Gunshot Wounds
BALLISTICS
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Low velocity (<2,000 ft/sec): This includes all handguns.
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High velocity (>2,000 ft/sec): This includes all military rifles and most hunting rifles.
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Shotgun wounding potential is dependent on:1. Chote (shot pattern)2. Load (size of the individual pellet)3. Distance from the target
ENERGY
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The kinetic energy (KE) of any moving object is directly proportional to its mass (m) and the square of its velocity (v2) and is defined by the equation: (KE =½mv2)
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The energy delivered by a missile to a target is dependent on:1. The energy of the missile on impact (striking energy)2. The energy of the missile on exiting the tissue (exit energy)3. The behavior of the missile while traversing the target: tumbling, deformation, fragmentation
TISSUE PARAMETERS
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The wounding potential of a bullet depends on the missile parameters, including caliber, mass, velocity, range, composition, and design, as well as those of the target tissue.
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The degree of injury created by the missile is generally dependent on the specific gravity of the traversed tissue: higher specific gravity = greater tissue damage.
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A missile projectile achieves a high kinetic energy because of its relatively high velocity. The impact area is relatively small, resulting in a small area of entry with a momentary vacuum created by the soft tissue shock wave. This can draw adjacent material, such as clothing and skin, into the wound.
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The direct passage of the missile through the target tissue becomes the permanent cavity. The permanent cavity is small, and its tissues are subjected to crush (Fig. 4.1).
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The temporary cavity (cone of cavitation) is the result of a stretchtype injury from the dissipation of imparted kinetic energy (i.e., shock wave). It is large and its size distinguishes high-energy from lowenergy wounds.
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