The use of Fire arms can lead to severe injuries and can lead to death. The harm caused by a bullet depends on a multitude of factors, including the path travelled by the bullet, velocity of bullet when it came in contact with the person and the damage caused by it to the tissues it travelled through. A bullet injury to head is in most cases severe and can cause instant death.    

Keywords: Bullet, injury, death.

1. Bronvin S: Etiologie de la colique de plomb. Union Med 1867;3:89
2. Ellis C: A case of probable lead poisoning, resulting fatally from a bullet lodged in the knee joint twelve years previously. Boston Med Surg J 1874;91:472
3. Part 2.Prognosis in penetrating brain injury. J Trauma.2001; 51: S44- 86
4. Esposito DP, Walker JP.Contemporary management of penetrating brain injury. Neurosurg Q. 2009;19:249-54
5. Selden BS, Goodman JM, Cordell W, Rodman GH, Jr., Schnitzer PG. Outcome of self-inflicted gunshot wounds of the brain. Ann Emerg Med. 1988;17(3):247-53
6. Shaffrey ME, Polin RS, Phillips CD, Germanson T, Shaffrey CI, Jane JA. Classifcation of civiliancraniocerebral gunshot wounds: a multivariate analysis predictive of mortality. J Neurotrauma. 1992;9 Suppl 1:S279-85
7. Cavaliere R, Cavenago L, Siccardi D, Viale G. Gunshot wounds of the brain in civilians. Acta Neurochir (Wien). 1988;94(3-4):133-6.

Dr Summit Bloria

Senior Resident Neuroanaesthesia, Department of Anaesthesia and Intensive Care, PGIMER Chandigarh