Gunshot wound

A gunshot wound (GSW) is a penetrating injury caused by a projectile (e.g., a bullet) shot from a gun. Damage may include bleeding, bone fractures, organ damage, wound infection, and loss of the ability to move part of the body. Damage depends on the part of the body hit, the path the bullet follows through (or into) the body, and the type and speed of the bullet, and can be fatal. Long-term complications can include bowel obstruction, failure to thrive, neurogenic bladder and paralysis, recurrent cardiorespiratory distress and pneumothorax, hypoxic brain injury leading to early dementia, amputations, chronic pain and pain with light touch (hyperalgesia), deep venous thrombosis with pulmonary embolus, limb swelling and debility, and lead poisoning.

Factors that determine rates of gun violence vary by country. These factors may include the illegal drug trade, easy access to firearms, substance misuse including alcohol, mental health problems, firearm laws, social attitudes, economic differences, and occupations such as being a police officer. Where guns are more common, altercations more often end in death; however, firearm laws, particularly background checks and permit to purchase, can decrease this risk. Safer firearm storage may decrease the risk of firearm-related deaths in children.

Before management begins, the area must be verified as safe. This is followed by stopping major bleeding, then assessing and supporting the airway, breathing, and circulation.