Could We Have Stopped the Bleed? An Examination of 5,765 Homicide Autopsies Across 13 Years
We found a significant burden of extremity wounds with major vascular injury among a large cohort of gunshot wound and stab wound homicide victims. Gunshot wound victims with isolated extremity injuries were substantially more likely to sustain fatal vascular injury. These findings highlight isolated extremity wounds as a prime target for bystander hemorrhage control through STB interventions.
Authors
- David T. Efron (ORCID: https://orcid.org/0009-0003-1136-7238)
- James P. Byrne (ORCID: https://orcid.org/0000-0002-3760-8509)
- A Mehta
- Joseph Victor Sakran (ORCID: https://orcid.org/0000-0002-1510-3032)
- Elliott Richard Haut (ORCID: https://orcid.org/0000-0001-7075-771X)
- Samuel E. Okum (ORCID: https://orcid.org/0000-0003-2692-5450)
- Nicole Lunardi
Institutions
- University of Maryland, Baltimore (US)
- University of Maryland Medical Center (US)
- Johns Hopkins University (US)
- Johns Hopkins Medicine (US)
- Vancouver General Hospital (CA)
- Saku University (JP)
- Massachusetts General Hospital (US)
- The University of Texas Southwestern Medical Center (US)
Publication Details
- Journal
- Journal of the American College of Surgeons
- Published
- 2026-02-13
- DOI
- https://doi.org/10.1097/xcs.0000000000001695
- Primary Topic
- Gun Ownership and Violence Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00