@article{ref1,
title="Extremity gunshot injuries treated in an urban children's hospital",
journal="Pediatric emergency care",
year="1994",
author="Victoroff, B. N. and Robertson, William W. and Eichelberger, Martin R. and Wright, C.",
volume="10",
number="1",
pages="1-5",
abstract="In the years 1985 to 1989 75 children and adolescents presented to an urban children's hospital for treatment of 76 incidents of extremity gunshot wounds. Although the population ranged widely, the &quot;typical&quot; patient was a preteen or teenager (n = 70) who was shot in the lower extremity (n = 53) with a low velocity handgun (n = 74). No vascular injuries and only two transient nerve injuries accompanied the wounds. Only 30% of the shots caused fractures. Many (43%) of the patients had other relevant psychosocial or medical problems. Previous treatment for other gunshot wounds or trauma had occurred in 27 patients. Although follow-up was not good, no consequent infections were identified. Outpatient local wound irrigation with minimal debridement sufficed as treatment for entry/exit wounds without contamination or fracture. Intravenous antibiotics are necessary in these wounds only for short-term prophylactic coverage of fractures. Larger soft tissue wounds, intraarticular foreign bodies, and fracture stabilization require operative treatment.<p /><p>Language: en</p>",
language="en",
issn="0749-5161",
doi="",
url="http://dx.doi.org/"
}