The effect of military clothing on gunshot wound patterns in a cadaveric animal limb model
File(s)Stevenson2019_Article_TheEffectOfMilitaryClothingOnG.pdf (1.22 MB)
Published version
Author(s)
Stevenson, Tom
Carr, Debra J
Gibb, Iain E
Stapley, Sarah A
Type
Journal Article
Abstract
The majority of injuries in survivors of gunshot wounds (GSW) are typically to the extremities. Novel wound ballistic research is encouraged to try and capture corporate knowledge on the management of these injuries gained during recent conflicts and understand the wounding patterns seen. With recent work examining the effect of UK military clothing on extremity GSW patterns in a synthetic model, a model with greater biofidelity is needed for ballistic testing. The aim of this study was to assess the effect of UK military clothing on GSW patterns within a cadaveric animal limb model using two types of ammunition commonly used in recent conflicts—7.62 × 39 mm and 5.45 × 39 mm. In total, 24 fallow deer hind limbs were shot, 12 by 7.62 mm projectiles and the remaining 12 shot by 5.45 mm projectiles, further divided into four with no clothing layers (Cnil), four with a single clothing layer (Cmin) and four with maximum clothing layers (Cmax) as worn on active duty by UK military personnel. Limbs were analysed after ballistic impact using contrast CT scanning to obtain measurements of permanent cavity damage, and results were compared using analysis of variance (ANOVA). Results showed significantly different damage measurements within limbs with Cmax for both ammunition types compared with the other clothing states. This may result in GSWs that require more extensive surgical management, and invites further study.
Date Issued
2019-11-01
Date Acceptance
2019-07-26
Citation
International Journal of Legal Medicine, 2019, 133 (6), pp.1825-1833
ISSN
0937-9827
Publisher
Springer Verlag
Start Page
1825
End Page
1833
Journal / Book Title
International Journal of Legal Medicine
Volume
133
Issue
6
Copyright Statement
© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000492038100021&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Medicine, Legal
Legal Medicine
Ballistic
Extremity
Injury
AK47
AK74
UK MILITARY
TISSUE
INJURIES
FEATURES
LAYERS
Publication Status
Published
Date Publish Online
2019-08-14