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m1garand30064
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Posted: 8/20/2012 5:46:54 PM

THE IMAGE ABOVE IS A PAID ADVERTISEMENT
http://www.youtube.com/watch?v=tku8YI68-JA&feature=watch-vrec

[youtube]http://www.youtube.com/watch?v=tku8YI68-JA&feature=watch-vrec[/youtube]

I found this on Reddit this morning, and it is a really interesting medical perspective on what happens as a result of different caliber gunshot wounds.

It's not for the weak stomach, so beware.

TL;DW: If you get shot hope it is by a pistol and not a rifle.
MedicOC
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Posted: 8/20/2012 6:38:46 PM
Actually really good video. I have a suspicion that he has a nice collection of firearms.
To those who vanquish evil a crown of life shall be; They with the King of Glory shall reign eternally.
m1garand30064
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Posted: 8/20/2012 9:28:34 PM
Originally Posted By MedicOC:
Actually really good video. I have a suspicion that he has a nice collection of firearms.


I agree. I learned a lot.
gajeep94yj
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Posted: 8/20/2012 10:54:58 PM
That settles it. I am not carrying a pistol any more, gotta stay lugging a rifle with me every where!

In all seriousness that does reinforce the thought that any thing worth shooting is worth shooting multiple times.

Thanks for the video link.
Originally Posted By ExKalifornian:
and you can burn the whole state down as far as Im concerned. Kalifornia aint got Shit on The Great State of Georgia.
MedicOC
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Posted: 8/21/2012 12:19:05 AM

Originally Posted By gajeep94yj:
That settles it. I am not carrying a pistol any more, gotta stay lugging a rifle with me every where!

In all seriousness that does reinforce the thought that any thing worth shooting is worth shooting multiple times.

Thanks for the video link.

Off the gun shot wounds I've seen.....

22 short < 22 lr < 25< 9mm < 357< 270 win < 7.62X54R < 12 ga

the 270 removed the guys face, the 7.62x54R removed most of the head, the 12 ga left only a bowl of skull and jaw. All the others were small holes, no exit wounds.


To those who vanquish evil a crown of life shall be; They with the King of Glory shall reign eternally.
Displacedone
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Posted: 8/21/2012 2:08:31 AM
That was a pretty good video. I got the impression he was lecturing to some Seattle based ambulance service. I really liked the fact that he was educated on ballistics and did not have an anti gun message.
Trained to prolong the suffering of others and combat Darwinism on a daily basis.
dana
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Posted: 8/21/2012 8:39:11 AM
[Last Edit: 8/21/2012 8:54:48 AM by dana]
Good video and mirrors what i have seen over the years. There are a few things that i have been preaching for a while that he points out.

Rifle < pistol. It is that simple. A pistol makes a hole, that's about it. 9mm, 40, 45 really just make a small hole. Maybe a entrance and a exit or maybe just a entrance but it does not matter. The damage is done internal and the only difference is penetration and slight difference in size. Yes there is the exception if you compare a .25 to a 44mag 300gr fires out of a 10" barrel. But for all practical reasons pistols make a small hole, finger sized. Rifle make a mess, it is night and day, no comparison.

People dont drop dead when shot. Multiple times i have seen people with fatal GSW to the heart or chest that are found dead 100yrds from where they are shot. Often around corners or over fences from the shell casings. They obviously ran AFTER being shot.

His comments on trajectory are great. People dont stand up straight when getting shot and are often in strange positions. Don't rely on what looks like a entrance and exit wound. It might be multiple wounds. Yes i do ask my patients how many shots were fired. But i take this with a grain of salt because we all know how unreliable that information is. Also dont think that since the hole is in the chest that the bullet might not be in the pelvis. Bullets change direction all the time when they hit obstacles internally.

