METHODS: A retrospective analysis was conducted over an 18-month period from June 2001 through December 2002. Two hundred seventeen gunshot wound patients were evaluated. Exclusion criteria included any patient with cardiopulmonary injury and instability, airway compromise, or extracranial injuries affecting prognosis. Thirty-seven patients with isolated gunshot wounds to the head were included, 10 of which were fatal. Vital signs, examination results, Glasgow coma scale (GCS) score, intracranial pressure monitoring, surgical data, days in the intensive care unit, and CT scan appearance were collected.

Health status of each child can also be described as a vector. PICU = pediatric intensive care unit. Glasgow Coma Scale, and length of stay.

A Cartesian xyz coordinate system was created centered on the dorsum sella. Bullet pathways on CT scans were plotted and graphed onto a standardized magnetic resonance imaging scan. RESULTS: Ten patients progressed to brain death. GCS score and pupil irregularity were associated with fatal outcome ( P.

METHODS The authors conducted a retrospective review of penetrating, isolated GSWs sustained in children whose ages ranged from birth to 18 years and who were treated at 2 major metropolitan Level 1 trauma centers from 1996 through 2013. Several standard clinical, laboratory, and radiological factors were analyzed for their ability to predict death in these patients. The authors then applied the St.

Louis Scale for Pediatric Gunshot Wounds to the Head, a scoring algorithm that was designed to provide rapid prognostic information for emergency management decisions. The scale's sensitivity, specificity, and positive and negative predictability were determined, with death as the primary outcome. RESULTS Seventy-one children (57 male, 14 female) had a mean age of 14 years (range 19 months to 18 years).

Overall mortality among these children was 47.9%, with 81% of survivors attaining a favorable clinical outcome (Glasgow Outcome Scale score ≥ 4). A number of predictors of mortality were identified (all p. METHODS The authors conducted a retrospective review of penetrating, isolated GSWs sustained in children whose ages ranged from birth to 18 years and who were treated at 2 major metropolitan Level 1 trauma centers from 1996 through 2013. Several standard clinical, laboratory, and radiological factors were analyzed for their ability to predict death in these patients. The authors then applied the St. Louis Scale for Pediatric Gunshot Wounds to the Head, a scoring algorithm that was designed to provide rapid prognostic information for emergency management decisions.

The scale's sensitivity, specificity, and positive and negative predictability were determined, with death as the primary outcome. RESULTS Seventy-one children (57 male, 14 female) had a mean age of 14 years (range 19 months to 18 years).

Overall mortality among these children was 47.9%, with 81% of survivors attaining a favorable clinical outcome (Glasgow Outcome Scale score ≥ 4). A number of predictors of mortality were identified (all p.

U nfortunately, intracranial ballistic injuries due to firearms, most commonly inflicted by low-velocity handguns, are not uncommon events at many major US metropolitan Level 1 trauma centers. They often lead to severe neurological injury or death.

Adult mortality rates from such injuries range between 50% and 90% in most series.,,,,,,,,, Data from the Centers for Disease Control and Prevention (CDC) suggest that deaths due to intracranial gunshot wounds (GSWs) in the US may be rising. For instance, from 2004 to 2008, the mortality rate from intracranial GSWs (all ages) was 6.10 deaths per 100,000 population (). In the years 2004–2010, this rate rose to 6.34 deaths per 100,000 population.

Unfortunately, the same trend was noted for pediatric patients (1.31 deaths per 100,000 population in 2004–2008 vs 1.42 deaths per 100,000 population in 2004–2010). Prekraschena rabota programmi acc exe rogue. In fact, firearm injury was the fifth leading violent cause of hospitalization for US children in 2013 (). In the state of Tennessee, the annual death rate from intracranial GSWs (all ages) was 9.19 deaths per 100,000 population from 2004 to 2010 (). The number of deaths over this time period was highest in Shelby County, where 561 people died from a GSW to the head. The annual death rate for intracranial GSWs in pediatric patients in the state of Tennessee was 1.60 deaths per 100,000 population, and again the rate was highest in Shelby County with 51 deaths over this 6-year period ().