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The use of non-lethal weapons has spread worldwide, being introduced as an alternative to firearms in many countries such as the United States or the United Kingdom. Among non-lethal weapons, conducted electrical weapons have been adopted worldwide, to control unruly suspected criminals or to neutralise violent situations. The stun gun belongs to this category and is the most widely available, with more than 140,000 units in use by police officers in the field in the US, and an additional 100,000 electrical stun guns owned by civilians worldwide. In Italy, the use of conducted electrical weapons by law enforcement has only recently been introduced, with private use and commercialisation still prohibited, mainly due to controversies related to the potential dangers of such devices. Before the official adoption, several experiments had to be carried out, with mechanisms that reproduced the ballistics of the stun gun. Here we present the case of a man who suffered a self-injury trauma to his hand during a ballistics exercise with a crossbow loaded with stun gun probes. [ABSTRACT FROM AUTHOR]

In examining deaths resulting from gunshot wounds, it is important to describe the wound pathway created by the projectile. Forensic pathologists must identify all entrance and exit wounds and account for all projectiles. Occasionally, confusion arises as to whether a skin defect represents an entrance wound or not, an exit wound, or some other type of wound. Herein, we propose the descriptor "bullet track skin defect" as a formal description for a superficial skin defect created along the pathway of a projectile within the body. Specifically, we define the "bullet track skin defect" as a partial‐ or full‐thickness skin defect produced by a projectile traveling beneath the skin in a relatively tangential fashion as part of a wound pathway within the body. It is somewhat analogous to a traditional graze or superficial tangential wound, wherein the projectile traveling outside the body strikes the skin tangentially from above, without entering the body. However, the projectile is already traveling within the body with the bullet track skin defect, disrupting the skin tangentially from below rather than from above, without exiting the body. Although these defects are not a common presentation of gunshot wounds, they are certainly not rare. With this case series, we suggest that such defects may be referred to as "bullet track skin defects." Alternative language that can substitute for "bullet track skin defects" includes "bullet track skin wounds" or "bullet track cutaneous defects." [ABSTRACT FROM AUTHOR]

Traumatic injuries from civilian gunshot injuries represent a significant clinical burden to orthopaedic surgeons worldwide. Furthermore, the incidence of such injuries is increasing. Having a sound understanding of the pathophysiology associated with gunshot injuries and the appropriate management algorithm is vital. This chapter aims to review the current evidence regarding the incidence and prevalence of civilian ballistic trauma, the pathophysiological processes associated with these injuries, and the recommended management from emergent care at the time of injury to definitive surgery and rehabilitation. [ABSTRACT FROM AUTHOR]

The insufficient recognition of injuries by the BB-gun (regarded as toys for children) has led to its increasing misuse without permission, which has caused many public safety issues. Aiming to enhance the understanding of the injuries by the BB-gun, the experimental and numerical study of BB-Gun pellet penetrating "cowhide + gelatine" composite target was comprehensively carried out. It was confirmed from the experiment that BB-Gun is capable of inflicting severe or fatal wounds to important organs, and perforating the skin or not could be employed to evaluate the safety of BB-guns. Moreover, three forms of ballistic limit (including: velocity, kinetic energy and specific kinetic energy) of typical BB were calculated and analyzed by reasonably validated numerical simulation method. Additionally, a formulation was acquired by dimensional analysis based on the simulation results and was verified to accurately predict the ballistic limit velocity of BB with different mechanical properties. The method may help to improve the understanding on the minimal velocity needed to perforate skin and may be advised as the determination of the safety of BB-gun. [ABSTRACT FROM AUTHOR]

Population reduction or eradication of domestic or non-domestic species may be required to address their impacts on the environment, other species, or human interests. Firearms are often used to accomplish these practical management objectives, and there is increased concern that the methods used may compromise animal welfare. We document the accuracy and humaneness of gunshot placement to the brain and cervical vertebrae of Philippine deer (Rusa marianna) on Guam during depopulation activities as a model for meeting AVMA standards of euthanasia under field conditions (e.g., animal is not in hand). Deer were shot with a .223 caliber rifle from 10–125 m and approached immediately (<20 s) for assessment. A subset of adult deer was further evaluated for physiological responses including cessation of heart rate, respiration, ocular reflexes, and post-mortem spasms. All deer shot in the brain (n = 132) and upper cervical spine (C1—C3; n = 18) died immediately due to the destruction of the brain or spinal tissue. Shot placements were all within 1.9 cm of the point of aim (i.e., the center of the target region). The accuracy and immediate insensibility resulting from targeting of C1—C3 demonstrates that this is an alternative target site when animal positioning is not optimal for targeting the brain, or there is a need to preserve brain tissue (e.g., Chronic Wasting Disease testing). While targeting of C4 –C7 vertebrae (n = 6) was accurate and resulted in immediate incapacitation, the failure to produce immediate insensibility does not support the use of this shot placement when upper cervical or brain shot placement is an option. It is reasonable to achieve sufficient accuracy to target the brain or upper cervical vertebrae of deer under field conditions and meet standards of euthanasia while accomplishing management objectives. [ABSTRACT FROM AUTHOR]

