Firearm Injuries Overview
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Questions and Answers

What effect does the specific gravity of tissue have on the damage caused by a bullet?

  • Higher specific gravity diminishes penetration effectiveness.
  • Specific gravity does not influence bullet damage.
  • Higher specific gravity results in greater damage. (correct)
  • Higher specific gravity leads to less damage.

Which statement best describes the wounds caused by contact-range gunfire?

  • They have larger exit wounds compared to entrance wounds.
  • They typically exhibit no signs of powder stippling.
  • They lack any gas-related injuries.
  • They usually contain soot and may cause lacerations from gas effects. (correct)

How does the design of a bullet influence the severity of injuries sustained?

  • Bullet design has no significant impact on injuries.
  • Certain designs can enhance the bullet's penetration capabilities. (correct)
  • Tumbling design generally reduces injury severity.
  • Bullet design only affects the exit wound size.

What typically happens to exit wounds compared to entrance wounds?

<p>Exit wounds are generally larger because the bullet may have expanded. (B)</p> Signup and view all the answers

What important factor must be considered to estimate the distance of a gunshot wound accurately?

<p>Testing fire from various distances to correlate evidence patterns is essential. (B)</p> Signup and view all the answers

What defines the caliber of a rifled weapon's barrel?

<p>The diameter between two opposite lands (A)</p> Signup and view all the answers

Which type of firearm utilizes spiral grooves in its barrel?

<p>Rifled weapons (C)</p> Signup and view all the answers

What is primarily responsible for igniting the propellant powder in a cartridge?

<p>The flame from the primer (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of firearm wounds?

<p>Excessive heat generation (D)</p> Signup and view all the answers

What type of powder is classified as modern gunpowder?

<p>Nitroglycerine (A)</p> Signup and view all the answers

Which of the following best describes the term 'cavitations' in the context of firearm injuries?

<p>Loss of substance from tissue damage (D)</p> Signup and view all the answers

In rifled weapons, what is the role of the lands in the barrel?

<p>To stabilize the bullet’s path (B)</p> Signup and view all the answers

What substance is primarily contained in the primer of a cartridge?

<p>Lead styphnate (B)</p> Signup and view all the answers

What is the primary effect of the gas produced by gunfire on the skin?

<p>It leads to eversion of edges of the wound. (A)</p> Signup and view all the answers

What happens to the diameter of the inlet wound compared to the bullet's diameter after the bullet leaves the skin?

<p>It becomes smaller than the bullet's diameter. (B)</p> Signup and view all the answers

Which phenomenon is described by the presence of unburned particles or powder residue in the skin?

<p>Tattooing or stippling (C)</p> Signup and view all the answers

What kind of marks are associated with the muzzle effect of gunfire?

<p>Imprints of the muzzle against the skin (A)</p> Signup and view all the answers

What type of tissue damage occurs due to cavitation from a bullet?

<p>Permanent cavity caused by the bullet's path (B)</p> Signup and view all the answers

How do metallic fragments from gunfire specifically affect the skin?

<p>They become embedded within the skin. (C)</p> Signup and view all the answers

What substance in gunfire gases contributes to a pink coloration in tissues?

<p>Carbon monoxide (D)</p> Signup and view all the answers

What effect does the lubricant from the firearm have on the wound created by a gunshot?

<p>It creates a grease ring around the wound. (A)</p> Signup and view all the answers

What is a characteristic of the exit of a bullet compared to its inlet?

<p>Edges are typically everted (C)</p> Signup and view all the answers

Which of the following describes a bullet's inlet when fired at an angle?

<p>Oval with abrasions on one side (C)</p> Signup and view all the answers

Which term describes the difference in size between an entrance and exit wound in bones?

<p>External bevelling (A), Internal bevelling (C)</p> Signup and view all the answers

What type of wound is formed by a bullet grazing the skin and subcutaneous tissue?

<p>Gutter wound (B)</p> Signup and view all the answers

What is typically absent in the exit wound of a bullet?

<p>Gunshot residue (B)</p> Signup and view all the answers

What deformity can occur in a bullet fired that strikes a firm object before entering the body?

<p>Ricochet (C)</p> Signup and view all the answers

What distinguishes the sizes of inlet and exit wounds in bones?

<p>Internal bevelling is larger at the exit (D)</p> Signup and view all the answers

What is the shape of inlet wounds made by bullets fired at a distance?

<p>F or D shaped due to tumbling (B)</p> Signup and view all the answers

What characteristic wound shape is typically associated with new shotgun ammunition devices?

