Respuesta :
Numerous variables, including bullet size, velocity, form, spin, distance from the muzzle to the target, and tissue type, can result in a gunshot wound.
Bones, blood vessels, nerves, and soft tissues are the four major parts of the extremities. Gunshot wounds can therefore cause severe bleeding, fractures, loss of nerve function, and soft tissue damage. Age, shock, limb ischemia, and the degree of skeletal and/or soft tissue injuries are all considered when classifying injury severity using the Mangled Extremity Severity Score (MESS). Depending on the severity of the damage, management options range from simple wound care to amputation of a limb. Vital sign stability and vascular assessment are the most important variables in treating injuries to the extremities. People who have uncontrollable bleeding need similar to previous traumatic events, quick surgery If surgical intervention is not immediately accessible and direct pressure fails to stop bleeding, tourniquets or direct clamping of visible vessels may be employed to temporarily reduce active bleeding. Those with apparent vascular injury also need quick surgical intervention. Hard indicators include active bleeding, pulsatile or enlarging hematomas, bruits and thrills, absent distal pulses, and symptoms of extremity ischemia.
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