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Journal of Combat Medicine 10.30491/JCM.2023.378213.1011
2022 | 5 (1) | 185-190 Case Report

Considerations of Dealing with Lumbar and Spinal Trauma Injuries in

High-speed Combat Bullets

Hamidreza Javadzade , Mohammad Javad Behzadnia 1,2*
1
1- Department of Emergency Medicine, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
2- Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

Received: 13 November 2021 Accepted: 27 December 2021

Abstract

Background and Aim: The great experiences of martial medicine in the axis of resistance and in the field are
not hidden to anyone. Management of the victims, each of which shows a treasure of therapeutic measures in
critical and combat situations, the importance of the issue is that the war injuries have a great difference with
urban damages. Therefore, it is necessary to pay special attention to this aspect. This case report study has been
performed on a 24-year-old casualty at a field hospital.
Case Report: A 24-year-old casualty, who enters the emergency room of the field hospital on his foot, as he walks,
he expressed a low back discomfort according to a gunshot wound. After a quick triage and surgical consultation,
he was immediately transferred to the field operation room. Under a sterile condition, the wound was completely
exposed and examined. There was a big hole in his back, which was thoroughly washed and temporarily stitched
and closed. As a possibility of spinal injury, he was referred to the hospital with a backboard. Fortunately, further
evaluation revealed no damage.
Conclusion: The destructive effects of the war bullets are due to the release of high energy tissue damages, and
their effects do not only lead to direct damages, but also can cause much greater damage than the initial path of the
bullet on the vital tissues around its passage. The location of the bullet’s entry and exit is an important determinant
of injuries and deaths in war wound victims, as the injuries can cause damages to the central nervous system (brain
or spinal cord) or severe impairment to visceral organs and life-threatening bleeding.

Keywords: Ballistic, Combat Medicine, War Trauma, Gunshot Wounds, High Velocity Injury.

* Corresponding Author: Mohammad Javad Behzadnia
Address: Trauma Research Center, Baqiyatallah University of
Medical Sciences, Tehran, Iran.
E-mail: [email protected]

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