Optimizing Emergency Management of Gunshot Trauma: Advanced Strategies in Accident and Emergency
Daniel Oyedemi
*
Emergency Department, Warrington and Halton Teaching Hospitals NHS Foundation Trust, England.
Chigozie Doris Opara
Department of Medicine, Imo State University Owerri, Nigeria.
Enibokun Theresa Orobator
College of Medicine and Veterinary Medicine, Global Health and Infectious Diseases, University of Edinburgh, United Kingdom.
Olabisi Promise Lawal
Department of Medical laboratory Science, University of Benin, Benin City, Nigeria.
Ijeoma Linda Okwuowulu
College of Medicine, University of Ibadan, Nigeria.
Tolulope Catherine Ajayi
Federal Medical Center, Lokoja, Nigeria.
Oladimeji Samson Onifade
College of Medicine, University of Ibadan, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Gunshot trauma is an increasing global public health concern, resulting in significant morbidity and mortality. In this review, we evaluated the most recent literature on best practices for emergency gunshot trauma care, emphasizing novel techniques to improve patient outcomes. We also looked at evidence-based recommendations for early assessment and triage, bleeding control, imaging, and surgical decision-making. Important discoveries include the role of damage control resuscitation, tranexamic acid, and whole blood resuscitation in improving outcomes. We also talked about developments in imaging, surgical procedures, and telemedicine, as well as psychological and ethical issues.
Keywords: Gunshot trauma, emergency management, damage control resuscitation, trauma care, hemorrhage control