Research Article

Surgery of violence. V. Missile wounds of the head and spine.

Br Med J 1975; 1 doi: https://doi.org/10.1136/bmj.1.5958.614 (Published 15 March 1975) Cite this as: Br Med J 1975;1:614
  1. D S Gordon

    Abstract

    The patient with a cerebral gunshot wound has a very unstable condition. In Belfast emphasis has been laid on rapid evacuation and on starting resuscitation within a few minutes of injury. Early and adequate transfusion combats shock; controlled ventilation helps limit the rise in intracranial pressure. Intracranial haematomata should be sought by early operation. Operation seldom improves neurological function in missile wounds of the spine.