Synthetic models, also called "surrogates", are commonly used in wound ballistics in order to simulate human tissues. Despite several surrogates are worldwide accepted and used; some of them have not been yet fully validated and their limits for forensic reconstructions have not been deeply investigated yet. In this work we present a homicide/suicide case involving three gunshots to the head with bullets retained in the skull or beneath the scalp. Reconstruction of these cases was performed preparing three individual synthetic head models based on post-mortem computed tomography (PMCT) measurements. Ballistic soap, polyurethane plates and 10% ballistic gelatine at 4°C were used as simulants in individually adapted thickness. Ballistic tests were performed using the questioned firearm and ammunition type. The damages on the synthetic models have been compared to the findings in PMCT and autopsy of the victims. Although the results highlighted general similarities in terms of injury characteristics, some of the experimental shots overpenetrated. Furthermore, the bullets recovered in the synthetic models did not show the same quality of deformations as the questioned bullets. This lack of bullet deformation in the synthetic models might be mainly attributed to the physical difference between real bones and polyurethane surrogate. [ABSTRACT FROM AUTHOR]

Gun violence is a global phenomenon with regional variation in frequency and severity. Handguns are often used in violent deaths such as suicides and homicides. Hence, ballistic trauma is a critical subject of forensic investigations. Trauma patterns are fundamental evidence for the reconstruction of the incident and for the determination of the manner of death. This study investigated the differences in trauma patterns with a series of experiments using six different calibers (.22 LR, .38 Special, .380 ACP, 9×19mm, .40 S&W, and .45 ACP) and four different bullet types. Synbone® spheres (polyurethane bone proxies) were used for close range 30cm simulated executions. The polyurethane spheres constitute an excellent proxy for human crania at the macroscopic level as suggested by other studies. The results showed that the radius of the entrance wound is positively correlated (Pearson's correlation coefficient R=0.846, p<0.05) with the caliber dimension. As muzzle velocity increased, endocranial beveling increased. Bullet weight, conversely, does not seem to have an effect on the size of the endocranial beveling present in Synbone® spheres. The ballistic experiments exhibited similarities in entrance wound morphology; radial and concentric fracture patterns, hydraulic burst effect, circumferential delamination, and endocranial beveling with that of documented forensic cases with corresponding caliber shot. Synbone spheres seem appropriate for ballistic simulations of cranial injuries; yet, more research is needed to verify these observations. [ABSTRACT FROM AUTHOR]

• A mole gun can be diverted from its classic use to become a homemade firearm. • The use of this homemade firearm has caused serious intracorporeal injuries. • The ballistic analysis of homemade firearms is essential for understanding the facts. The body of a man was found in a workshop at the back of his home, a metal pipe embedded in his chest. In the immediate vicinity of the body, among various tools, was a machine containing a holster hit of lead shot evoking a mole-trap-type "taupe gun" (mole gun). The findings at the scene and the presence of a metal tube, sinkers, and a flock in the chest are in favour of the use of a homemade firearm. The autopsy and CT scan revealed atypical ballistic thoracic trauma responsible for a dilaceration of both the heart and thoracic aorta that caused the death. The autopsy also found a contused wound at the back of the skull without intracranial lesion, which may be due to the fall of the victim after the thoracic trauma. There is no other traumatic lesion and in particular no lesion of seizure, constraint, or defense. Toxicological analyses revealed the presence of alcoholic impregnation at the time of death. These findings, confronted with the expertise of a balistician, made it possible to understand how the victim used a mole gun to cause these lesions. A metal tube was used as a cannon to aim more surely at the heart but also as a means of triggering the propulsion mechanism of the trap without having to stretch out the arm. The tube, thinner than the barrel, had disengaged from its tip to be embedded with the lead shot in the chest of the victim. [ABSTRACT FROM AUTHOR]

Introduction: Surgical treatment of high-energy gun-shot wounds (GSWs) to the extremities is challenging. Recent surgical doctrine states that wound tracts from high-energy GSWs should be laid open, however the experience from previous conflicts suggests that some of these injuries can be managed more conservatively. The aim of this study is to firstly characterise the GSW injuries sustained by UK forces, and secondly test the hypothesis that the likely severity of GSWs can be predicted by features of the wound.Methods: The UK Military trauma registry was searched for cases injured by GSW in the five years between 01 January 2009 and 31 December 2013: only UK personnel were included. Clinical notes and radiographs were then reviewed. Features associated with energy transfer in extremity wounds in survivors were further examined with number of wound debridements used as a surrogate marker of wound severity.Results: There were 450 cases who met the inclusion criteria. 96 (21%) were fatally injured, with 354 (79%) surviving their injuries. Casualties in the fatality group had a median New Injury Severity Score (NISS) of 75 (IQR 75-75), while the median NISS of the survivors was 12 (IQR 4-48) with 10 survivors having a NISS of 75. In survivors the limbs were most commonly injured (56%). 'Through and through' wounds, where the bullet passes intact through the body, were strongly associated with less requirement for debridement (p<0.0001). When a bullet fragmented there was a significant association with a requirement for a greater number of wound debridements (p=0.0002), as there was if a bullet fractured a bone (p=0.0006).Conclusions: More complex wounds, as indicated by the requirement for repeated debridements, are associated with injuries where the bullet does not pass straight through the body, or where a bone is fractured. Gunshot wounds should be assessed according to the likely energy transferred, extremity wounds without features of high energy transfer do not require extensive exploration. [ABSTRACT FROM AUTHOR]

