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

@article{Stefanopoulos2019WoundBO,
  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},
  year={2019}
}
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… 

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References

SHOWING 1-10 OF 112 REFERENCES

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

Assessment of the ballistic wound prior to surgery is necessary to plan the surgical strategy, and surgeons should look for features of high-energy transfer: large wounds, round fragmentation, bone strike, partial or fully retained rounds.

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

Compared the amount of absorbed energy, the volume of wound channel, the frequency of developing complex wound and the ratio of dimensions between the entrance and the exit, it proved that the injury caused by 5.56 mm bullet was several to dozens of time as severe as that caused by 7.62 mm bullet.
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