Medical scissors lie in a puddle of blood on the floor of the emergency room at a hospital in San Pedro Sula March 20, 2013.San Pedro Sula, the country's second largest city after Tegucigalpa, has a homicide rate of 169 per 100,000 people and was named the world's most violent city for a second year in a row. Lax laws allow civilians to own up to five personal guns. Arms trafficking has flooded the country with nearly 70% illegal firearms. 83.4% of homicides are by firearms, compared to 60% in the United States. Picture taken March 20, 2013. REUTERS/Jorge Cabrera (HONDURAS - Tags: CRIME LAW CIVIL UNREST HEALTH) ATTENTION EDITORS: PICTURE 25 OF 39 FOR PACKAGE 'GUN CULTURE - HONDURAS' SEARCH 'HONDURAS GUN' FOR ALL IMAGES Published: Dub. 5, 2013, 11:15 dop. | Foto: Reuters