Wounding Flashcards
At the conclusion of this section students should be able to: • • Identify the main classifications of gunshot wounds • Explain the factors that contribute to the extent of gunshot wounds • Explain the significance of the temporary cavity in wounding. • Differentiate entry and exit gunshot wounds
What is Wound Ballistics?
Wound ballistics can be considered a subdivision of terminal ballistics Which deals with the motions and effects of projectiles in tissue.
The extent of injury from a bullet is attributable to:
- The mechanical shredding and crushing of tissue by the bullet as it perforates the tissue.
- Shearing, compression and stretching injuries to the tissue due to temporary cavity formation.
- Secondary issues due to the breakup of the bullet
- The nature of the tissue perforated by the bullet
- The length of the wound track
Temporary Cavity
A cavity which is formed when the kinetic energy of a projectile is transferred to the surrounding tissue causing it to expand outwardly.
How long until the cavity collapses ?
The cavity collapses after a few seconds and is again filled with surrounding tissue and fluid.
The are the factors that affect the size and shape of temporary capvity
- Nature of the bullet
- The amount of kinetic energy lost by the bullet in its path
- How rapidly the energy is lost
- The elasticity and cohesiveness of the tissue
What is not a significant TC in wounds caused by which firearm?
The temporary cavity is not as significant in wounds caused by handgun bullets as with rifle bullets.
How does the organ the projectile hit effect the temporary cavity?
No matter how large the temporary cavity is, it will have little or no effect unless it forms in an organ sensitive to injury from such a cavity (eg. liver vs muscle).
How doe the location of the wound play a important role in the severity of the injury.
Specific organs like elastic tissue such as muscle or the lung are more resistant to stretch damage as opposed to solid organs such as the liver.
How does kinetic energy determine the size of the temporary cavity?
It is the amount of kinetic energy lost in the tissue that determines the size of the temporary cavity and not the total energy possessed by the bullet.
What factors that affect kinetic energy lost ?
- Yaw of the bullet at the time of impact
- Bullet Characteristics
- Location of the wound
What is the yaw of the bullet?
The yaw of the bullet is the deviation of the long axis of the bullet from its line of flight. As soon as the bullet leaves the barrel it begins to yaw or wobble.
What physical characteristics of the bullet affect the yaw?
The degree of yaw of a bullet is determined by its physical
characteristics of the bullet, the rate of twist and the density of the air.
How does the gyroscopic spin become insufficent?
Although the gyroscopic spin imparted by the rifling is sufficient the bullet in air, it is insufficient to stabilize the bullet when it enters the body.
How is kinetic energy lost in the wound by yawing?
As the bullet begins to yaw, its cross-sectional area becomes larger, the drag forces increases and more kinetic energy is lost in the wound. The sudden increase in the drag force on yawing puts a great strain on the bullet may cause it to break up.
What bullet characteristics can influence the amount of kinetic energy lost in the body?
The bullet characteristics such as its calibre, construction and configuration can influence the amount of kinetic energy lost in the body.
How does the type of bullet affect kinetic energy in the body?
Expanding bullets, which open up or mushroom in tissue, are more retarded by tissue than round nose bullets and therefore lose greater amounts of kinetic energy in the body.
As the bullet deforms what characteristics are affected?
As the bullet begins to deform, the shape and calibre of the bullet play less of a significant role in the amount of kinetic energy lost in the body.
What does bullet deformation depend on?
The amount of deformation depends on the construction of the bullet( length, thickness, hardness of the jacket material, hardness of the lead core and the presence of a hollow point) and the bullet velocity.
How does the density of the tissue affect the energy lost ?
The denser the tissue then the greater the retardation and greater the energy lost in the body.
What parts of the tissues directly affects the amount of kinetic energy lost?
The density, strength and elasticity of the tissue penetrated by a bullet as well as the length of the wound track plays a significant role in determining the amount of kinetic energy lost in the body.
How can handguns produce significant damage?
To cause significant damage, a handgun bullet must strike a structure directly.
How big can temporary cavities of rifle bullets get?
Temporary cavities created by rifle bullets can reach up to 12.5 times the diameter of the bullet.
What effect does expanding cavity walls have, and how does pressure introduce foreign materials?
The expanding walls of the cavity are capable of causing severe damage. Positive and negative pressures alternate in the wound track, resulting in the sucking of foreign matter and bacteria into the track from both the entrance and exit.
Where is maximum kinetic energy lost?
Maximum kinetic energy lost occurs at the point where the bullet is in maximum yaw i.e., at a 90 degree angle to the path.
How does permanent cavities form?
Less elastic and cohesive structures struck by high velocity bullets results in a permanent cavity approximately the size of the temporary cavity.
What is the critical level of kinetic energy and why is it important?
- There is a critical level of kinetic energy loss above which tissue destruction becomes radically more severe.
- When a bullet exceeds this level , it produces a temporary cavity that the organ or tissue can no longer contain. When the
- Elastic level is exceeded the organ bursts.
What is the critical level exceeded for a full metal jacket projectile?
For full metal jacketed bullets this critical level is exceeded when the projectile reach velocities greater than 2625 – 2950 ft/s.
What is the critical level exceeded for a soft point or hollow point rifle bullets?
For soft point or hollow point rifle bullets, the the critical level can be reached at lower velocities as a result of the deformation and breakup of the bullets.
Therefore, the critical velocity can be 1500 – 2000 ft/s.
What are the four categories into which gunshot wounds can be dvided
- Contact Wounds
- Near Contact Wounds
- Intermediate Wounds
- Distant Wounds
What is contact wounds?
A contact wound refers to a wound that is created when the muzzle of the firearm is held against the surface of the body at the time of discharge.
What are the main types of contact wounds?
These type of wounds can be divided into:
*hard,
*loose,
* angled
* and incomplete wounds