Most bullets made of lead alloy


Look for expanding hematoma X-rays of injured extremities and areas



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Look for expanding hematoma

  • X-rays of injured extremities and areas

  • Angiography when necessary

    • Discrepancy of pulses


    Low velocity gunshot wounds rarely need debridement

    • Low velocity gunshot wounds rarely need debridement

    • High velocity and close range shotgun wounds always need debridement

    • Most civilian gunshot wounds are low velocity and low energy



    Old myth that bullet was sterile from heat

    • Old myth that bullet was sterile from heat

    • Wolf et al:



    Low velocity gunshot wounds in stable fractures do not need surgical debridement

    • Low velocity gunshot wounds in stable fractures do not need surgical debridement


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