This is the reason i dont like fragmenting pistol rounds for SD. I had several patients shot with a fragmenting pistol round. One of they held their hands out in front of them in a defensive position at the time of the shooting which makes perfect sense. The round went through one hand, into the lower arm/wrist area of the other arm and finally right into the sternum. It started to fragment when it hit the arms and failed to penetrate the chest. Would a FMJ have been better? I cant say for sure but it looks that way to me. My point is simple that the positioning of the human body and anatomy that the bullet transects is highly unpredictable. Don't think that because someones torso is 12" thick that a bullet with 18" penetration will go right through.

this brings up the next point. He talks about how strong skin is. I have been thinking about this for a while. Ballistic gel is a consistent density. I dont think the human body is consistent but i think it is made up of multiple different levels of density. I have seen many times bullets (handguns mostly but 5.56 one time) hit people and travel under skin or follow bone between layers of tissue or muscle. Classic example is GSW to hip area with 9mm where bullet lodged in the ankle. It didn't really "penetrate" 36" of tissue, it traveled between layers of tissue.

PS let me just say that these are just MY PERSONAL OBSERVATIONS AND THOUGHTS. I have no interest in arguing or trying to say why i am right and you are wrong or who is smarter with a better resume of trauma care. To each their own.
gajeep94yj
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Posted: 8/21/2012 9:01:00 AM
Dana ate you a doc? I would have never guessed based on our only meeting shooting off the back of an old Jeep!
Originally Posted By ExKalifornian:
and you can burn the whole state down as far as Im concerned. Kalifornia aint got Shit on The Great State of Georgia.
MedicOC
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Posted: 8/21/2012 9:48:18 AM

Originally Posted By dana:
Good video and mirrors what i have seen over the years. There are a few things that i have been preaching for a while that he points out.

Rifle < pistol. It is that simple. A pistol makes a hole, that's about it. 9mm, 40, 45 really just make a small hole. Maybe a entrance and a exit or maybe just a entrance but it does not matter. The damage is done internal and the only difference is penetration and slight difference in size. Yes there is the exception if you compare a .25 to a 44mag 300gr fires out of a 10" barrel. But for all practical reasons pistols make a small hole, finger sized. Rifle make a mess, it is night and day, no comparison.

People dont drop dead when shot. Multiple times i have seen people with fatal GSW to the heart or chest that are found dead 100yrds from where they are shot. Often around corners or over fences from the shell casings. They obviously ran AFTER being shot.

His comments on trajectory are great. People dont stand up straight when getting shot and are often in strange positions. Don't rely on what looks like a entrance and exit wound. It might be multiple wounds. Yes i do ask my patients how many shots were fired. But i take this with a grain of salt because we all know how unreliable that information is. Also dont think that since the hole is in the chest that the bullet might not be in the pelvis. Bullets change direction all the time when they hit obstacles internally.

This is the reason i dont like fragmenting pistol rounds for SD. I had several patients shot with a fragmenting pistol round. One of they held their hands out in front of them in a defensive position at the time of the shooting which makes perfect sense. The round went through one hand, into the lower arm/wrist area of the other arm and finally right into the sternum. It started to fragment when it hit the arms and failed to penetrate the chest. Would a FMJ have been better? I cant say for sure but it looks that way to me. My point is simple that the positioning of the human body and anatomy that the bullet transects is highly unpredictable. Don't think that because someones torso is 12" thick that a bullet with 18" penetration will go right through.

this brings up the next point. He talks about how strong skin is. I have been thinking about this for a while. Ballistic gel is a consistent density. I dont think the human body is consistent but i think it is made up of multiple different levels of density. I have seen many times bullets (handguns mostly but 5.56 one time) hit people and travel under skin or follow bone between layers of tissue or muscle. Classic example is GSW to hip area with 9mm where bullet lodged in the ankle. It didn't really "penetrate" 36" of tissue, it traveled between layers of tissue.

PS let me just say that these are just MY PERSONAL OBSERVATIONS AND THOUGHTS. I have no interest in arguing or trying to say why i am right and you are wrong or who is smarter with a better resume of trauma care. To each their own.

