MEDICOLEGAL STUDY OF FIREARM DEATHS PRESENTED TO ZEINHOM MORGUE

R. Eltokhy, Walaa Abd El-Hady Abd El-Halim Abo Zeid, U. El-Barrany, Amani Fahmy, Hesham Abd El Hamid Farag, fatma soliman ali
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Abstract

Introduction: The terminal ballistics refers to the behavior of a missile after it hits the target. When terminal ballistics deals with human tissues as the target it is called wound ballistics. The morphology of inlet and exit lesions found with a rifled firearm weapon depends mainly on the direction of the projectile travel. The inlet is typically smaller, steady, and inverted, while the exit is a bigger, uneven, and abundantly bleeding injury. Aim: The current study aims to analyze the medicolegal aspect of firearm wounds among deaths referred to Zeinhom Morgue. Methodology: This study was a prospective cross-section study, including all firearm deaths, presented to the Zeinhom morgue for 6 months duration. Results: 157 deceased subjects (149 males, 8 females) were included in the study, their ages ranged between the 2nd and 7th Decades. 122 subjects were found to have only single firearm wound entry, and 47.1 % of them had exit wounds. The anteroposterior direction of firing has the highest percentage. The highest percentage was to the far firing. Conclusion and recommendations: There is a male predominance in firearm injury cases, especially in the middle age period. The majority of the studied cases had no medical interference and died at the scene. Thus we recommend decreasing the number of firearms used and sold in Egypt.
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对提交给 ZEINHOM 停尸房的枪支致死事件的法医研究
导言:末端弹道学是指导弹击中目标后的行为。以人体组织为目标的末端弹道学被称为创伤弹道学。膛线枪支武器的入口和出口损伤形态主要取决于弹丸的飞行方向。射入口一般较小、稳定且呈倒置状,而射出口则较大、不均匀且大量出血。目的:本研究旨在分析 Zeinhom 停尸房转来的死亡病例中枪伤的医学方面。研究方法:本研究是一项前瞻性横断面研究,包括 6 个月内提交至 Zeinhom 停尸房的所有枪伤死亡病例。研究结果157 名死者(149 名男性,8 名女性)被纳入研究范围,他们的年龄介于第 2 至第 7 个十年之间。122 名死者仅有一处枪伤,47.1% 的死者有出口伤。前后方向射击的比例最高。向远处射击的比例最高。结论和建议:枪伤病例中男性居多,尤其是在中年时期。所研究的大多数病例没有医疗干预,当场死亡。因此,我们建议减少在埃及使用和销售的枪支数量。
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