The importance of victim’s clothes in gunshot wounds

Objective: Determination of victim’s clothes in gunshot wounds is important due to the necessity of immediate workup in the emergency room as well as the legal aspects of cases. The aim of this study is to evaluate the importance of victim’s clothes in gunshot wounds referred to autopsy hall of legal medicine bureau of Tehran, Iran from 2014 to 2017.Methods: In this analytical comparative study, 202 consecutive cadavers of gunshot victims, referred to Tehran Legal Medical Hall from 2014 to 2017, were enrolled and the effect of shotgun and gunshot wound were determined and compared. Data were collected using a researcher-made questionnaire. The significance level of the tests was considered as P < 0.05. Spearman correlation coefficient and chi-square tests were used accordingly. The data were analyzed using SPSS software version 22.Results: In this study, all women were killed by gunshot. Also, all of the 26 people who were killed by shotgun were men. The mean of age only in males was 39-48 years for shotgun, and 29-38 years in both genders for gunshot. Evaluation of their clothes in the emergency room and autopsy hall was helpful in 70% of cases in order to determine shot distance and type of gun (P = 0.0001). Conversely, we did not observe a significant difference between sex (P = 0.082) and the pattern of death (P = 0.211).Conclusion: Based on the obtained results, it seems that some characteristics of victim’s clothes may be useful to differentiate shotgun and gunshot.

[1]  B. Mostafazadeh,et al.  Causes and frequency of physical trauma in pregnancy , 2019 .

[2]  O. Oner,et al.  Complications and risk factors for mortality in penetrating abdominal firearm injuries: analysis of 120 cases. , 2015, International journal of clinical and experimental medicine.

[3]  S. Ali,et al.  Aerial Firing and Stray Bullet Injuries: A Rising Tide , 2015, Iranian Red Crescent medical journal.

[4]  K. Koval,et al.  Fractures Due to Gunshot Wounds: Do Retained Bullet Fragments Affect Union? , 2015, The Iowa orthopaedic journal.

[5]  Rodrigo Ivo Matoso,et al.  Comparison of Gunshot Entrance Morphologies Caused by .40-Caliber Smith & Wesson, .380-Caliber, and 9-mm Luger Bullets: A Finite Element Analysis Study , 2014, PloS one.

[6]  K. Inaba,et al.  Gunshot Injuries in the Elderly: Patterns and Outcomes. A National Trauma Databank Analysis , 2011, World Journal of Surgery.

[7]  David Hemenway,et al.  Firearm availability and unintentional firearm deaths, suicide, and homicide among 5-14 year olds. , 2002, The Journal of trauma.

[8]  A. Schmeling,et al.  Female suicides in Berlin with the use of firearms. , 2001, Forensic science international.

[9]  G. Bowyer Management of small fragment wounds in modern warfare: a return to Hunterian principles? , 1997, Annals of the Royal College of Surgeons of England.

[10]  R. Coupland The effect of weapons on health , 1996, The Lancet.

[11]  V. Sidel The international arms trade and its impact on health , 1995, BMJ.

[12]  Dominick DiMaio,et al.  Forensic pathology. , 1990, BMJ.