In practical forensic casework, backspatter recovered from shooters' hands can be an indicator of self-inflicted gunshot wounds to the head. In such cases, backspatter retrieved from inside the barrel indicates that the weapon found at the death scene was involved in causing the injury to the head. However, systematic research on the aspects conditioning presence, amount and specific patterns of backspatter is lacking so far. Herein, a new concept of backspatter investigation is presented, comprising staining technique, weapon and target medium: the 'triple contrast method' was developed, tested and is introduced for experimental backspatter analysis. First, mixtures of various proportions of acrylic paint for optical detection, barium sulphate for radiocontrast imaging in computed tomography and fresh human blood for PCR-based DNA profiling were generated (triple mixture) and tested for DNA quantification and short tandem repeat (STR) typing success. All tested mixtures yielded sufficient DNA that produced full STR profiles suitable for forensic identification. Then, for backspatter analysis, sealed foil bags containing the triple mixture were attached to plastic bottles filled with 10 % ballistic gelatine and covered by a 2-3-mm layer of silicone. To simulate backspatter, close contact shots were fired at these models. Endoscopy of the barrel inside revealed coloured backspatter containing typable DNA and radiographic imaging showed a contrasted bullet path in the gelatine. Cross sections of the gelatine core exhibited cracks and fissures stained by the acrylic paint facilitating wound ballistic analysis. [ABSTRACT FROM AUTHOR]

Based on its intrinsic mass and velocity, a bullet has an upper limit of wounding potential. Actual wound severity is a function of the bullet construction and trajectory, as well as the properties of the tissues traversed. Interpreting physicians must evaluate the bullet trajectory and describe patterns of injury resulting from the effect of energy transfer from the projectile into living tissue. A basic understanding of firearms, projectiles, and wound ballistics can help the interpreting physicians in conceptualizing these injuries and interpreting these cases. [ABSTRACT FROM AUTHOR]

Civilian gunshot injuries from handgun and rifle ammunition vary in severity depending on the anatomic location involved and the different effects from the ballistic properties of the penetrating projectiles. Ballistic factors such as the impact velocity and energy should not be considered in isolation, as their specific effects are determined by the interaction between the projectile and tissues. Increased tissue damage can result from tumbling of non-deforming rifle bullets and deformation of expanding bullets. Both of these mechanisms increase substantially the energy transfer to the wound and its diameter, also producing a pulsating temporary cavity associated with pressure changes within tissue. [ABSTRACT FROM AUTHOR]

The tissue factors important in wound ballistics provide a useful insight into the pathophysiology of organ injury in all trauma. Wound ballistics includes penetrating and blunt trauma mechanisms. Blunt trauma takes the form of tissue stretch (temporary cavitation). The varied ability of different types of tissue to tolerate the physical displacement of tissue stretch in gunshot wounds, and the inability of any tissue to survive being crushed by a bullet, is a model for the relative abilities of different tissues to tolerate blunt trauma and penetrating trauma of all types. As in gunshot wounds, the extent of tissue injury from any type of trauma is directly related to both the characteristics of the tissue injured and the mechanism of injury. Penetrating trauma can be a feature of blunt trauma (and vice versa), such as when a rib fracture fragment is displaced into the spleen, lacerating it. Although the mechanism of a traumatic event may be pure blunt or penetrating trauma, the mechanism of tissue injury may be mixed. [ABSTRACT FROM AUTHOR]

Bullets of equal wounding potential may produce wounds of very different severity. Wounding is an interaction between the missile and the tissue. When attempting to predict wound severity, focusing on missile velocity while forgetting either the properties of the tissue wounded or the missile's mass and construction leads to very poor predictions. Fortunately, all the poor predictions commonly made are of little consequence as it is the condition of the patient, not the type of firearm or missile used, that determines the treatment needed. Tissue crush and tissue stretch by displacement (temporary cavitation) are the only wounding mechanisms of missiles. Tissue stretch is tolerated very differently by different tissues. Missiles can embolize. Missile type, direction of fire, and order of shots can sometimes be assessed radiologically. Lead bullets or fragements in joints cause lead synovitis, mechanical arthritis, and sometimes lead poisoning. When possible, they should be removed. For shotgun wounds, steel shot may be ferromagnetic and is important to recognize prior to magnetic resonance imaging. Steel shot stays round and does not deform like lead shot. The "billiard ball effect" may compromise assessment of range unless correlated with skin physical examination. [ABSTRACT FROM AUTHOR]