I will confirm what Dana said about projectiles following the skin. One that particularly comes to mind was a female that was shot in the back of the head with a 22lr as she turned to flee her attacker. The bullet entered the back of the head almost at the crest, travelled through the brain, exited the bony portion of the skull along the left eye, then tunneled down her face coming to rest near her jaw. You could palpate the round under the skin. I would have thought that it traveled the circumfrence of her head had it not been for the fact that she had brain matter coming from her nose.
To those who vanquish evil a crown of life shall be; They with the King of Glory shall reign eternally.
dana
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Posted: 8/21/2012 10:12:00 AM
Originally Posted By gajeep94yj:
Dana ate you a doc? I would have never guessed based on our only meeting shooting off the back of an old Jeep!


No i am not a doctor, not even close. Just a pee-on in the medical field.

gajeep94yj
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Posted: 8/21/2012 10:34:32 AM
Originally Posted By dana:
Originally Posted By gajeep94yj:
Dana ate you a doc? I would have never guessed based on our only meeting shooting off the back of an old Jeep!


No i am not a doctor, not even close. Just a pee-on in the medical field.



That makes sense then! Hehehe just kidding.

B t w not to get off topic but are you still going to try hunting in wma this year?
Originally Posted By ExKalifornian:
and you can burn the whole state down as far as Im concerned. Kalifornia aint got Shit on The Great State of Georgia.
footrat
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Posted: 8/21/2012 11:56:03 AM
I will also add anecdotal experience with GSW's.

Had a Popeye's manager shot behind his restaurant. When we got there, he was walking around out front, slack-jawed, blood pouring out of his mouth. Found what appeared to be the entrance wound on the side of the neck, and it looked like the round had shed its jacket going in. I held pressure on the side of his neck from that second until we turned him over at Grady, just in case his EJ, IJ, or other large vessel had been hit. On the way down, we did our full assessment. He was completely alert and oriented, and did all his own suctioning. We were still thinking that we had penetration from the side of the neck into the trachea or esophagus, from which all the blood was coming.

Got him to Grady, and the doctors there start poking around. Despite the fact that the patient had all his teeth intact, and no damage to his tongue, the entrance wound was under his tongue. I guess he had been in such an odd spot that the round entered through his open mouth, missed all his teeth, went under the tongue, and passed diagonally to the side of the neck. What I was putting pressure on was the projectile just barely peeking out of the skin at the almost-exit.
gajeep94yj
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Posted: 8/21/2012 12:43:03 PM
Any idea what caliber that was?
Originally Posted By ExKalifornian:
and you can burn the whole state down as far as Im concerned. Kalifornia aint got Shit on The Great State of Georgia.
footrat
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Posted: 8/21/2012 1:25:34 PM
Originally Posted By gajeep94yj:
Any idea what caliber that was?


Pistol.


Seriously, though, I didn't get out calipers and measure the jacket sticking out of his neck. And the hole in the bottom of his mouth was so obscured by blood, saliva, and bad breath that I didn't get a great look at it.
gajeep94yj
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Posted: 8/21/2012 3:55:39 PM
Ha! If you did i would be concerned. I was more meaning if that info was known at the time.....
Originally Posted By ExKalifornian:
and you can burn the whole state down as far as Im concerned. Kalifornia aint got Shit on The Great State of Georgia.
dana
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Posted: 8/21/2012 8:52:14 PM
Originally Posted By gajeep94yj:
Originally Posted By dana:
Originally Posted By gajeep94yj:
Dana ate you a doc? I would have never guessed based on our only meeting shooting off the back of an old Jeep!


No i am not a doctor, not even close. Just a pee-on in the medical field.



That makes sense then! Hehehe just kidding.

B t w not to get off topic but are you still going to try hunting in wma this year?


Still thinking about it. I have not really done any planning or scouting yet.