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Comparison of the causes of death and wounding patterns in urban firearm-related violence and civilian public mass shooting events

The Journal of Trauma and Acute Care Surgery Feb 06, 2020

Maghami S, Hendrix C, Matecki M, et al. - As reports comparing wounding patterns in urban and public mass shooting events (CPMS) are lacking, researchers here tested their hypothesis that the mechanism of death following urban gunshot wounds (GSWs) is the same as has been reported following CPMS. They assessed autopsy reports of all firearm-related deaths in Washington, DC from January 1, 2016, to December 31, 2017. A review of 186 urban autopsy reports was done. There were 171 (92%) homicides and 13 (7%) suicides. In 180 (97%) events, handguns were involved. In both urban firearm violence and CPMS, the principal mechanisms of death were an injury to the brain, lung parenchyma, and heart. In CPMS events vs urban events, they identified a more common occurrence of fatal brain injury involving a handgun. Observations revealed only a little difference in the wounding pattern between urban and CPMS firearm events. Based on the organs injured, they recommend implementing the rapid point of wounding care and transport to a trauma center for mitigating death following all GSW events is.
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