Case Report: Penetrating Thoracic Trauma by A Gunshot Involving the Heart.

Firearm related mortality is not frequently encountered in a country like Nepal where there us a stringent law prohibiting buying, selling, carrying or storing of firearms. It is required to have a valid license to have a firearm in possession. Wounds produced by firearm have a typical characteristic the knowledge of which helps to identify the type of firearm used, range of fire, position of the victim and whether the manner of death was homicidal, suicidal or accidental. The present case is a first autopsy-based study from Nepal which discusses the wounds produced by firearm with interpretation of such findings for medicolegal purposes. The present case highlights a social problem where the victim, a psychiatric patient, had no access to prescription medication due to coronavirus disease (COVID-19) related lockdown.

Case Report: Accidental firearm injury during trophy hunting and the role of paramedics in managing such cases at rural health posts in Nepal.

Possession of a firearm without a certified valid license is against Nepalese law. Following a decade-long civil war, Nepal government issued stringent laws not allowing public to possess firearms without a valid reason, despite bearing a license. However, there are people who possess and use firearms for hunting purposes. The present case reports an accidental death of a teenage boy who used a musket for hunting. The present case highlights the fact that despite these stringent laws, illegal possession of arms for trophy hunting is still prevalent in rural Nepal. Furthermore, this study aims to highlight the importance of paramedics in early intervention, stabilization and transport of the sick and injured to the hospital in emergency situations. Also, recruitment of paramedics in the ambulance service might have prevented untimely death in this particular case.