<p>Square edged star or capital X-shape (A)</p> Signup and view all the answers

At what distance do felt and cardboard wads typically cause a circular bruise on the skin?

<p>From 2 to 5 meters (B)</p> Signup and view all the answers

What primarily modifies the spread of pellets from a shotgun?

<p>Choking at the muzzle end (D)</p> Signup and view all the answers

Which factor is least likely to contribute to complications and sequelae from firearm injuries in the head?

<p>Pulmonary embolism (B)</p> Signup and view all the answers

Which question is not typically part of the investigation for firearm injuries?

<p>What is the weather at the time of injury? (D)</p> Signup and view all the answers

When do exit wounds become more common in non-rifled weapons?

<p>When pellets strike at an acute angle (A)</p> Signup and view all the answers

What is a possible cause of death associated with firearm injuries in the abdomen?

<p>Hemorrhage or infection and peritonitis (D)</p> Signup and view all the answers

Firearm residue on a victim can present visibly as which of the following?

<p>Tattooing and grease (A)</p> Signup and view all the answers

What occurs when a bullet breaks up during its course?

<p>It results in more than one exit. (B)</p> Signup and view all the answers

Which of the following describes the initial mechanism when a sporting gun is fired?

<p>The firing pin strikes the primer to ignite the powder. (B)</p> Signup and view all the answers

What feature characterizes contact wounds caused by non-rifled weapons?

<p>Single circular entrance wound with minimal burning. (A)</p> Signup and view all the answers

At distances of 2 to 4 meters, what change occurs in the entrance wound of a non-rifled weapon?

<p>Satellite pellet holes become visible. (B)</p> Signup and view all the answers

How do the effects of gunfire from non-rifled weapons compare to those from rifled weapons?

<p>They occur at different distances but have similar effects. (C)</p> Signup and view all the answers

What is the expected appearance of an entrance wound from a weapon held at right angles to the skin?

<p>Single circular entrance wound with possible burning. (D)</p> Signup and view all the answers

What is the result of wad injuries caused by non-metallic contents in shotgun cartridges?

<p>Can vary vastly from minor to severe injuries. (A)</p> Signup and view all the answers

What is a characteristic of wounds caused by shotgun pellets at distances greater than 4 meters?

<p>Only individual pellet holes can be seen. (B)</p> Signup and view all the answers

Flashcards

Rifled Weapons

Guns that have spiral grooves inside the barrel, giving bullets a spin for accuracy and stability.

Caliber

The distance between two opposite grooves in a rifled barrel.

Propellant Powder

The explosive substance inside a cartridge that propels the bullet.

Primer

The part of a cartridge that ignites the propellant powder.

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Pressure

The force created by expanding gases that pushes the bullet out of the barrel.

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Rifling Marks

Marks left on a bullet by the rifling in a barrel.

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Inlet Wound

The hole created when a bullet enters the body.

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Exit Wound

The hole created when a bullet exits the body.

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Wound Eversion

The outward turning or flipping of the edges of a wound caused by the force of expanding gases from a gunshot.

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Cruciate Shape Lesion

A characteristic wound pattern resembling a cross, caused by the pressure of expanding gases from a gunshot.

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Gunshot Smudging

The blackening or smudging on the surface of a target caused by the deposit of soot and unburned gunpowder residue.

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Tattooing or Stippling

The presence of small, embedded gunpowder particles in the skin, often visible as tiny black dots.

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Bullet Inlet Wound

The entrance wound of a bullet, where it enters the body. Often smaller in diameter than the bullet due to the skin's elasticity.

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Bullet Wound Abrasion

The scraping or abrasion around a bullet entrance wound caused by the bullet's rotation and contact with the skin.

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Carbon Monoxide Discoloration

The bluish discoloration of tissue caused by the presence of carbon monoxide in the gases from a gunshot.

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Temporary Wound Cavity

The temporary expansion of a wound cavity created by the rapid acceleration of air and tissue caused by a bullet's impact.

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Bullet Velocity and Mass

The force of the bullet's travel, determined by its speed and weight, significantly affects the damage inflicted.

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Bullet Design

The shape and design of the bullet, such as hollow points, influence how it penetrates and expands within the body.

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Distance From Muzzle

The closer the bullet is fired to the target, the greater the damage due to the expansion of gases and the pressure wave.

