Doctor insights on:
Gunshot Wound Infection
Unlikely: Usually it would take 2 to 3 days before you see significant signs resulting from an infected wound. ...Read more
Sounds trivial but that's all there is to it. A wound is a defect in the skin, many causes, obviously. Wounds from a bullet, pellet, piece of shrapnel, knife or even the end of a broken bone would be called penetrating wounds. There are other wounds not due to penetration, such as abrasions, wounds from poor blood supply, radiation, chemicals, burns, frostbite or ...Read more
NotSoMuch: The severity of a gsw is related to the structures injured in the course of the bullet; there is nothing intrinsically dangerous about the bullet, which is actually sterile (in contrast to tv shows, we do not remove bullets unless they are in harms way). A wound infection is no more dangerous from a gsw than any other wound except for any foreign material present (clothing, etc). ...Read more
Not any more: In the civil war, leg wound infections from gunshot wounds were so lethal that the best treatment was to cut the leg off. Today unless the bullet destroys a vital organ or blood vessel death from infection usually isn't a problem due to a variety of antibiotics and modern surgical techniques, but I still don't recommend getting shot! ...Read more
Velocity? Organs?: As dr. Miller points out the bullet or gun may not be clean and the presence of bacteria may depend on the velocity and energy of the bullet. However penetrating injuries to the bowel can cause devastating fecal soilage of wounds with fatal consequences. Other concerns include tetanus status. Your risk of infection is also related to your overall health and vulnerability and immune state. ...Read more
Many possibilities: Obviously, it depends what body part is injured. For example, a bowel injury would be quite high risk for infection. The same for a wound to a joint. A bullet that only struck on soft tissue (skin) would be lower, but depends on what caliber etc. ...Read more
Yes!: It just depends on where you got hit! ...Read more
Wound from a bullet: Sounds trivial but that's all there is to it. A wound is a defect in the skin, many causes, obviously. Wounds from a bullet, pellet, piece of shrapnel, knife or even the end of a broken bone would be called penetrating wounds. There are other wounds not due to penetration, such as abrasions, wounds from poor blood supply, radiation, chemicals, burns, frostbite or irritation from moisture, etc ...Read more
With any: Infection, treatment in general is local treatment with adequate drainage and removal of dead tissue if necessary, and systemic treatment with antibiotics to control spread of infection to adjacent tissue. You should really consult your surgeon for specific advice. ...Read more
Wound infection: Many factors which include: the type of wound; the circumstances in which the wound developed (especially traumatic wounds); the length of time that you had the wound; underlying illnesses like diabetes or poor blood flow; the lack of care of the wound. These are just a few of the major things that can increase the risk of a wound infection. ...Read more
Run/ drive to an ER: If you have active bleeding, you need to see a doctor right away. It can be life threatening, if not controlled quickly. Even otherwise a medical check up is a must otherwise complications, like Infections can follow. ...Read more
Colonization.: A wound is said to be infected when micro organisms have begun to colonize within the wound and have impeded the normal wound healing processes. This disruption of the wound healing can range from a delay in healing to a total breakdown of the wound. ...Read more
A wound infection is caused by a bacterium. There are thousands of species of bacteria that we live with every day; a smaller subset are the culprits of wound infections.
Consider infection if there is pain, redness, odor, drainage, lack of healing over a reasonable time period, and any changes in the wound that are negative (enlarging, change in color of the tissue, etc.) ...Read more
See the doctor: Localized small infections can be rinsed with sterile saline and dressed with a topical antibiotic ointment and covered with a sterile dressing. Deeper more involved infections with extending redness past the immediate margins will likely require a more aggressive approach such as incision and drainage, debridement, and oral antibiotic. Consult with your physician as to what would be best for you. ...Read more
See the surgeon: So that the surgical wound can be examined. It may need to be opened in addition to using antimicrobials. ...Read more
Either one is: Ok, but main thing is adequate drainage and mechanical cleansing, systemic antibiotics if necessary. Topical ointment is probably of much lesser significance. Ask your surgeon to be sure. ...Read more
Will you be in pain for the rest of life if you survive a self-inflicted gunshot wound to the head?
Yes.!!!: Don't do it. And if you are even thinking about it please see someone or call one of the hotlines to talk to someone. We need you here in this world with us. Please get help. ...Read more
After hospital???: After you've already been evaluated?? Or in lieu of being evaluated.?? Unless it is a graze wound you should be seen by a surgeon to ensure there is no occult injury. Then focus on keeping the wound clean etc. If pain is increasing or increased bleeding /idscharge or if high fevers. Get to ER. ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
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