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517 result(s) for "Wounds, Gunshot - pathology"
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Analysis of gunshot damage to the porcine femur in a human thigh model using 5.5 mm airgun pellet: 3D reconstruction of gunshot injuries
The performance of advanced air rifles available on the market is comparable to that of small-calibre firearms. The airgun market offers airgun pellets that vary in weight, shape, calibre and material. In view of the ease of airguns tuning, a study of the gunshot damage to the anterior surface of the porcine femoral shaft was carried out with shots fired from a 5.5 mm calibre air rifle. An original human thigh model using a pig femur embedded in ballistic gellatine was used in the study. Gunshot damage was inflicted by firing Haendler&Natterman Baracuda, HollowPoint, Spitzkugel and Excite Apollo 5.5 mm airgun pellets from an Air Arms s410 Hi-Power Xtra FAC 5.5 mm calibre PCP air rifle. Measurements of the velocity and impact energy of the pellets as well as the extent of the bone and periosteal entry damage were taken. Statistical analysis was used to identify differences between pellets with regard to dimensions of gunshot damage to the shafts of the femur. Selected models were subjected to CT imaging.
Skin simulants for wound ballistic investigation – an experimental study
Gunshot wound analysis is an important part of medicolegal practice, in both autopsies and examinations of living persons. Well-established and studied simulants exist that exhibit both physical and biomechanical properties of soft-tissues and bones. Current research literature on ballistic wounds focuses on the biomechanical properties of skin simulants. In our extensive experimental study, we tested numerous synthetic and natural materials, regarding their macromorphological bullet impact characteristics, and compared these data with those from real bullet injuries gathered from medicolegal practice. Over thirty varieties of potential skin simulants were shot perpendicularly, and at 45°, at a distance of 10 m and 0.3 m, using full metal jacket (FMJ) projectiles (9 × 19 mm Luger). Simulants included ballistic gelatine at various concentrations, dental silicones with several degrees of hardness, alginates, latex, chamois leather, suture trainers for medical training purposes and various material compound models. In addition to complying to the general requirements for a synthetic simulant, results obtained from dental silicones shore hardness 70 (backed with 20 % by mass gelatine), were especially highly comparable to gunshot entry wounds in skin from real cases. Based on these results, particularly focusing on the macroscopically detectable criteria, we can strongly recommend dental silicone shore hardness 70 as a skin simulant for wound ballistics examinations.
Radiological investigation of gunshot wounds: a systematic review of published evidence
IntroductionDespite the constantly growing popularity of radiological imaging in forensic pathology, a systematic review investigating the efficiency and limits of radiological techniques, in comparison to forensic autopsy, was still missing.AimThe present review aims at providing an overview on the current role of radiology in the forensic investigation of fatal gunshot wounds without any restriction to specific radiological techniques.Material and methodsA systematic literature search on three databases (PubMed, Web of Science, and Science Direct) was performed until December 2017. The Oxford Centre for Evidence Based Medicine (OCEBM) grading system for levels of evidence was applied, in order to weigh published evidence.Results and discussionEighty-six papers (1.64% of the records) were included. Despite the quite limited general level of evidence, which contrasts with the abundance of the scientific literature on this topic, several recommendations/statements, coupled to their OCEBM grade, were distilled as for the identification of retained bullets, gunshot wounds detection, diagnosis of entrance and exit wounds, trajectories and internal injury detection and estimation of the firing distance.ConclusionsImaging radiological technologies represent the present and future of wound ballistics. However, traditional, micro and molecular imaging techniques require further validation through blinded cross-sectional studies with appropriate reference standards (e.g. forensic autopsy).
Ballistic long bone fracture pattern: an experimental study
When dealing with badly preserved cadavers or skeletal human remains, the assessment of death circumstances remains challenging. When forensic evidence cannot be taken from the skin and soft tissue, the information may only be deduced from more resistant elements such as bone. Compared to cranial gunshot injuries, reliable data on ballistic long bone trauma remains scarce. This study aims to define ballistic fracture characteristics in human long bones. The shaft of 16 femurs and 13 humeri from body donors was perpendicularly shot with a 9-mm Luger full metal jacket bullet at an impact velocity of 360 m/s from a distance of 2 m. Some bones were embedded in Clear Ballistics Gel®, and some were shot without soft tissue simulant in order to better visualise the fracture propagation on the high-speed camera. The fractures were examined macroscopically and compared between the sample groups. We consistently found comminuted fractures with a stellate pattern. Fracture details were classified into entrance, exit and general characteristics. For some traits, we detected different occurrence values in the group comparison. The results indicate that some of the traits depend on bone properties such as shaft diameter, bone length and cortical thickness. The presence of ballistic gel also influenced some fracture traits, emphasising the relevance of soft tissue simulant in osseous gunshot experiments. This study revealed new insights in the detailed fracture pattern of human long bones. These may serve as guidelines for the identification and reconstruction of gunshot trauma in human long bones.
