A systematic review on ricochet gunshot injuries

Yong, Yuw-Er

doi:10.1016/j.legalmed.2017.03.003

Cited by 13 publications

(6 citation statements)

References 78 publications

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“…As such, it may be of benefit to briefly review ricochet cases. Ricochet GSW entrance wounds are often irregular in shape (as in the present case), and ricocheted bullets have a decreased likelihood of tissue penetration (9). Gill and Pasquale-Styles mentions ricochet bullets as a consideration when dealing with firearm deaths related to law enforcement (10).…”

Section: Discussionmentioning

confidence: 71%

Hostage Situation Homicide

Prahlow¹,

Prahlow²

2019

Academic Forensic Pathology

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Deaths related to hostage situations occur in many forms, as these situations can easily escalate as a result of many confounding variables. When approaching such cases, forensic pathologists and death investigators should be mindful of the many details that should be well-documented at the scene and during autopsy to ensure that the correct conclusions and death certification are determined. This case report highlights a death in a hostage situation and the importance of correlating scene information and autopsy findings. An elderly female hostage was ambulating with a walker away from her ex-husband’s home, after police negotiations successfully convinced her ex-husband to release her. The ex-husband then appeared at the door, brandishing a weapon, at which time a police officer shot at the man. Instead of striking the man, the rifle’s projectile struck the woman in the chest. Subsequent investigation revealed that, although the police officer had a “clear shot” via the rifle sights, the muzzle end of the rifle was obstructed by the back corner of an automobile, behind which the officer was positioned during the hostage situation standoff. The case highlights a rarely discussed safety rule related to firearms: recognition that the line of sight via a weapon’s sights (or scope) is not identical to the barrel/bore axis.

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Section: Discussionmentioning

confidence: 71%

Hostage Situation Homicide

Prahlow¹,

Prahlow²

2019

Academic Forensic Pathology

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“…Retained bullets can come to rest intact, if they remain in soft tissue, or they could strike bone or a metal implant resulting in fragmentation. 25,35 Despite yaw, most intact bullets typically come to rest in tissue at 0° (nose-forward) or 180° (base-forward), causing tissue destruction no larger than the bullet's caliber. 36,37 If bullet yaw is equal to 90° on contact, the resultant tissue damage can be greater than three times as extensive.…”

Section: Retained Bullet Gswsmentioning

confidence: 99%

Gunshot Wounds: Ballistics, Pathology, and Treatment Recommendations, with a Focus on Retained Bullets

Baum¹,

Baum²,

Hayward³

2022

ORR

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As the epidemic of gunshot injuries and firearm fatalities continues to proliferate in the United States, knowledge regarding gunshot wound (GSW) injury and management is increasingly relevant to health-care providers. Unfortunately, existing guidelines are largely outdated, written in a time that high-velocity weapons and deforming bullets were chiefly restricted to military use. Advances in firearm technology and increased accessibility of military grade firearms to civilians has exacerbated the nature of domestic GSW injury and complicated clinical decision-making, as these weapons are associated with increased tissue damage and often result in retained bullets. Currently, there is a lack of literature addressing recent advances in the field of projectile-related trauma, specifically injuries with retained bullets. This review aims to aggregate the available yet dispersed findings regarding ballistics, GSW etiology, and treatment, particularly for cases involving retained projectiles.

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“…However, the physical behavior of the ballistic itself may make these injuries difficult to define both anatomically and radiographically. The factors that determine these pathways include the anatomy of the entrance wound, the shape of the bullet, and its velocity [2] . Ultimately, defining the trajectory of the injury is necessary to dictate the definitive management.…”

Section: Introductionmentioning

confidence: 99%