title: [Therapy of head injuries caused by animal slaughter guns].
abstract: Slaughterer's guns ("humane killers") are powder-activated cattle skull impacting tools. Today mechanical stunning is typical for country like regions, because in the municipal slaughter-houses electrical stunning of pigs and ruminants is preferred. In rare cases these weapons are used for suicide. They then cause penetrating brain lesions and if the victim survives the brain-damage, an encephalitis caused by the impacted material results. The neurosurgical treatment is to revise the gunshot canal and to remove impacted fragments of bone and contaminated skin (imprimat) under antibiotic cover. A psychiatric treatment of the mostly underlying depression and a rehabilitative treatment should complete therapy. So treatment of slaughterer's gun injury should have a multidisciplinary approach.
authors.affiliation: Universitätsklinik für Physikalische Medizin und Rehabilitation, Universität Wien. richard.crevenna@univie.ac.at
authors.forename: Richard
authors.initials: R
authors.lastname: Crevenna
authors.forename: Michael
authors.initials: M
authors.lastname: Klintschar
authors.forename: Martin
authors.initials: M
authors.lastname: Weger
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Weger
authors.forename: Michael
authors.initials: M
authors.lastname: Quittan
authors.forename: Veronika
authors.initials: V
authors.lastname: Fialka-Moser
authors.forename: Carl N
authors.initials: CN
authors.lastname: Homann
mesh_terms: D000003:Abattoirs / Q000295:instrumentation; D000818:Animals; D001930:Brain Injuries / Q000209:etiology / Q000601:surgery*; D002417:Cattle; D005389:Firearms; D006801:Humans; D010348:Patient Care Team; D012307:Risk Factors; D013405:Suicide; D013406:Suicide, Attempted; D013552:Swine; D014946:Wound Infection / Q000209:etiology / Q000601:surgery; D014948:Wounds, Gunshot / Q000209:etiology / Q000601:surgery*