Topic 11 - Wound Ballistics & Tissue Simulants Flashcards

1
Q

Where does tissue damage come from?

Energy, properties

A

Tissue damage comes from the energy that the bullet carries, the bullet design and the properties of the tissue that is impacted.

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2
Q

What can shootings at a close range leave on a body?

A

Shootings at close range can leave distinctive marks on the body.

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3
Q

What are the majority of civilian firearm wounds caused by?

A

The majority of civilian firearm wounds are inflicted at close to medium range (0 to 25 m), usually with handguns.

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4
Q

What is possible to analyse at very close range? (wounding)

Cell & tissue damage, deposits & patterns

A
  • At very close range it is possible to analyse not just the tissue damage, but also propellant deposits and burn patterns.
  • Contact wounds will almost always leave a mark or imprint.
  • Even if the contact is light, the metal of the firearm on the skin will cause cell damage at the point of contact
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5
Q

What is tattooing/stippling?

Residues + close range

A
  • Hot gunshot residues can embed into human tissues at relatively close ranges and leaves a pattern on the skin.
  • This can be easily mistaken for shotgun wounds by the untrained eye.
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6
Q

What can give an indication of the incidence angle?

A

The distribution and shape of the pattern could also give an indication of incidence angle.

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7
Q

When are GSR left on skin recoverable?

A

Gunshot residues are recoverable from skin around a wound for close range shooting (less than a few metres)

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8
Q

What can a contact shot to the head lead to?

A

A contact shot to the head can lead to a distinctive star-shaped (stellate) splitting of the skin.

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9
Q

Why can a contact shot to the head leave a specific mark?

A

The propellant gases are ‘injected’ between dermis and cranium but have nowhere else to go, so they escape to the external environment by bursting out of the skin surrounding the wound.

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10
Q

What leads to the burning of class characteristics related to the firearm into skin?

High temperatures associated, imprint, markings

A
  • The high temperatures associated with the shot permit the burning of class characteristics related to the firearm into the skin for contact shots.
  • This can lead to an imprint of the muzzle and fore-end around entry wound.
  • Manufacturer markings may also be visible around wound.
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11
Q

What is typical for intermediate and long-range wounds?

Muzzle imprint, Penetration data

A
  • No muzzle imprint or gas injection trauma.
  • Minimal or complete absence of tattooing and GSR collection not possible.
  • Penetration data alone cannot be used to appreciate the range as this is dependent on too many factors.
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12
Q

What is typical for shotgun wounds?

Wadding

A
  • Shotgun wounds typically exhibit multiple entry wounds, dependant upon ammunition type.
  • Unless shot at very close range, there are usually no exit wounds.
  • The wadding could become embedded in the wound or at least mark the skin near the wound area.
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13
Q

What do skull impacts often result in?

Exit & entry wounds

A
  • Skull impacts will often result in a phenomenon called ‘bevelling’.
  • This is sometimes the only reliable way of defining entry and/or exit wounds.
  • The bullet will often remain intact, albeit deformed, after a skull impact.
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14
Q

What can the shape of the bullet hole in the skull suggest?

A
  • Shape of the bullet hole in the bone can suggest the angle of impact.
  • For example “key-holing” from acute angle impacts as opposed to circular for perpendicular
    impacts.
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15
Q

What is a gutter wound and what damage can it cause?

Shallow angle, internal damage

A
  • The projectile may impact the surface of the skull at a relatively shallow angle and not penetrate – a tangential impact.
  • This can create a so-called “Gutter” wound leading to serious external damage.
  • The internal damage can be variable, depending on the creation of secondary projectiles or energy transfer that can affect the brain material.
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16
Q

What causes a comminuted fracture?

Acute angled impacts

A
  • Acute angled impacts can be deflected within the cranial cavity, causing a comminuted fracture diametrically opposite point of entry.
  • The bullet is recoverable by a pathologist or surgeon; rifling mark data should be intact.
  • Comminuted fractures can be mistaken for exit wounds – termed a pseudo-exit wound.
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17
Q

What is the calvaria (skull cap) often susceptible to?

High velocity

A

The skull cap (calvaria) is often susceptible to “popping off” following high-velocity ballistic trauma.

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18
Q

What causes the ‘popping off’ of the calvaria?

Increase in pressure, high energy transfer

A
  • The is due to the large increase in pressure generated inside the skull following a high energy transfer to the brain material.
  • The brain material is pushed out radially from the projectile’s path in a phenomenon known as the “temporary cavity”.
  • In other incidents, this process could affect different bones in the body if they are adjacent to a temporary cavity being produced.
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19
Q

What happens to smaller bones when they get damaged by a bullet?