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Tissue Type and Penetration

The type and density of tissue, like bone versus muscle, influences how the bullet travels and causes damage. Denser tissue creates more damage, while elastic tissue absorbs more energy.

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Bullet Tumbling

When a bullet wobbles or spins uncontrollably as it travels, it can increase the damage and create a larger wound.

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Bullet Exit Wound

The point where a bullet exits the body, typically larger in size, with everted edges and lacking gunpowder residue.

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Bevelling of Bone

A phenomenon where the bullet displaces bone fragments in the direction it travels, creating a larger hole on the opposite side of impact.

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Gutter Wound

A tear in the skin and underlying tissue between a bullet's entry and exit points, commonly caused by internal bullet deviation due to bone impact.

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Ricochet Wound

An injury caused by a bullet striking a hard object before entering the body, resulting in a deformed bullet and an irregular wound.

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Angle of Entry

A bullet striking at an angle creates an oval-shaped inlet wound, with more abrasion on the side nearest the gun.

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Tumbling Bullet

A bullet fired at a distance may tumble in flight, creating an 'F' or 'D' shaped inlet with surrounding lacerations.

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Bullet Grazing

A bullet striking the surface of the skin but not penetrating deeper tissues, leaving a grazing mark that's elongated or oval.

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Multiple Exits

A single bullet creating a break up in its course, a jacket separation, or a fractured bone causing fragments to exit from different points.

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Shotgun Firing Mechanism

The pressure produced by expanding gases pushes the wad forward, causing pellets and other materials to be ejected from the barrel.

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Non-Rifled Weapon Effects

Effects of gases, flame, smoke, and unburned particles are similar to rifled weapons, but occur at different distances. Pellets and wads cause different damage at varying ranges.

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Contact Wound

A single, circular entrance wound with minimal soiling and burning, often showing a muzzle imprint.

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Wad Wound

A wound caused by the non-metallic components of a shotgun cartridge, with varying severity depending on the materials.

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Close Range Wound (0-15 cm)

A single circular wound if the gun is held perpendicular to the skin, or elliptical if angled. Shows singeing of hair, burning, blackening, and pink tissue due to carbon monoxide.

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Intermediate Range Wound (15 cm to 2 meters)

A wound with scalloped and crenated edges, known as a 'moth-eaten' or 'rat-hole' appearance. Burning and blackening may still be present.

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Long Range Wound (> 2 meters)

Beyond 2 meters, no burning or blackening is usually present, and powder tattooing is rare. The entrance wound is surrounded by individual pellet holes (satellites), which increase in number as the distance increases.

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Shotgun Choking

A shotgun barrel that is narrowed at the muzzle end, causing pellets to be kept together over a longer distance, resulting in more concentrated shots.

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Non-rifled Weapon

A type of firearm that does not have spiral grooves (rifling) inside the barrel, resulting in a less accurate and stable shot.

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Range of Fire

The range at which a firearm was fired, which can be determined by examining the wound pattern and surrounding area.

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Firearm Residue

The material left behind on a victim at the point of entry from a firearm, such as blackening, grease, tattooing and burning.

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Study Notes

Firearm Injuries

  • Firearms are weapons that propel a projectile using expanding gases created by the combustion of an explosive substance.
  • Rifled weapons have spiral grooves with lands in the barrel. Lands bite the bullet during passage, creating a spinning motion.
  • Caliber is the bore diameter of a rifled weapon's barrel and is measured as the distance between two opposite lands, typically in hundredths of an inch or millimeters.
  • Rifled weapons come in long-barrel (service rifles) and short-barrel (handguns like revolvers and pistols) varieties.
  • Non-rifled weapons, like shotguns, have smooth bores and fire multiple projectiles (pellets), and also wads.
  • The mechanism of firing rifled weapons involves the firing pin impacting a primer (containing mercury fulminate), igniting the propellant powder, creating high pressure, and propelling the bullet from the gun.
  • Firearm wounds exhibit Cavitations,(loss of substance) of the surrounding tissues due to damage, and an inlet wound and an exit wound also present a track between them both.
  • Powder marks and gunshot residue may be present externally of the wound, especially at the inlet.
  • Bevelling of bones is observed as a characteristic due to bullet impacting.
  • The range of firing impacts tissue damage, with varying characteristics based on whether contact, intermediate, or distant.
  • Contact wounds have soot, and more lacerations, and potentially a muzzle imprint.
  • Intermediate-range wounds have a wider powder stippling zone.
  • Distant-range wounds have a hole roughly the caliber of the projectile, with less powder stippling.
  • Exit wounds are larger than entrance wounds and frequently lack gunshot residue.
  • Bullet trajectory/path may change during the passage of a bone or firm tissue; an exit wound may not be directly opposite an entrance wound.

