Most bullets made of lead alloy

Missile

• Missile

• A few to hundreds
• Spherical

• Relatively high muzzle velocity

• 1000-1500 ft/sec

• Massive wounding capacity at 4 to 5 feet

• Projectiles slow down quickly

High velocity gunshots may cause massive amounts tissue damage requiring debridement

• High velocity gunshots may cause massive amounts tissue damage requiring debridement

• Close range shotgun wounds also cause massive tissue destruction

• Both may have large amounts of contamination

• Secondary to negative pressure of cavitation
• Shell casing, wading etc.
• Thorough surgical debridement is imperative

Careful inspection

• Careful inspection

• Locate all entrance and exit wounds

• Check circulation

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