The effect of human decomposition on bullet examination
Most firearm related homicides involve the deceased being forensically examined within a day or two, however, there are times when bodies have been examined and the fired components removed several days or weeks after death, when the body is in an active or advanced state of decomposition. In these cases, ballistic investigation has been found to be complicated due to the damage to the bullets, however the extent of this is not yet known. To date, there have been no studies investigating the effect of human decomposition and the subsequent analysis of bullets lodged in the body in an Australian context. Herein, seven fired copper jacketed bullets were manually inserted into three specific tissue types; lungs, abdomen and leg muscle (twenty-one bullets in total), of human donors in both cool and warm conditions at the Australian Facility for Taphonomic Experimental Research (AFTER). Bullets were removed every three days for a period of twenty-one days, and each bullet underwent manual microscopic examinations by firearms examiners across Australia. Results have indicated that the bullets corrode quickly in warm conditions, compared to bullets exposed to decomposition in cooler conditions. The results of this study will inform investigators and pathologists of the need to remove and examine fired bullets from decomposed bodies as soon as possible, especially in warm conditions to provide firearms examiners with the best opportunity to link fired bullets to a common source. •This study presents an examination of bullet damage in decomposing human remains.•Temperature and decomposition rate affects the degree of bullet damage.•Bullet damage greatly affects ability to affect bullet comparisons.
The wounding potential of assault rifles: analysis of the dimensions of entrance and exit wounds and comparison with conventional handguns. A multicentric study
The appearance of a gunshot wound (GSW) is greatly influenced by the velocity of the projectile, where high-velocity projectiles (HVPs) are defined as ballistic agents reaching a muzzle velocity of > 600 m/s fired from assault rifles. The aim of the study is to present and explain the differences in the dimensions of entrance and exit wounds between the most used handguns and assault rifles and to propose a predictor of HVP, i.e., the ratio of exit and entrance wounds (EX/ENR). The surface area of entrance and exit GSWs and the EX/ENR were calculated. 66 perforating GSWs produced by NATO FMJ 7.62 × 52 mm and 5.56 × 42 mm fired from assault rifles were assigned to the HVP, while 64 lesions produced by conventional projectiles fired from revolvers and semi-automatic pistols were assigned to the low-velocity projectile (LVP) group. The dimensions of the exit wounds of the HVP group were significantly higher when compared to the LVP group (95% CI 0.9886–2.423, p  < 0.05). The HVP group showed significantly higher values for the EX/ENR when compared to the LVP group (95% CI 2.617–7.173, p  < 0.05). The evaluation of the EX/ENR can be considered an adequate tool to assess the type of weapon involved and to roughly estimate the associated wounding mechanisms, which can guide both the physician in the management and treatment of the patients affected by GSW, and the forensic pathologist in crime investigation.
Successful rehabilitation and release of two severely injured Formosan black bears (Ursus thibetanus formosanus) with desensitization to routine treatment procedures
Background Wildlife rehabilitation is crucial for the recovery of injured endangered species; however, this process can induce significant stress, potentially leading to secondary injuries and complications. This case report details the rehabilitation of two severely injured Formosan black bears ( Ursus thibetanus formosanus ) with desensitization techniques as an alternative approach to reducing stress while promoting voluntary cooperation during treatment. Case presentation Patient 1 was an adult female bear with injuries, including the loss of the second, third and fourth phalanges of the left forelimb and extensive necrosis of the right palm. Patient 2 was a subadult male suffering from multiple gunshot wounds, severe necrosis of the distal part of the right wrist, and a fracture of the right mandibular ramus and left humerus. Both bears underwent desensitization training, which fostered calmness during routine procedures and facilitated smooth recovery throughout rehabilitation. Pre-release training focused on rebuilding physical capacity and developing natural behaviors, as well as human avoidance, to increase survival and reduce human-bear conflicts. Conclusions The successful outcomes, characterized by complete recovery and avoidance of human interactions, underscore the effectiveness of desensitization strategies in wildlife rehabilitation. This approach not only enhances the quality of medical care but also mitigates the risks of post-release conflicts, contributing to the conservation of endangered species.
Distribution of bone fragments in angled shots: an experimental study conducted on composite models containing artificial bone plates
In conventional gunshot injuries to targets containing bone the resulting osseous fragments do not precede but follow the bullet on its further way through adjacent soft tissues. The term “secondary projectiles” for the particles does not appear to be appropriate since they are not believed to have enough energy necessary for creating their own wound channels away from the temporary cavity. Former studies have shown that in angled shots to glass panes the bulk of splinters does not follow the bullet’s trajectory: The majority of the glass fragments, especially the larger ones, move at right angles to the pane shot through. The aim of the presented study was to examine whether osseous fragments behave like glass splinters in angled shots to flat synthetic bone. In this context, it should also be assessed, whether the bone fragments might act as secondary projectiles in rare cases. To answer these questions, test shots were fired to composite models consisting of flat synthetic bone and ballistic gelatin. Pistol cartridges 9 mm Luger were used to fire the shots which were video-documented with a high-speed camera. Afterwards, the composite models underwent CT examination and macroscopic inspection. Video-documentation revealed that the larger bone particles from the perforation site move at a roughly right angle from the osseous sheet into the gelatin, causing an eccentric bulge of the temporary cavity. The smaller bone fragments were also lodged along the bullet’s path, predominantly in the cracks radiating from the permanent wound channel.