Pediatric intracranial gunshot wounds: the Memphis experience
GUNSHOT WOUNDS
description
Transcript of GUNSHOT WOUNDS
GUNSHOT WOUNDSGUNSHOT WOUNDS
FIREARM INJURIES
FIREARMSFIREARMS
Smoothbore ie Shotguns ---fire mass of pellets
Rifled weapons ie Handguns & Rifles---fire bullets
Airguns—pistols & rifles---fire projectiles
SHOTGUNSSHOTGUNS
Calibre size = Bore or Guage Common Guages are 12 20 16 .410Historically,the number of balls (of barrel
diameter) to equal a pound of leadException is the .410,which means it has a
barrel diameter of 0.410 inches
SHOTGUNSSHOTGUNS
Single-BarrelledDouble-Barrelled—may be Side-by-Side or
Over-and-UnderRepeating----single-barrelled,Pump-Action
or Semi-Automatic
SHOTGUNSSHOTGUNS
BARREL LENGTHCommenest lengths28 inches30 inches32 inchesLegal Minimum is 24 inchesSawn-Off Shotguns ---- ILLEGAL
SHOTGUNSSHOTGUNS
CHOKE----a constriction over last few inches of the barrel
May be built in and permanent or the gun may come with a selection of screw-in chokes
Choke functions to delay the spread of the pellet pattern
SHOTGUNSSHOTGUNS
CHOKETrue-CylinderImproved choke¼ choke½ choke¾ chokeFull choke
SHOTGUNSSHOTGUNS
AMMUNITION is the CartridgeThe Cartridge contains the lead shot (ie the
pellets) which come in a variety of sizesNumber ConventionLow number = fewer BIG pelletsHigh number = more SMALL pellets6 = common game load
SHOTGUNSSHOTGUNS
What comes out of the gun when it is fired?PELLETSWADSGASFLAMEPOWDER---burnt and unburnt
SHOTGUN WOUNDSSHOTGUN WOUNDS
CONTACT WOUNDSHead ---- EXPLOSIVE InjuryChest and Abdomen --- circular wounds
with blackened and seared marginsMay get a muzzle imprint
SHOTGUN WOUNDSSHOTGUN WOUNDS
< 2 feet ----single wound, ¾ to 1 inch 3 feet----single wound,scalloped margins 4 feet----entrance wound + satellite holes 10 feet----ragged central hole with
numerous pellet holesBeyond 10 feet----pattern of multiple pellet
holes
SHOTGUN WOUNDSSHOTGUN WOUNDS
WADDING< 5-6 feet----goes in the entrance woundBeyond that range , may strike separatelyFelt wadsPlastic wads -----Maltese Cross between 1
to 2 feet
HANDGUNSHANDGUNS
REVOLVERSSEMI-AUTOMATIC PISTOLSAll fire bulletsVarious Calibres
HANDGUNSHANDGUNS
What does the weapon discharge?Flame--- 1 to 2 inchesGasPowder---burnt and unburntSoot ( Carbon )Vapourised MetalBULLET
HANDGUN WOUNDSHANDGUN WOUNDS
CONTACT WOUNDS----firm,loose,nearINTERMEDIATE RangeDISTANT
HANDGUN WOUNDSHANDGUN WOUNDS
CONTACT WOUNDSBlackened,Seared edgesPossible Muzzle ImprintLoose—ring of sootNear ---broader band of blackened,seared
skin
HANDGUN WOUNDSHANDGUN WOUNDS
CONTACT WOUNDS to the HEADMay get a circular wound with
blackened,seared marginsMay get a wound with a muzzle imprintMay get a Stellate-shaped wound as gases
enter and the thin scalp which is stretched over bone balloons out
Possible back-spatter into weapon
HANDGUN WOUNDSHANDGUN WOUNDS
INTERMEDIATE RANGEPOWDER TATTOOING is the
characteristic featurePowder grains strike the skin causing
punctate abrasionsMultiple punctate reddish-brown to orange-
red abrasionsApproximate range-----1/2 inch to 2-4 feet
HANDGUN WOUNDSHANDGUN WOUNDS
DISTANTRound or Oval wounds with an Abrasion
Ring (usually though not always)
HANDGUN WOUNDSHANDGUN WOUNDS
EXIT WOUNDS Rule of ODDS and EVENS Usually Larger and more Irregular than entry
wounds Often slit-like or stellate N.B.---Shored Exit Wounds---uncommon---have
an abrasion ring due to exit site in contact with ground or wall,or rarely due to tight clothing
GUNSHOT WOUNDSGUNSHOT WOUNDS
Scientific Examination of ClothingTest-Firing of Gun and Ammunition
RIFLE WOUNDSRIFLE WOUNDS
POWERFULFMJ – Bullets ---tend to pass through and
remain UndeformedSemi-jacketed bullets used as Hunting
rounds---jacket peals back and the lead core mushrooms and disintegrates into scores of lead fragments
RIFLE WOUNDSRIFLE WOUNDS
High-Velocity Rifle woundsEnormously powerful and destructiveShock-WaveCavitationTransmission of Energy via Fluid-filled
Structures eg Arteries and Veins to produce additional injury at sites remote from the main track
GUNSHOT WOUNDSGUNSHOT WOUNDS
ACCIDENT? SUICIDE? MURDER? Need to consider the wound,the wound site,range
of discharge,the scene etc. Preservation of Evidence(including fingerprints) GSR (gunshot residue) swabs Clothing Test-Firing