A

Smaller bones such as the radius/ulna or clavicle will shatter with fragmentation extending beyond the damaged area

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20
Q

What happens to larger bones when they get damaged by a bullet?

A
  • Larger bones such as the femur or pelvis will tend to chip and deflect/deform the bullet.
  • In extreme cases the bullet may shatter or, if jacketed, drop its core.
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21
Q

What wounding do low-energy transfer weapons cause?

A
  • Handguns tend to have a lower average projectile energy on impact and therefore have less energy to transfer upon direct impact with bone.
  • Typically 500-800 Joules.
  • This often creates a “simple fracture” in bones, particularly long bones – a single break leaving just two main pieces.
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22
Q

What wounding do high-energy transfer weapons cause?

A
  • Rifles tend to present a higher average projectile energy on impact and therefore have more energy to transfer upon direct impact with bone.
  • Typically 1800-7000 Joules.
  • This often creates a “multi-fragmentary fracture” in bones, particularly long bones, with several breaks and widespread fragmentation.
  • Also creates “secondary missiles”
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23
Q

What happens to unjacketed bullets upon impact?

A

Unjacketed bullets have lower muzzle velocities and so tend not to shatter, but will deform heavily upon impact.

24
Q

What are the drawbacks of fragmented bullets?

A

Fragmented bullets can make identification of entry/exit wounds very difficult, and can lead to misidentification of the entry/exit wounds.

25
Q

What can happen when bullets get deflected?

A

Bullets deflected by the bone may also leave and re-enter the body elsewhere, further confusing the issue.

26
Q

What do high-velocity bullets do at close ranges?

A

High velocity bullets (500 – 1500 m.s-1) will tend to over-penetrate at close to medium ranges: 25 – 300 metres.

27
Q

How can you examine the path of the bullet inside the body?

A
  • Polycarbonate rods can be inserted into the permanent wound cavities and the victim’s body manipulated until the rod passes through, following the path of the bullet.
  • This process can suggest what the victim was doing at the time.
28
Q

What is the permanent cavity?

Tissue destroyed

A
  • This is the path of tissue destroyed by the transit of the bullet and is formed by the crushing of soft tissues or tearing by shrapnel/fragments.
  • This cavity does not completely close after the passage of the projectile and leaves the internal tissues exposed to atmospheric contamination.
29
Q

Why is the permanent wound cavity important?

Caliber

A
  • The permanent cavity is the most significant mechanism in the overall extent and severity of wounding.
  • The permanent cavity size is most closely related to the bullet’s caliber.
30
Q

Why do temporary wound cavities exist?

Transit of bullet

A

The temporary wound cavity opens up by the transit of the bullet through tissues (but it’s effect is most visual in soft tissues).

31
Q

Why do temporary wound cavities close?

Growth halting

A
  • Though soft tissues will be damaged (often only slightly), natural tissue elasticity will cause this cavity to close (almost) immediately after the passage of the bullet
  • Less elastic tissues are not able to withstand the process and deform permanently.
  • Upon the cavity growth halting and thus reaching its maximum diameter, the strain energy almost instantaneously is released causing a return to its original position along the permanent wound path.
32
Q

What forms the temporary wound cavity?

Radial acceleration

A
  • This cavity is formed by projectiles imparting radial acceleration to the tissue, forcing it out laterally during penetration.
  • The kinetic energy passed into the moving elastic tissue is transformed into strain energy (as elastic potential energy).
33
Q

What dictates whether the tissues can spring back in the temporary cavity?

Limit, young modulus, higher value = ?

A

This process assumes that the ‘elastic limit’ is not surpassed. The ability of tissues to spring back is dictated by Young’s modulus of the tissue, with a higher value indicating the tissue is more resistant to temporary cavity formation and thus more susceptible to damage.

34
Q

In terms of a temporary cavity, what effect to larger projectiles have and why?

A

Larger projectiles with the same impact velocity tend to create larger temporary cavities, since they decelerate at a slower rate than smaller ones and have more energy to transfer

35
Q

When do rifle bullets create their largest cavities?

A
  • Rifle bullets exhibit their largest cavities when they tumble and present the length of the
    projectile as the leading surface.
  • This side on profile generates large drag effects in comparison to the aerodynamic, low drag, pointed tip.
36
Q

What determines the extent of the temporary cavity?

A

The extent of temporary cavity formation is:
- A function of tissue elasticity,
- The proportion of impact energy converted into radial acceleration,
- The dimensions of the leading edge of the projectile inside the tissue.

37
Q

When does pulsing of the temporary cavity occur?

A

If the penetrated tissue is highly elastic, pulsing of the cavity may occur until all of the strain energy has been released and the temporary cavity ceases to exist.

