DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20191662

Management and pattern of pellet gun injuries in war conflicted Kashmir Valley, India

Tariq Ahmed Mala, Syeed Rayees Ahmad, Shahid Amin Malla

Abstract


Abstract

Background: The pellet gun is a shot gun weapon which is used by law enforcement agencies to maintain law and order in conflict zones whenever need arises. Sometimes these minute sized pellets may lead to grave injuries to vital structures of the body which may sometimes led to permanent disability. The objective of this study was to investigations and manages these fatal injuries in war conflicted valley. Methods: The prospective study conducted in a tertiary care hospital of Government Medical College Srinagar at the time of civilian unrest in 2016 and onwards when thousands of people were injured with pellets by security agencies. Results: Maximum number (67.1%) of patients had injuries to eyes and face, among the total number of patients 69 (17.2%) of patients had abdominal injuries. CECT abdomen showed pellets in all 69 (100%) of patients, pellets in gut lumen in 48 (69.5%) of patients. In the abdominal group 40 patients underwent laparotomy which showed hemoperitoneum in 49 (71.01%), pneumoperitoneum in 6 (8.69%) of patients. Conclusion: Pellet gun weapon has become a common arsenal to suppress the unarmed civilian agitation which may lead to fatal injuries to vital structures of body, where prognosis remained poor despite of best available treatment.


Keywords


Conflict, Compressing gas, Civilians, Cartridge, Pellet gun, Pellet balls

Full Text:

PDF

References


Dar AM, Ahanger AG, Wani RA, Bhat MA, Lone GN. Popliteal artery injuries: the Kashmir experience. J Trauma. 2003;55:362-5.

Milroy CM, Clark JC, Carter N, Rutty G, Rooney N. Air weapon fatalities. J Clin Pathol. 1998;51:525-9.

Robson WJ, Kumar K. Air weapon injuries in children: a case for education. Arch Emerg Med. 1985;2:17-24.

Laraque D. American academy of pediatrics committee on injury, violence, and poison prevention: injury risk of nonpowder guns. Pediatrics. 2004;114:1357-61.

Scirbano PV, Nancy M, Reilly P, Sing RF, Selbst SM. Paediatric non powder firearm injuries; outcomes in an urban paediatric setting. Paediatrics. 1997;100(4);5.

Dhar SA, Dar TA. Can a projectile-based riot control ever be truly non-lethal. JR Army Med Corps. 2017;163(2):152.

Thoresby FP, Sarlow HM. The mechanisms of primary infection of bullet wound. Brit J Surg. 1967;54:359-61.

Lee D, Nash M, Turk J, Har El G. Low velocity gunshot wounds to the paranasal sinuses. Otolarymgol Head Neck Surg. 1997;116:372378.

Mushtaque, M, Mir MF, Bhat M, Parray FQ, Khanday SA, Dar RA, et al. pellet gunfire injuries among agitated mobs in Kashmir. Turk J Trauma Emerg Surg. 2012;18:255-9.

Hegazy TO. Assessment of the management and outcomes of penetrating abdominal shotgun injuries. Int Surg J. 2015;2:12-9.

Chamisa I. Civilian abdominal gunshot wounds in durban South Africa: a prospective study of 78 cases. Ann Royal Coll Surg Eng. 2008;90:581-6.

Wani ML, Ahanger AG, Ganie FA, Wani SN, Lone GN, Dar AM, et al. Pattern, presentation and management of vascular injuries due to pellets and rubber bullets in a conflict zone. J Emerg Trauma Shock. 2013;6:155-8.