Difference between revisions of "Gunshot wounds"

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(create - split-out from forensic pathology)
 
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An introduction to forensic pathology is in the ''[[forensic pathology]]'' article.
An introduction to forensic pathology is in the ''[[forensic pathology]]'' article.


==Accounting==
Number of entrance wound should equal the number of exit wounds -- if it doesn't there are:
Number of entrance wound should equal the number of exit wounds -- if it doesn't there are:
*Bullets in the body,
*Bullets in the body,
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*** ... anywhere the sun don't shine.
*** ... anywhere the sun don't shine.


===Firearm projectiles===
==Firearm projectiles==
Two broad groups:
Two broad groups:
*Shotgun projectiles.
*Shotgun projectiles.
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**Thus, all projectiles are recovered from a body... and it is routinue to X-ray all gunshot victims.
**Thus, all projectiles are recovered from a body... and it is routinue to X-ray all gunshot victims.


===Entrance wounds===
==Entrance wounds==
Characteristics:<ref name=denton>{{cite journal |author=Denton JS, Segovia A, Filkins JA |title=Practical pathology of gunshot wounds |journal=Arch. Pathol. Lab. Med. |volume=130 |issue=9 |pages=1283?9 |year=2006 |month=September |pmid=16948512 |doi= |url=http://journals.allenpress.com/jrnlserv/?request=get-abstract&issn=0003-9985&volume=130&page=1283}}</ref>
Characteristics:<ref name=denton>{{cite journal |author=Denton JS, Segovia A, Filkins JA |title=Practical pathology of gunshot wounds |journal=Arch. Pathol. Lab. Med. |volume=130 |issue=9 |pages=1283?9 |year=2006 |month=September |pmid=16948512 |doi= |url=http://journals.allenpress.com/jrnlserv/?request=get-abstract&issn=0003-9985&volume=130&page=1283}}</ref>
*Circular/round defect --especially if the projectile strikes at a right angle to the surface.
*Circular/round defect --especially if the projectile strikes at a right angle to the surface.
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***Classically results in a "D-shaped" wound.<ref name=denton/>
***Classically results in a "D-shaped" wound.<ref name=denton/>


===Exit wounds===
==Exit wounds==
Characteristics:
Characteristics:
*Wsually bigger than entrance wounds.
*Usually bigger than entrance wounds.
*Morphologic shape -- variable.
*Morphologic shape -- variable.
**Round, stellate, ovoid.
**Round, stellate, ovoid.
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**May appear to be an entrance wound.
**May appear to be an entrance wound.


===Special entrance/exit wounds===
==Special entrance/exit wounds==
*Keyed wounds.
*Keyed wounds.
**Combination entrance/exit wounds -- result from a bullet grazing the victim.
**Combination entrance/exit wounds -- result from a bullet grazing the victim.


===Distance of shooter===
==Distance of shooter==
Contact:
Contact:
*Muzzle impression.
*Muzzle impression.
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*Absence of soot & stippling does '''not exclude''' near range -- may be assoc. with clothing or intermediate target separated from the victim post-injury.
*Absence of soot & stippling does '''not exclude''' near range -- may be assoc. with clothing or intermediate target separated from the victim post-injury.


===Injury severity due to GSWs===
==Injury severity due to GSWs==
The damage of a projectile depends on:
The damage of a projectile depends on:
*Where the bullet strike, e.g. ascending aorta vs. brain vs. tibia vs. gluteus maximus.
*Where the bullet strike, e.g. ascending aorta vs. brain vs. tibia vs. gluteus maximus.
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**Ek=1/2*m*v^2.
**Ek=1/2*m*v^2.
***Velocity is more important -- as it is squared (duh).
***Velocity is more important -- as it is squared (duh).
*Cavitation effect.<ref>NEED GOOD REF.</ref>
*Cavitation effect; temporary cavity formation.<ref name=pmid19644779>{{cite journal |author=Maiden N |title=Ballistics reviews: mechanisms of bullet wound trauma |journal=Forensic Sci Med Pathol |volume=5 |issue=3 |pages=204–9 |year=2009 |pmid=19644779 |doi=10.1007/s12024-009-9096-6 |url=}}</ref>


==See also==
==See also==