Murano et al reported factors associated with mortality following a civilian craniocerebral gunshot wound. This can help guide management and family counseling. The authors are from UMDNJ-New Jersey Medical School.
Patient selection: civilian craniocerebral gunshot wound
Predictors of mortality:
(1) Glasgow coma scale on admission 3 or 4
(2) ISS > 25
(3) respiratory arrest on admission
(4) hypotension on admission (systolic blood pressure < 90 mm Hg)
(5) transhemispheric and/or transventricular trajectory
The risk of mortality increases with the number of predictors present.
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Specialty: Surgery, orthopedic, Emergency Medicine
