This revised fourth edition provides a concise guide to the clinical and operational issues surrounding the management of the ballistic casualty. This book utilises the knowledge and experience acquired by those dealing with ballistic trauma on a regular basis to help those who manage these patients less regularly.This book is a valuable reference tool for all medical and paramedical personnel involved in the care of patients with ballistic injury. It is especially relevant for consultants and senior trainees in surgery, anesthesia, and emergency medicine who are likely to be involved in the management of these unique injuries.

Provides a comprehensive overview of the science behind ballistic trauma, specifically aimed at clinicians

1. Personal view on military operations.- 2. Personal view on civilian shootings.- 3. Firearms.- 4. Fragmenting munitions.- 5. The Effects of Projectiles on Tissues.- 6. Ballistic Protection.- 7. Civilian Trauma Systems in UK.- 8. The UK Military Trauma System and military triage.- 9. Prehospital Care.- 10. Emergency Department Management.- 11. Imaging Triage.- 12. Damage Control Resuscitation.- 13. Anaesthesia for ballistic injuries.- 14. Damage Control Surgery.- 15. Penetrating Head Injury.- 16. Spinal Injury.- 17. Occular injury.- 18. Maxillofacial Injuries.- 19. Neck injury.- 20. Vascular Trauma.- 21. Penetrating Genitourinary Trauma.- 22. Wound debridement infection prevention.- 23. Human factors.- 24. Ballistic Trauma in Children.- 25. Ballistic Trauma in Pregnancy.- 26. Managing Ballistic Injury in the NGO Environment.- 27. Forensic Aspects of Ballistic Injury and post mortem CT.- 28. Critical Care for Ballistic Trauma.- 29. Transfer and Evacuation.- 30. Reconstruction-soft tissues.- 31. Reconstruction-bone.- 32. Amputation.- 33. Rehabilitation.