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Unfallchirurg ; 119(10): 854-8, 2016 Oct.
Article in German | MEDLINE | ID: mdl-27444998

ABSTRACT

Booby traps and gun-like devices for vole control can lead to complex trauma requiring emergency medical care. We present a case series of patients who suffered severe hand and facial trauma through detonation of booby traps and paraphernalia (n = 9, Ø 60 years of age). All patients were admitted to the emergency department of Hannover Medical School for primary care. Between 2011 and 2015 we treated six patients with hand trauma due to gun-like devices, two patients with hand trauma due to booby traps, and one patient with injury to the face including eyes due to a gas cartridge explosion. All hand trauma patients (n = 8) showed injuries of the soft tissue. Six of these patients also presented fractures or lesions of capsular or tendon structures. Therapies included debridement as well as skin grafts or flaps for tissue defect coverage. We informed the Department for Commercial Safety (Gewerbeaufsicht Hannover) in 2014 because we believe that these traps pose a serious safety hazard.


Subject(s)
Blast Injuries/therapy , Fractures, Bone/therapy , Hand Injuries/therapy , Rodent Control , Soft Tissue Injuries/therapy , Wounds, Gunshot/therapy , Aged , Animals , Arvicolinae , Blast Injuries/diagnosis , Debridement/methods , Fracture Fixation, Internal/methods , Fractures, Bone/diagnosis , Hand Injuries/diagnosis , Humans , Male , Middle Aged , Multiple Trauma/diagnosis , Multiple Trauma/therapy , Plastic Surgery Procedures/methods , Soft Tissue Injuries/diagnosis , Treatment Outcome , Wounds, Gunshot/diagnosis
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