학술논문

Belfast Limb Arterial and Skeletal Trauma (BLAST): the evolution of punishment shooting in Northern Ireland
Document Type
Review Paper
Source
Irish Journal of Medical Science (1971 -). August 2017 186(3):747-752
Subject
Gunshot injury
Punishment shootings
Belfast
Popliteal fossa
Tourniquet
Intraluminal shunt
Civilian
BLAST
Language
English
ISSN
0021-1265
1863-4362
Abstract
Introduction:Northern Ireland has developed significant experience in specific punishment injuries due to its unique civil unrest. Simple gunshot wound (GSW) injuries have begun to evolve into more complex injuries.Case presentation:We describe three cases of young male victims who suffered from GSW injuries—from a single GSW injury to multiple GSW injuries involving all four limbs; the phenomenon of Belfast Limb Arterial and Skeletal Trauma. We describe the management of these injuries, with a review of current literature.Conclusion:Due to the unique political situation of Northern Ireland, there has been significant development of surgical experience in GSW management. Historically, single knee-capping injuries were prevalent. However, these shootings have evolved into targeted injuries resulting in significant trauma as demonstrated by this case series.