38
Q

What firearms are low velocity and large calibre associated with?

A

Normally associated with pistol calibres and usually unjacketed or semi-jacketed.

39
Q

What type of cavities do low velocity, large calibre create?

A
  • Small permanent cavity – about the diameter of the deformed bullet.
  • Temporary cavity is kind of cylindrical and regular but does not extend far beyond the permanent cavity.
  • Bullets tend to lose energy very quickly inside the body, so may remain in victim.
40
Q

What type of cavities does high velocity, small calibre create?

A
  • Large, irregular permanent wound cavity if the bullet breaks up.
  • Large temporary wound cavity, widest in the middle.
  • Non-partitioned bullets will tend to strip from the core.
  • If this happens then core may over-penetrate and the jacket remains in victim.
41
Q

What type of bullet is a high velocity, small calibre?

A

Most rifle bullets fall into this category and are almost always jacketed.

42
Q

What is typically found when the tissue has been taken beyond its elastic limit?

A

Radial fissures are typically found along the length of the wound path where the tissue has been taken beyond its elastic limit by temporary cavity formation.

43
Q

What is a ballistic penetration simulant?

A

“any material, either biological or synthetic, that is able to give comparable and reproductive wound data in relation to the human body when penetrated by a projectile”

44
Q

Why are ballistic simulants used?

A
  • To overcome the ethical issues associated with testing on human tissues.
  • To give comparative penetration data between different projectiles.
  • To understand the potential wounding effects of projectiles.
  • To give accurate and reproducible data (accuracy has not always been considered paramount over dramatic effects being visualised).
45
Q

What materials have been used as soft tissue simulants?

A
  • Water
  • Wet phone books
  • Strawboard
  • Clay
  • Transparent gel candle
  • Lead
  • Glycerine soap
  • Hydrogels
  • Synthetic polymers
  • Cadavers
46
Q

What are the desirable properties of soft tissue simulants?

A
  • Non-cadaveric, and if possible, non-biological so that any natural biological variation is avoided between test samples.
  • Ethically sound.
  • Readily available, easy to handle and stable during storage.
  • Similarity in the deceleration and deformation behaviour of the projectile between the simulant and the living tissue type being simulated.
  • Similarity in the kinetic energy dissipation between the simulant and the living tissue type being simulated
47
Q

What are the desirable properties of soft tissue simulants? (Part 2)

A
  • Kinetic energy dissipation measurability with reasonable accuracy.
  • Extrapolation of temporary cavity diameter.
  • Elastic behaviour similar to living tissue for observation and measurement of temporary cavity formation and tissue compression.
  • Extrapolation of permanent cavity diameter.
  • Reproducibility.
  • Able to be CT scanned for visualisation of wound paths and to provide a permanent record from degradable simulants.
48
Q

What are the two formulations of ballistic gelatin used?

A
  • 10% gelatin @ 4oC
  • 20% gelatin @ 20oC
  • The density of ballistic gelatin temperature sensitive, hence why different temperatures must be used to give similar penetration properties at different concentrations
49
Q

What is ballistic gelatin used for?

A

It is typically used in two formulations for the simulation of soft body tissues such as muscle

50
Q

What type of material is soap?

A

Plastic as it is non-elastic

51
Q

What does using soap allow for?

A
  • This allows observation of the ‘profile’ of the
    temporary cavity produced during penetration into the soap, but it remains after the bullet passes through instead of collapsing.
  • The size of the cavity is not a direct representation of that expected in human tissue but can be used to predict it from calibrations.
52
Q

What is used to simulate human skin?

A
  • Most commonly used leathers to simulate human skin for ballistic testing are either upholstery or chamois leather.
  • Collagen in human skin is represented by the grain structure of the leather.
  • These materials are highly variable in properties by body region and age of cow or goat.
53
Q

What is the reproducibility problem?

A
  • Any biological organism, is likely to be different from another due to the inherent variability in the coding sequence responsible. As a result, a given biological
    tissue is unlike any other (apart from twins, although lifestyle will also affect things) and so there is no ‘standard’ figure attributable to any material property of the tissue.
  • Averaged values comprise a very high associated error.
54
Q

What are the difficulties in testing biological materials?

A
  • Variability.
  • Most standard methods cannot be used as materials are too soft.
  • Sample preparation is often tricky.
  • The materials are ‘viscoelastic’ and multi-axial testing is ideally required to include 3-dimensional microstructure of tissues.
  • Dynamic properties are required for studying ballistic impact.
  • Ethics!
55
Q

Without residue deposits…

A

Without residue deposits, it is almost impossible to estimate range of shot accurately

56
Q

Why can’t penetration distance alone be used to determine how far away a shooter was?

A

It depends on too many factors