Wound ballistics of military rifle bullets: an update on controversial issues and associated misconceptions.

  title={Wound ballistics of military rifle bullets: an update on controversial issues and associated misconceptions.},
  author={Panagiotis K. Stefanopoulos and George K. Mikros and Dionisios Pinialidis and Ioannis Oikonomakis and Nikolaos Tsiatis and Bo Janzon},
  journal={Journal of Trauma and Acute Care Surgery},
The wound ballistics literature contains several misconceptions about the physical effects of penetrating projectiles in tissue and tissue simulants. These can adversely affect the proper management of gunshot injuries, particularly in view of the ongoing threat of terrorist and criminal acts using assault rifles against civilians. The understanding of the wounding effects by military rifle bullets can be founded on the concept of energy transfer to the wound as applied to high-energy missile… 

Woundary ballistics of biological tissue’s plastic deformation on the model of ballistic plastiline using hollow point and shape-stable bullets

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Organization of sorting and surgery of wounds with soft tissue defects during the joint force surgery

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A very unusual autopsy finding came up after a man was shot twice and affected by a lethal thoracoabdominal gunshot wound, inferring that the thoracoABdominal transit of the bullet extraordinarily had occurred in correspondence of the diaphragmatic inferior vena cava’s ostium, thus exploiting a natural passage without damaging the diphragmatic muscle.

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This review will address the topic of firearm-related skeletal muscle injury and regeneration, and introduces trauma ballistics and the immediate injury of skeletal muscle, followed by detailed coverage of the underlying biological mechanisms involved in regulating skeletal muscle dysfunction following injury.

Application of Damage Control Tactics and Transpapillary Biliary Decompression for Organ-Preserving Surgical Management of Liver Injury in Combat Patient.

A combination of operative and nonoperative techniques for the management of the combat GSW to the liver is effective along with the application of damage control tactics.

An overview of forensic operations performed following the terrorist attacks on November 13, 2015, in Paris

This discussion highlights the particular difficulties of interpretation encountered within the framework of ballistic injuries, a conclusion that should lead to a modest and realistic approach in these exceptional situations where forensic operations involve a very large number of victims in a constrained time.

Gunshot homicides in Denmark 1992–2016

The results show that gunshot injuries in homicides are different from suicides and accidents and clearly are affected by the homicide type, the sex of the victim, and the weapon used and that these entities are intertwined.

Comparison between computed tomography and silicone-casting methods to determine gunshot cavities in ballistic soap

This work accomplished the 3D digital reconstruction of the cavities created by different projectiles in ballistic soap blocks, rendering better capabilities when compared to the current silicone method through the CT analysis and 3D Slicer imaging software.



Common Misconceptions and Controversies Regarding Ballistics and Gunshot Wounds

When treating firearm injuries, each patient must be assessed individually and treatment should be based on objective findings and scientific knowledge, rather than on dogma.

Ballistics for physicians: myths about wound ballistics and gunshot injuries.

It is concluded that high velocity weapons do not reliably create massive wounds, and judicious débridement and staged explorations may be the best treatment method for these patients.

Terminal ballistics of the Russian AK 74 assault rifle: two wounded patients and experimental findings.

Gelatin disruption in the initial 8 to 11 cm of the bullet path is minimal, suggesting that even the highest-velocity military missiles, like the AK 74 5.45 x 39 mm bullet, may cause only minimal tissue disruption in this initial part of tissue penetration.

Assessment of bullet effectiveness based on a human vulnerability model

The authors recognise that determining clinical effectiveness based on the AIS scores alone without verification of outcome by review of clinical hospital records means that this technique should be seen more as a manner of comparing the effectiveness of bullets than an injury prediction model.

Wound ballistics. A review of common misconceptions.

The projectile-tissue interaction is explained and data showing the location, type, and amount of tissue disruption characteristically produced by various projectiles is presented.

Gunshot wound review.

  • M. Fackler
  • Medicine
    Annals of emergency medicine
  • 1996

Gunshot wounds: A review of ballistics, bullets, weapons, and myths.

The numbers of gunshot wounds are increasing in the United States, although the gun-related homicide rates remain relatively stable, and health care providers for trauma care should become proactive in the ongoing national debate as it is their duty.

Muscle devitalization in high-energy missile wounds, and its dependence on energy transfer.

Relations between the energy transferred by a high-velocity missile along a wound channel and the ensuing tissue destruction were studied in 25 live, anesthetized pigs to give indications of the mechanisms of missile wounding.

Ballistic Trauma-Considerations for the OrthoPlastic Surgical Team

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Wounding effects of two types of bullets on soft tissue of dogs.

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