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Ballistics reviews: mechanisms of bullet wound trauma

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Abstract

The location of an entrance wound (bullet placement) and the projectile path are the most important factors in causing significant injury or death following a shooting. The head followed by the torso are the most vulnerable areas, with incapacitation resulting from central nervous system (brain or cord) disruption, or massive organ destruction with hemorrhage. Tissue and organ trauma result from the permanent wound cavity caused by direct destruction by the bullet, and also from radial stretching of surrounding tissues causing a temporary wound cavity. The extent of tissue damage is influenced by the type of bullet, its velocity and mass, as well as the physical characteristics of the tissues. The latter includes resistance to strain, physical dimensions of an organ, and the presence or absence of surrounding anatomical constraints. Bullet shape and construction will also affect tissue damage and bullets which display greater yaw will be associated with increased temporary cavitation. Military bullet designs do not include bullets that will expand or flatten as these cause greater wound trauma and are regulated by convention.

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References

  1. Amato JJ, Rich NM. Temporary cavity effects in blood vessel injury by high velocity missiles. J Cardiovasc Surg. 1972;13:147–55.

    CAS  Google Scholar 

  2. Amato JJ, Billy LJ, Lawson NS, Rich NM. High velocity missile injury: an experimental study of the retentive forces of tissue. Am J Surg. 1974;127:454–9.

    Article  PubMed  CAS  Google Scholar 

  3. Aviado DM. Reflexes from stretch receptors in blood vessels, heart and lungs. Physiol Rev. 1955;35:247–300.

    PubMed  Google Scholar 

  4. Courtney A, Courtney M. Links between traumatic brain injury and ballistics pressure waves originating in the thoracic cavity and extremities. Brain Inj. 2007;21:657–62.

    Article  PubMed  Google Scholar 

  5. Crucq JWB. Stochastic computer modeling of wound ballistics. Middelburg: Drukkerij Meulenberg; 1991.

    Google Scholar 

  6. Davis JH. Forensic pathology in firearms cases. Wound Ballistics Rev. 1998;3(4):7–12.

    Google Scholar 

  7. Di Maio VJM. Gunshot wounds practical aspects of firearms, ballistics, forensic techniques. New York, Amsterdam, Oxford: Elsevier; 1985.

    Google Scholar 

  8. Di Maio VJM. Gunshot wounds, practical aspects of firearms, ballistics and forensic techniques. 2nd ed. Florida: CRC Press; 1999.

    Google Scholar 

  9. Dutton G, Lyons T, Roach S, Dickinson J. A review of the wounding effects of the Colt AR-15 and FN FAL rifles used by Martin Bryant in the Port Arthur shooting incident April 26 1996, Tasmania, Australia. Wound Ballistics Rev. 1998;3(4):41–3.

    Google Scholar 

  10. Fackler ML. Handgun bullet performance. AFTE J. 1988;20(4):446–8.

    Google Scholar 

  11. Fackler ML. Wound ballistics: a review of common misconceptions. AFTE J. 1988;21(1):25–9.

    Google Scholar 

  12. Fackler ML. Wounding patterns of military rifle bullets. Int Def Rev. 1989;1:59–64.

    Google Scholar 

  13. Fackler ML, Peters CE. The shock wave myth (and comment). Wound Ballistics Rev. 1991;1:38–40.

    Google Scholar 

  14. Fackler ML. Police handgun selection. Wound Ballistics Rev. 1992;1(3):32–7.

    Google Scholar 

  15. Fackler ML. Gunshot wound review: wound ballistics and the scientific background. Ann Emerg Med. 1996;28:194–203.

    Google Scholar 

  16. Fackler ML. Incapacitation time, questions and comments. Wound Ballistics Rev. 1999;4(1):4–8.

    Google Scholar 

  17. Fackler ML. Wound ballistics research of the past twenty years: a giant step backwards. Wound Ballistics Rev. 2000;4(4):39–40.

    Google Scholar 

  18. Fackler ML, Brown AJ, Johnston D. Effect of distance of fire on deformation of the M16A2 M855 bullet in shots penetrating ordnance gelatin tissue simulant. AFTE J. 2000;4(3):27–9.

    Google Scholar 

  19. Fackler ML. What’s wrong with the wound ballistics literature and why. Wound Ballistics Rev. 2001;5(1):37–47.

    Google Scholar 

  20. Fackler ML. Wound profiles. Wound Ballistics Rev. 2001;5(2):25–38.

    Google Scholar 

  21. Haag LC. 5.56 × 45 mm SS109/M855 bullets: design, exterior and terminal ballistic performance. AFTE J. 2001;33(1):20–3.

    Google Scholar 

  22. Harvey EN, Korr IM, Oster G, McMillan JH. Secondary damage in wounding due to pressure changes accompanying the passage of high velocity missiles. Surgery. 1947;21:18–39.

    Google Scholar 

  23. Harvey EN. The mechanism of wounding by high velocity missiles. Proc Am Philos Soc. 1948;92(4):294–304.

    PubMed  CAS  Google Scholar 

  24. Hatcher JS. Textbook of firearms investigation, identification and evidence. North Carolina: Small Arms Technical Publishing Company; 1935.

    Google Scholar 

  25. Hays Parks W, Fackler ML. Third international workshop on wound ballistics: Thun, Switzerland, March 28–29, 2001. Wound Ballistics Rev. 2001;5(2):17–20.

    Google Scholar 

  26. Hollerman JJ, Fackler ML, Coldwell DM, Ben-Menachem Y. Gunshot wounds: bullets, ballistics and mechanisms of injury. Am Roentgen Ray Soc. 1990;155:685–90.

    CAS  Google Scholar 

  27. Janzon B, Seeman T. Muscle devitalization in high energy missile wounds, and its dependence on energy transfer. J Trauma. 1985;25:138–44.

    Google Scholar 

  28. Janzon B. Material interactions: simulants. In: Cooper GJ, Dudley HAF, Gann DS, Little RA, Maynard RL, editors. Scientific foundations of trauma. Oxford: Butterworth Heinemann; 1997. p. 26–36.

    Google Scholar 

  29. Janzon B, Hull JB, Ryan JM. Projectile, material interactions: soft tissue and bone. In: Cooper GJ, Dudley HAF, Gann DS, Little RA, Maynard RL, editors. Scientific foundations of trauma. Oxford: Butterworth Heinemann; 1997. p. 37–52.

    Google Scholar 

  30. Jussila J. Wound ballistic simulation: assessment of the legitimacy of law enforcement firearms ammunition by means of wound ballistic simulation. Academic Dissertation, University of Helsinki; 2005.

  31. Karger B. Penetrating gunshots to the head and lack of immediate incapacitation. Int J Legal Med. 1995;108:53–61.

    Article  PubMed  CAS  Google Scholar 

  32. Kolsky H. The role of stress waves in penetration processes. In: Labile RC, editor. Ballistic materials and penetration mechanics. Elsevier: New York; 1980. p. 185–223.

    Google Scholar 

  33. Kumada M, Schmidt RM, Sagawa K, Tan KS. Carotid sinus reflex in response to hemorrhage. Am J Physiol. 1970;219:1373–9.

    PubMed  CAS  Google Scholar 

  34. MacPherson D. Bullet penetration: modeling the dynamics and the incapacitation resulting from wound trauma. California: Ballistics Publications; 1994.

    Google Scholar 

  35. Moss GM. Projectiles: types and aerodynamics. In: Cooper GJ, Dudley HAF, Gann DS, Little RA, Maynard RL, editors. Scientific foundations of trauma. Oxford: Butterworth Heinemann; 1997. p. 12–25.

    Google Scholar 

  36. Newgard K. The physiological effects of handgun bullets: the mechanisms of wounding and incapacitation. Wound Ballistics Rev. 1992;1(3):12–7.

    Google Scholar 

  37. Patrick UW. Handgun wounding factors and effectiveness. Quantico, VA: FBI Firearms Training Unit; 1989.

  38. Roberts GK. The wounding effect of 5.56 mm/.223 law enforcement general purpose shoulder fired carbines compared with 12 GA. Shotguns and pistol calibre weapons using 10% ordnance gelatine as a tissue simulant. Wound Ballistics Rev. 1998;3(4):16–28.

    Google Scholar 

  39. Ryan JM, Rich NM, Burris DG, Ochsner MG. Biophysics and pathophysiology of penetrating injury. In: Ryan JM, Rich NM, Dale RF, Morgans BT, Cooper GJ, editors. Ballistics trauma, clinical relevance in peace and war. London: Arnold; 1997. p. 31–46.

    Google Scholar 

  40. Sellier KG, Kneubuehl BP. Wound ballistics and the scientific background. Amsterdam: Elsevier; 1994.

    Google Scholar 

  41. Settles GS. High speed imaging of shack wave, explosions and gunshots. Am Sci. 2006;94:22–31.

    Google Scholar 

  42. Suneson A, Hansson H, Seeman T. Peripheral high energy missile hits cause pressure changes and damage to the nervous system: experimental studies on pigs. J Trauma-Inj Infect Crit Care. 1987;27:782–9.

    Article  CAS  Google Scholar 

  43. Suneson A, Hansson HA, Seeman T. Central and peripheral nervous damage following high energy missile wounds in the thigh. J Trauma. 1988;28(1 Suppl):197–203.

    Google Scholar 

  44. Wehner HD, Sellier K. Compound action potentials in the peripheral nerve induced by shock waves. Acta Chir Scand Suppl. 1982;508:179–84.

    PubMed  CAS  Google Scholar 

  45. Westaby S, Blaisdell FW. Ballistic injury to the chest. In: Ryan JM, Rich NM, Dale RF, Morgans BT, Cooper GJ, editors. Ballistic trauma, clinical relevance in peace and war. London: Arnold; 1997. p. 193–206.

    Google Scholar 

  46. Yamada H. Strength of biological materials. Baltimore, Maryland: Williams & Wilkins Company; 1970.

    Google Scholar 

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  1. Discipline of Pathology, Level 3 Medical School North Building, The University of Adelaide, Frome Road, Adelaide, SA, 5005, Australia

    Nicholas Maiden

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  1. Nicholas Maiden
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Correspondence to Nicholas Maiden.

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Maiden, N. Ballistics reviews: mechanisms of bullet wound trauma. Forensic Sci Med Pathol 5, 204–209 (2009). https://doi.org/10.1007/s12024-009-9096-6

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  • DOI: https://doi.org/10.1007/s12024-009-9096-6

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