Ogebe Onazi MD Slide 2 PLEASE THE PICTURES YOU WILL BE SEEING
ARE NOT PLEASANT Slide 3 Patient brought into the A&E unit by
12.36 am on 30 Dec, 2011 Conscious, with profuse bleeding from the
lower aspect of the face Slide 4 Name: A.O Age: 22years Sex: M
Occupation- Guest house attendant Religion- xtian Marital Status-
Single Educational Status- Tertiary Slide 5 He was at the guest
house where he works, when he started experiencing abdominal pain
and was on his way out at 10.45pm to purchase some medication to
relieve his stomach upset; and then he stumbled into a street gang
who asked him for his phone. He grudgingly gave them his phone
which made his attacker to slap him on the face and to shoot him on
his lower face Slide 6 Everyone fled the gun shot scene for his or
her life leaving the victim helplessly alone in his pool of blood.
The attacker also fled with his gang members. It was one of the
guest house worker that spotted him staggering and crawling
helplessly and called everyone attention to him. He was then taken
to the police station where a police permit was gotten before been
brought to the hospital where I work. Slide 7 Slide 8 A young man
lying consciously on the theatre table, bleeding profusely from his
lower face, mouth breathing, with traumatised surrounding
tissues,nasal bridge and cartilages, a broken left upper canine
tooth. The entry point of the bullets is the area immediately below
the left nostril and the exit point was close to the right cheek.
Our intervention was a wound exploration under general anaesthesia
Slide 9 Slide 10 Hospital logistics - 75USD (12,000 Naira) Wound
Exploration- 156.25USD (25,000 Naira) Medication- 125USD( 20,000
Naira) Total is 356.25USD(57,000 Naira) This is the total cost he
had accumulated as at the 2 nd day of admission. What will be the
eventual cost when he is certified fit to be discharged home ?
Slide 11 Psychological trauma: This experience will always hunt him
for as long as he lives. His live has been altered by the bullet.
Cosmetics: The scar it will cause on his face will always remind
him of this experience. Respiratory problems Speech problems More
economic costs Slide 12 Slide 13 Slide 14 Slide 15 Slide 16 Slide
17 Slide 18 Slide 19 Slide 20 Slide 21 Slide 22 Armed violence
continues to be a menace and costly health threat in our society.
Medical doctors have a role to play through advocacy in: Driving
policy change to control firearm violence especially from Small
Arms & Light Weapons (SALW) Education of the public and policy
makers on the health effects of SALW. Victim assistance and
rehabilitation. Slide 23 Slide 24
