Air-Gun Injuries: Initial Evaluation and Resultant Morbidity

Keller, Jennifer E.; Hindman, Jason W.; Kidd, Joseph N.; Jackson, Richard J.; Smith, Samuel D.; Wagner, Charles W.
June 2004
American Surgeon;Jun2004, Vol. 70 Issue 6, p484
Academic Journal
Severity of injuries from air-powered weapons can be underappreciated. Transformation of these weapons into toys makes them available to children. Our experience reveals the underestimated injury severity and emphasizes need for prompt trauma evaluation. Retrospective chart review of children sustaining air-gun injuries and evaluated at a single, pediatric hospital from 1991 to 2002 was performed. Medical record numbers were retrieved from a trauma data base. Data included age, weapon type, firing distance, injury site, radiographic studies, operative intervention, length of stay, and long-term disability. Ocular injuries were excluded secondary to known severity. All other injuries and treatments are described. Thirty-four children, average age 10 years ±3.3 years, sustained 35 injuries from 1991 through 2002. Twenty-one children required admission, 19 children required surgery, and 5 children experienced long-term disability. Average time to definitive care was 3 hours 12 minutes. Sites of injury included head, neck, chest, abdomen, and extremities. Average hospital stay was 4.3 days. In the pediatric population, air-gun injuries can be underestimated. Lack of collateral tissue damage makes wounds appear innocuous to unsuspecting medical personnel resulting in delayed care. During initial evaluation, injuries from air guns deserve the same respect as those caused by conventional firearms.


Related Articles

  • Laryngotracheoplasty: 30-Year Follow-Up to a Pioneering Case. Crysdale, William S. // Journal of Otolaryngology;Nov/Dec2005, Vol. 34 Issue 6, p418 

    Presents a case report of a pediatric patient who underwent laryngotracheoplasty after a vehicular accident. Medical history of the patient; Information on subglottic stenosis; Outcome of treatment.

  • Penetrating Brain Injury Caused by Retained Plastic Tip of Ballpoint Pen. Koyanagi, Masaomi; Sakai, Nobuyuki; Adachi, Hidemitsu; Ueno, Yasushi; Kunieda, Takeharu; Imamura, Hirotoshi; Kikuchi, Haruhiko // Pediatric Neurosurgery;Jul2012, Vol. 47 Issue 6, p462 

    No abstract available Copyright © 2012 S. Karger AG, Basel

  • Surgical Clipping of a PICA Aneurysm in a 6-Month-Old Child. Storm, Phillip B.; Zager, Eric; Magge, Suresh // Pediatric Neurosurgery;Nov2006, Vol. 42 Issue 6, p406 

    This articles presents a medical case of a 6-month-old baby girl who was initially presented to the hospital as a trauma. According to her mother the baby fall out of her walker and hit the back of her head. On arrival she was awake and moving all four extremities but had several episodes of...

  • FOREIGN BODY INHALATION IN CHILDREN: DECISIVE FACTORS FOR CARRYING OUT BRONCHOSCOPY. Bhalodiya, Neena; Supriya, Mrinal; Patel, Satish // Indian Journal of Otolaryngology & Head & Neck Surgery;Oct-Dec2006, Vol. 58 Issue 4, p337 

    Inhalation of Foreign Body is one of the most common causes of accidental death at home in the paediatric age group. There may not be a clear history of foreign body inhalation and the patient may be asymptomatic at initial presentation. This coupled with the failure of radiological...

  • Thankful. Scollan, Delaney // Teen Ink;Jan2006, Vol. 17 Issue 5, p37 

    The article relates the author's experience of surviving a surgery following an accident while playing a game with her cousins. She recalls how her right arm shot through the pane of thick glass, severing her brachial artery and some nerves. Her aunt fortunately heard her screams as she was...

  • TERRY VO 'I'm a very lucky boy'. Williams, Glen // Woman's Day (Australia Edition);5/16/2005, Vol. 57 Issue 20, p37 

    Focuses on the condition of 10-year old boy Terry Vo following his hand surgery and limb amputation. Details of the accident that caused Terry's condition; Attitude of Terry toward the accident and his condition; People who have helped Terry cope with the situation. INSET: TERRY'S HUMBLE HEROES.

  • Laparoscopic Removal of a Paracaval Air Gun Bullet in a Child. Murányi, Mihály; Józsa, Tamás; Benyó, Mátyás; Salah, Morshed; Flaskó, Tibor // Urologia Internationalis;Sep2012, Vol. 89 Issue 2, p246 

    Air guns are known as low-velocity arms and are considered harmless. However, injuries from air weapons can be serious and even fatal, particularly in children. We present a potentially life-threatening penetrating retroperitoneal injury of a 3-year-old boy caused by an air gun, and the...

  • Derivation of the children's head injury algorithm for the prediction of important clinical events decision rule for head injury in children. Dunning, J.; Daly, J. Patrick; Lomas, J-P.; Lecky, F.; Batchelor, J.; Mackway-Jones, K. // Archives of Disease in Childhood;Nov2006, Vol. 91 Issue 11, p885 

    Background: A quarter of all patients presenting to emergency departments are children. Although there are several large, well-conducted studies on adults enabling accurate selection of patients with head injury at high risk for computed tomography scanning, no such study has derived a rule for...

  • Penetrating Head Injury from a Pedestal Fan Rotor Blade in a Child – An Unusual Case. Kumar, Arun; Singh, Hukum; Sharma, Karam Chand // Pediatric Neurosurgery;Nov2006, Vol. 42 Issue 6, p391 

    Penetrating head injuries in children constitute only a small part of the total number of traumatic head injuries seen in casualty. A number of household articles have been described to cause penetrating injuries, apart from gunshot and pellet injuries. We describe, for the first time, an...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics