high velocity gunshot wounds?
Low velocity - <2,000 ft/sec. All handguns.

High velocity - >2,000 ft/sec. Most rifles.
Kinetic energy?
KE = .5mv^2
Tissue damage from a projectile?
1. Permanent cavity
2. Temporary cavity (cone of cavitation). Proportional to velocity of projectile, tissue composition (liquid vs. air).
Treatment of gun shot wounds?
Low velocity:
1. abx + tetanus toxoid + antitoxin
2. I&D in ED
3. set any fractures
4. f/u in outpatient clinic.

High velocity:
1. abx + tetanus toxoid + antitoxin
2. I&D in OR
3. set any fractures
4. delayed wound closure
Lead poisoning in GSW?
Synovial fluid and CSF are caustic to the lead in projectiles.