TRAUMA
■ Bullets lodged within the spinal canal may migrate and cause further
damage. Consult Neurosurgery. Removal should be considered.
■ Lead poisoning is not usually a concern since bullets usually become encap-
sulated in fibrous tissue. However, bullets resting in synovial fluid (intra-
articular, disk space, and bursa) may dissolve and release lead into the body.
Bullets must be removed from joints to prevent mechanical and lead damage
to joints and lead poisoning.Bullets are not sterilized by the
heat of firing, and they can
track in skin/clothing/FBs.