Barr Justin, Schalick Walton O, Horn Christopher B, Marble W Sanders, Devine Shauna, Smith Dale C
From the Division of Transplant and Hepatobiliary Surgery, Department of Surgery, Toronto General Hospital, Toronto, ON, Canada.
Department of Orthopedics and Rehabilitation, Disability Studies, and Medieval Studies, University of Wisconsin, Madison, WI.
Ann Surg Open. 2023 Jul 17;4(3):e299. doi: 10.1097/AS9.0000000000000299. eCollection 2023 Sep.
Gun violence killed over 46,000 Americans in 2021; almost 120,000 suffered gunshot wounds. This epidemic has attracted national attention and increasing concern from medical and surgical organizations, as evident in this special issue. 'Through and Through History' explores the surgical management of gunshot wounds from their earliest appearance in 14th-century Europe to the present. Interweaving the civilian and military experience, it details not only the evolution of care directly applied to patients but also the social, political, and scientific milieu that shaped decisions made and actions performed both in and out of the operating room. The article describes how surgeons have pushed the boundaries of medicine and science in each era, developing new therapies for their patients, a historical trend that persists today when such care has the potential to save tens of thousands of lives each year.
2021年，枪支暴力导致超过4.6万美国人死亡；近12万人遭受枪伤。这一流行病已引起全国关注，并受到医学和外科组织越来越多的关注，本期特刊就是明证。《贯穿历史》探讨了枪伤的外科治疗，从14世纪欧洲最早出现枪伤至今。它将平民和军事经验交织在一起，不仅详细介绍了直接应用于患者的护理的演变，还介绍了塑造手术室内外决策和行动的社会、政治和科学环境。文章描述了外科医生如何在每个时代推动医学和科学的边界，为患者开发新的治疗方法，这一历史趋势在今天依然存在，因为这样的护理每年有可能挽救数万人的生命。
