As with all non-lethal or less-lethal weapons, there is some risk of serious permanent injury or death when tear gas is used. This includes risks from being hit by tear gas cartridges that may cause severe bruising, loss of eyesight, or skull fracture, resulting in immediate death. A case of serious vascular injury from tear gas shells has also been reported from Iran, with high rates of associated nerve injury (44%) and amputation (17%), as well as instances of head injuries in young people.