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Stray bullet: An accidental killer during riot control.

Wani AA, Ramzan AU, Shoib Y, Malik NK, Nizami FA, Dhar A, Alam S - Surg Neurol Int (2011)

Bottom Line: The use of force to control public uprisings, riots, unruly mobs is an important tool in any administrative setup.We had two patients with head injury and two with spinal injury sustained because of stray bullets.Amongst the patients with spinal injury, neurological deficits persist till date.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India.

ABSTRACT

Background: The use of force to control public uprisings, riots, unruly mobs is an important tool in any administrative setup. Law enforcement agencies often resort to aerial firing, which can be responsible for unintended injuries due to stray bullets.This study was designed to study the pattern of stray bullet injuries and to generate awareness about the hazards related to the use of live ammunition during riot control.

Methods: This study was conducted in our unit of the neurosurgery department over a period of 18 months, from June 2008 to December 2010. We enrolled all patients who had head or spine injuries caused by stray bullets from firing during riot control far away from the site of injury.

Results: We had two patients with head injury and two with spinal injury sustained because of stray bullets. One of the patients with head injury was operated and the other one was managed conservatively; the latter died on the third day of injury, while the former is surviving with some residual neurological deficit. Amongst the patients with spinal injury, neurological deficits persist till date. None of the patients were aware that they had sustained a bullet injury, and it was only after inquiry that we came to know that the police had resorted to aerial firing for controlling public agitation in nearby areas.

Conclusion: Aerial firing of live cartridges is generally considered an 'innocuous' method; however, in view of the potential for injury to innocent bystanders, we recommend that the use of live cartridges during aerial firing be banned.

No MeSH data available.


Related in: MedlinePlus

CT scan revealing the bullet lodged in the posterior fossa, with a small hematoma in the medial temporal region and minimal intraventricular hemorrhage
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Figure 1: CT scan revealing the bullet lodged in the posterior fossa, with a small hematoma in the medial temporal region and minimal intraventricular hemorrhage

Mentions: A 7-year-old boy was playing in a field when he suddenly fell down unconscious. He presented to our center with a Glasgow coma scale (GCS) of 3 and was evaluated for his loss of consciousness. CT scan of the head revealed that a bullet was lodged in the cerebellum. Nobody in the boy's family could explain how he had sustained the bullet injury. Though initially missed, a small entry wound was seen in the scalp in the temporoparietal region. The patient was managed conservatively (with ventilator support) as the bullet was not causing any significant mass effect [Figure 1]. He succumbed on the third day of the injury.


Stray bullet: An accidental killer during riot control.

Wani AA, Ramzan AU, Shoib Y, Malik NK, Nizami FA, Dhar A, Alam S - Surg Neurol Int (2011)

CT scan revealing the bullet lodged in the posterior fossa, with a small hematoma in the medial temporal region and minimal intraventricular hemorrhage
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3198307&req=5

Figure 1: CT scan revealing the bullet lodged in the posterior fossa, with a small hematoma in the medial temporal region and minimal intraventricular hemorrhage
Mentions: A 7-year-old boy was playing in a field when he suddenly fell down unconscious. He presented to our center with a Glasgow coma scale (GCS) of 3 and was evaluated for his loss of consciousness. CT scan of the head revealed that a bullet was lodged in the cerebellum. Nobody in the boy's family could explain how he had sustained the bullet injury. Though initially missed, a small entry wound was seen in the scalp in the temporoparietal region. The patient was managed conservatively (with ventilator support) as the bullet was not causing any significant mass effect [Figure 1]. He succumbed on the third day of the injury.

Bottom Line: The use of force to control public uprisings, riots, unruly mobs is an important tool in any administrative setup.We had two patients with head injury and two with spinal injury sustained because of stray bullets.Amongst the patients with spinal injury, neurological deficits persist till date.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India.

ABSTRACT

Background: The use of force to control public uprisings, riots, unruly mobs is an important tool in any administrative setup. Law enforcement agencies often resort to aerial firing, which can be responsible for unintended injuries due to stray bullets.This study was designed to study the pattern of stray bullet injuries and to generate awareness about the hazards related to the use of live ammunition during riot control.

Methods: This study was conducted in our unit of the neurosurgery department over a period of 18 months, from June 2008 to December 2010. We enrolled all patients who had head or spine injuries caused by stray bullets from firing during riot control far away from the site of injury.

Results: We had two patients with head injury and two with spinal injury sustained because of stray bullets. One of the patients with head injury was operated and the other one was managed conservatively; the latter died on the third day of injury, while the former is surviving with some residual neurological deficit. Amongst the patients with spinal injury, neurological deficits persist till date. None of the patients were aware that they had sustained a bullet injury, and it was only after inquiry that we came to know that the police had resorted to aerial firing for controlling public agitation in nearby areas.

Conclusion: Aerial firing of live cartridges is generally considered an 'innocuous' method; however, in view of the potential for injury to innocent bystanders, we recommend that the use of live cartridges during aerial firing be banned.

No MeSH data available.


Related in: MedlinePlus