After the shooting stops: follow-up on victims of an assault rifle attack

J Trauma. 1996 Nov;41(5):789-93. doi: 10.1097/00005373-199611000-00004.


Objective: To determine long-term medical, social, and psychological outcome of survivors of a multiple-shooting mass casualty disaster.

Design: A case-study review was performed 42 months after injury involving chart reviews and patient interviews.

Participants: Survivors of a multiple shooting.

Main outcome measures: The need for primary operative treatment, subsequent operations, and medical treatment related to the injuries, current work status, and psychological impact of injury was determined.

Results: Thirteen patients required operation initially; 12 are long-term survivors. Eight have returned to work. Most of the victims reported experiencing psychological and emotional problems.

Conclusions: Despite a well-functioning trauma system that maximized survival from devastating injury, considerable long-term morbidity and disability persists. Efforts at prevention of mass casualties seem to be the only potential solution.

MeSH terms

  • Bone and Bones / injuries
  • Critical Care
  • Disability Evaluation
  • Follow-Up Studies
  • Humans
  • Interviews as Topic
  • Kentucky
  • Mood Disorders / etiology
  • Mood Disorders / therapy
  • Outcome Assessment, Health Care
  • Rehabilitation, Vocational
  • Survival
  • Violence*
  • Workers' Compensation
  • Wounds, Gunshot* / psychology
  • Wounds, Gunshot* / rehabilitation
  • Wounds, Gunshot* / surgery