PMID: 8606400Mar 1, 1996Paper

Small fragment wounds: biophysics and pathophysiology

The Journal of Trauma
G W BowyerP Rice

Abstract

This paper considers the wounding effects of small fragments in modern warfare. Small fragment wounds may be expected to predominate on a future conventional battlefield; however, studies and models of "military" wounds have tended to focus on bullets as the wounding projectile. This paper discusses briefly the types of fragment projectile expected from modern munitions. It goes on to define a model for such projectiles, and describes the interaction with soft tissue simulants. The extent of penetration, temporary cavitation, and contamination by foreign material are all considered. This work with simulants is validated by experimental shots against animal tissue. A wound model in an experimental animal is described. This model was used to investigate the hematologic, biochemical, and histologic effects of a small fragment wound. The effects on skin and skeletal muscle are described. By sampling at various times (up to 1 week) after wounding, the natural progress of these wounds has been ascertained. The results from 28 experimental animals, with untreated fragment wounds, are reported. The most important findings are that the skin damage is very localized and that the muscle damage is limited, with little necrotic tissue in th...Continue Reading

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Citations

Nov 24, 2004·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Dragan Nikolić
Mar 4, 2005·The British Journal of Surgery·D E HinsleyJ C Clasper
Jun 10, 2004·Clinical Orthopaedics and Related Research·Michael J LangworthyMark Gould
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May 31, 2013·Journal of the Royal Army Medical Corps·Johno BreezeA E Hepper
Jul 6, 2016·The Journal of Craniofacial Surgery·Sabri T Shuker
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Sep 20, 2011·The Journal of Trauma·Clinton K MurrayUNKNOWN Prevention of Combat-Related Infections Guidelines Panel
Sep 26, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·James Crabtree
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Mar 8, 2000·Injury·D NikolicM Mladenovic
Mar 2, 2010·Foot and Ankle Clinics·Richard L Ursone

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