Mechanism of Firing Rifled Weapons

  • Firing: The firing pin impacts the primer, igniting the explosive.
  • Flash: The flash ignites the propellant powder.
  • Gas Production: Burning powder generates gas pressure.
  • Bullet Propulsion: High pressure propels the bullet through the barrel.

Gunpowder

  • Black powder: Composed of carbon, sulphur, and potassium nitrate.
  • Smokeless powder: Modern gun powder, consisting of nitrocellulose and/or nitroglycerine. Often single-base or double-base.
  • Primer: Lead azide, lead styphnate, mercury fulminate, lead thiocyanate, antimony sulfide. Materials used in propellants.

Effects of Gunfire on Skin and Clothing

  • Gases: Evert the wound edges, creating a cruciate.
  • Flame/Burning: Produces burning effects on affected surfaces
  • Smoke: Cause blackening on surfaces.
  • Unburned particles (powder residue): Creates a tattooing/stippling effect on skin/cloth.
  • Metallic fragments: Can become embedded in skin(gunshot residue)

Bullet Tissue Damage Mechanisms

  • Laceration/Crushing: Direct mechanical damage caused by the bullet.
  • Cavitations: Permanent cavity from bullet path; temporary cavity from continued acceleration of air/tissue.
  • Shock waves: Compress tissue and travel ahead of the bullet.

Factors Affecting Injuries

  • Bullet velocity and mass: Greater velocity/mass often leads to greater damage.
  • Bullet design: Properties of the bullet (shape, construction) influences damage.
  • Target distance from the muzzle: Shorter range usually results in greater damage.
  • Tissue type: Density and elasticity, affect damage potential
  • Bullet tumbling: Can alter the nature of damage and extent.

Range of Firing in Rifled Weapons

  • Contact: immediate, wound characterized by soot, and muzzle imprint.
  • Intermediate: wider powder stippling zone.
  • Distant: lack of stippling, just a hole, and spread of gunshot residue less prominent.

Range of Firing in Non-Rifled Weapons

  • Contact: Single, circular wound, slight soiling/burning.
  • Intermediate/Distant: Wads and pellets spread, with no central injury.

Wad Wounds

  • Caused by non-metallic parts (felt/cardboard wads/plastic) of shotgun cartridges.
  • Vary in severity, ranging from minor bruises to fatal injuries.
  • Different types of fragments travel varied distances.

Special Forms of Firearm Wounds

  • Inlet wounds: Often shaped due to bullet tumbling.
  • Ricochet: Bullet strikes hard surface prior to body, leading to powder marks on the intermediate surface.
  • Multiple exits: Jacket separated during travel; multiple holes present.

Investigation for Firearm Injuries

  • Case assessment: Determining if firearm was used.
  • Wound type: In or out wound identification, as this plays a fundamental role in the investigation
  • Weapon type: Identifying rifled or non-rifled weapons.
  • Firing range: Estimating the distance of shot.
  • Injury circumstances: Determining factors during the incident.
  • Cause of death: Relationship of injury to death confirmation
  • Causative weapon identification: Determining the weapon itself.

Complications of Firearm Injuries

  • Death (instantaneous, delayed): Dependent on site, organs/vessels impacted.
  • Neurological damage: Spinal cord issues, brain damage.
  • Circulatory failure: Internal bleeding (hemorrhage), leading to shock/death.
  • Internal organs damage
  • Fat embolism (associated with long bone fractures)
  • Pulmonary embolism (associated with long immobilization.

Firearm Residue

  • Visible (blackening, grease, tattooing) and invisible (primer/powder components).
  • Found on skin/clothing of shooter; victim; and at crime scene.
  • Lead, Barium, antimony; present in most modern powder compositions.

X-Rays in Firearm Injury Investigation

  • Used to identify bullet, pellets, fragments, or track, and to assess the site and extent/direction of impact.
  • Assists in determining wound presence/location, bone/tissue defects, and the absence of a missile.

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Firearm Injuries PDF

Description

This quiz explores the mechanics and types of firearms, focusing on rifled and non-rifled weapons. It covers key concepts such as caliber, bullet dynamics, and the physiological effects of firearm injuries. Test your knowledge on these critical topics related to firearms and their impact on human tissue.

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