Global & Disaster Medicine

Archive for the ‘Mass shooting’ Category

November 5, 2009: 13 are killed and more than 30 others are wounded when a U.S. Army officer goes on a shooting rampage at Fort Hood, TX


Greenville, TX: Mass shotting


10/16/1991: one of the deadliest shootings in U.S. history.

HxC

“George Jo Hennard drives his truck through a window in Luby’s Cafeteria in Killeen, Texas, and then opens fire on a lunch crowd of over 100 people, killing 23 and injuring 20 more. Hennard then turned the gun on himself and committed suicide……”


Civilian Public Mass Shooting in the US: Who died, how they died, and was the death preventable?

PubMed

J Am Coll Surg. 2019 Sep;229(3):244-251. doi: 10.1016/j.jamcollsurg.2019.04.016. Epub 2019 Apr 25.
Incidence and Cause of Potentially Preventable Death after Civilian Public Mass Shooting in the US.

BACKGROUND:

The incidence and severity of civilian public mass shooting (CPMS) events continue to rise. Understanding the wounding pattern and incidence of potentially preventable death (PPD) after CPMS is key to updating prehospital response strategy.

METHODS:

A retrospective study of autopsy reports after CPMS events identified via the Federal Bureau of Investigation CPMS database from December 1999 to December 31, 2017 was performed. Sites of injury, fatal injury, and incidence of PPD were determined independently by a multidisciplinary panel composed of trauma surgery, emergency medicine, critical care paramedicine, and forensic pathology.

RESULTS:

Nineteen events including 213 victims were reviewed. Mean number of gunshot wounds per victim was 4.1. Sixty-four percent of gunshots were to the head and torso. The most common cause of death was brain injury (52%). Only 12% (26 victims) were transported to the hospital and the PPD rate was 15% (32 victims). The most commonly injured organs in those with PPD were the lung (59%) and spinal cord (24%). Only 6% of PPD victims had a gunshot to a vascular structure in an extremity.

CONCLUSIONS:

The PPD rate after CPMS is high and is due mostly to non-hemorrhaging chest wounds. Prehospital care strategy should focus on immediate point of wounding care by both laypersons and medical personnel, as well as rapid extrication of victims to definitive medical care.


Virginia Tech and Lead Poisoning from the active shooter event

“……On April 16, 2007, Goddard was in French class at Virginia Tech when he was shot four times……One bullet pierced his shoulder and then exited. But three other bullets shattered into tiny pieces in his body, and doctors said it was too risky to remove them…..Goddard is suffering from lead poisoning. At one point, his levels were seven times higher than what’s considered safe….”The short term symptoms are hard to recognize — things like fatigue, irritability, memory loss. stomach pain,” Goddard said. “At the time when I learned about this, I was in grad school, I had a two-year-old, was about to have another one, and was trying to find a job. A lot of those things going on in my life could have caused those things.”
His mother who encouraged him to get a blood test after she read an article about the lasting impact of lead ammunition in shooting survivors.
Since his diagnosis, Goddard has had hip surgery to remove more bullet fragments, and he’s tried Chelation therapy to clear the toxic metal from his body.
“I tried it for a month,” he said. “I had to take like 30 pills a day, every day, for breakfast, lunch, and dinner.”
The treatment worked, but Goddard struggled to take so many pills every day. As soon as he stopped taking the pills, the lead in his body elevated to dangerous levels again, although they aren’t as high as before he tried the therapy…..”

He was shot four times during the rampage at Virginia Tech and now he’s slowly being poisoned by the toxic lead bullets that are still in his body.

NBC

“……On April 16, 2007, Goddard was in French class at Virginia Tech when he was shot four times……One bullet pierced his shoulder and then exited. But three other bullets shattered into tiny pieces in his body, and doctors said it was too risky to remove them…..Goddard is suffering from lead poisoning. At one point, his levels were seven times higher than what’s considered safe….”The short term symptoms are hard to recognize — things like fatigue, irritability, memory loss. stomach pain,” Goddard said. “At the time when I learned about this, I was in grad school, I had a two-year-old, was about to have another one, and was trying to find a job. A lot of those things going on in my life could have caused those things.”
His mother who encouraged him to get a blood test after she read an article about the lasting impact of lead ammunition in shooting survivors.
Since his diagnosis, Goddard has had hip surgery to remove more bullet fragments, and he’s tried Chelation therapy to clear the toxic metal from his body.
“I tried it for a month,” he said. “I had to take like 30 pills a day, every day, for breakfast, lunch, and dinner.”
The treatment worked, but Goddard struggled to take so many pills every day. As soon as he stopped taking the pills, the lead in his body elevated to dangerous levels again, although they aren’t as high as before he tried the therapy…..”

“…..One person has died and 10 have been wounded in a violent attack at a vocational college in the Finnish city of Kuopio…..”

BBC

“……One woman told Finnish media how she had helped a female teacher who suffered a deep wound to her hand when she was attacked by the student.

He had walked in on a class shortly after midday and pulled a sword out of his bag and attacked the teacher, the Iltahlehti news website reported. As she tried to flee, students threw chairs at the attacker in an attempt to escape and some were wounded…..”


The deadliest mass shooting in U.S. history at the time of the attack: “On the night of October 1, 2017, a gunman opens fire on a crowd attending the final night of a country music festival in Las Vegas, killing 58 people and injuring more than 800. The shooting only lasted 10 minutes


A deadly American summer: 26 mass shootings; 126 people dead.

NYT

“……During the unofficial summer season, between Memorial Day and Labor Day, America endured 26 mass shootings in 18 states…….Mass killings can be inspired by bigotry, by domestic anger, by botched drug deals, or, in one case this summer in California, by an argument over golf. But sometimes, including in Las Vegas in 2017, the site of the deadliest mass shooting in modern American history, the reasons for a massacre are never discovered……..”


September 16, 2013: Gunman kills 12 in D.C. Navy Yard massacre


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