Ballistic Pressure Wave Theory Confirmed in Human Autopsy Results

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Pasteur

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For pressure waves of sufficient magnitude, the ballistic pressure wave theory predicts brain injury from well centered bullet hits to the chest. Critics of the theory pointed out that this prediction had not been confirmed in humans. Recent human autopsy results have demonstrated brain hemorrhaging from fatal hits to the chest, including cases with handgun bullets. (Krajsa, J., Příčiny, Causes of pericapillar brain haemorrhages accompanying a gunshot wounds, Institute of Forensic Medicine, Faculty of Medicine, Masaryk University, Brno, Czech Republic, 2009.) Thirty-three cases of fatal penetrating chest wounds by a single bullet were selected from a much larger set by excluding all other traumatic factors, including past history.

In such meticulously selected cases brain tissue was examined histologically; samples were taken from brain hemispheres, basal ganglia, the pons, the oblongate and from the cerebellum. Cufflike pattern haemorrhages around small brain vessels were found in all specimens. These haemorrhages are caused by sudden changes of the intravascular blood pressure as a result of a compression of intrathoracic great vessels by a shock wave caused by a penetrating bullet. (Krajsa, J., Příčiny, Causes of pericapillar brain haemorrhages accompanying a gunshot wounds, Institute of Forensic Medicine, Faculty of Medicine, Masaryk University, Brno, Czech Republic, 2009.)
 
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I will jump in where angels fear to tread. No mention is made of caliber, energy transfer, etc. Will a 22 to the chest cause this?
 
So... does this new moniker equate to on-line Nomex?
Naw c'mon it'll be fine, post this thread under your real handle... I dare you. :D
 
Considering the high volume of water the human body consists of, this doesn't surprise me at all.
In fact I think that it happens to me just from me shooting my S&W 500!
 
The work in question is a Ph.D. dissertation. I found the abstract here (http://is.muni.cz/th/132384/lf_d/annotation_english.txt),
but found no mention of handgun/pistol What I did find was this quote that I found interesting and revealing...

Cufflike pattern haemorrhages around small brain vessels were found in all specimens. These haemorrhages are caused by sudden changes of the intravascular blood pressure as a result of a compression of intrathoracic great vessels by a shock wave caused by a penetrating bullet. At the end of work are outlined clinical problems of these types of injuries. It is highlighted in particular the potential impact on the early development of degenerative changes in the brain.

In other words, a sudden increase in blood pressure caused micro bleeds in the brain. My guess is that they occurred elsewhere too. Such as might happen when hit in the body with a baseball or punch to the chest.

Something else of noteworthy origin was this..
By monitoring levels of alcohol was found that almost 50% of deceased had a negative finding, another relatively large group of the deceased was at the time of death at the stage of medium and heavy drunkenness (together about 18%).

The population was heavily laden with drinkers such that over half had alcohol in their systems when killed and I would be willing to guess that a large portion of those not imbibing at the time of being shot were drinkers as well. Alcoholism goes hand-in-hand with small subcortical infarcts and primary subcortical haemorrhages. Moderate drinking of alcohol increases risk of both intracerebral and subarachnoid hemorrhage.

With all that said, the big question is, SO WHAT? There is no data that the blood pressure spike did anything to them in terms of incapacitation from the microbleeds that resulted.

For example, see...
http://content.karger.com/ProdukteDB/produkte.asp?Doi=67118

Add to this that smoking and alcohol consumption are critical risk factors in causing cerebral microbleeds (http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2729822) and given tobacco use in Czechoslovakia, I would be curious as to how the author of the study differentiated between bleeding caused by gunshot versus bleeding caused by tobacco and alcohol use.

So no doubt that if you already have weakened blood vessels due to even moderate drinking of alcohol, then something causing a rapid increase in blood pressure is likely to cause micro bleeds.

I will jump in where angels fear to tread. No mention is made of caliber, energy transfer, etc. Will a 22 to the chest cause this?

Unless our OP reads check and has a copy of the original study, I would be willing to be he doesn't know. This quote..
Recent human autopsy results have demonstrated brain hemorrhaging from fatal hits to the chest, including cases with handgun bullets.
came straight from Wiki (http://en.wikipedia.org/wiki/Hydrostatic_shock).

Aside from this quote in Wiki, I don't find any other information on the work noting what is or is not caused by particular calibers of handgun ammo. Maybe somebody with more insight or Google-fu can find it.

So... does this new moniker equate to on-line Nomex?
Naw c'mon it'll be fine, post this thread under your real handle... I dare you

Very good, Snowdog. Who is the one person that consistently uses the phrase "Ballsitic Pressure Wave Theory" here most commonly and battling with members over the validity of his research? That would be Michael Courtney. I am sure he would not have broken rule#2 and posted under multiple registrations, LOL, even if such findings as this Czech work would confirm his theory and his vindicate his claims.
 
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The most commonly reported caliber in the study is 9mm.

Several other studies have shown that pressure wave magnitude is strongly correlated with incapacitation. This study is unique, because it documents the possible mechanism of remote brain injury in humans.

The Hydrostatic Shock Wikipedia page ( http://en.wikipedia.org/wiki/Hydrostatic_shock ) was an important source for the OP. However, before making the OP, I corrected the English translation of the study title, and I downloaded and reviewed the entire report to confirm that it includes a significant number of handgun cases.
 
"Thirty-three cases of fatal penetrating chest wounds by a single bullet were selected"

"I downloaded and reviewed the entire report to confirm that it includes a significant number of handgun cases."

Am I reading this correctly? The number of handgun cases is a subset of the 33 cases originally selected? What part of 33 could even be considered significant? I'm not sure all 33 could be considered significant.

John
 
Several other studies have shown that pressure wave magnitude is strongly correlated with incapacitation. This study is unique, because it documents the possible mechanism of remote brain injury in humans.

Nice waffle job. The thread title says that pressure wave theory is confirmed and then you say it is a "possible mechanism."

Once again, so what. Yeah, some micro-bleeds were observed. There is no indication that these were of any significance. As I stated, there were likely other such bleeds elsewhere in the body as well for the same reason. Big deal.

Just curious since you did the Wiki pages and have posted here and on Glocktalk and elsewhere, do you realize that you have improperly spelled the author's name every time? It is Krajsa, not Krasjsa. I mention this because it makes it much harder to try to find the stuff you are supposedly citing only to then have it not turn up because you got the information wrong repeatedly.

Here is the good Dr.s' home page...
http://www.muni.cz/people/132384

Alright, after working through the spelling issue, I was able to find the original work and translate it myself using an online translator. Since you didn't provide the correct information for finding your source or a link, let me do that for you. It can be found near the bottom of the page here...
http://is.muni.cz/th/132384/lf_d/

The most commonly reported caliber in the study is 9mm.
BRAVO! After translating and reading through the study, I believe you are correct. It is the most commonly mentioned caliber. Heck there is even a pick of a "9 mm Luger" cartridge. HOWEVER, 9mm is discussed in all sorts of manners including testing on animal legs, gunshot to the breast (female suicide), gunshots to the head, etc.

Part of what I found interesting was the amount of cases excluded for various reasons. They were excluded when there was any known impacts on the head or body that might have resulted in increased blood pressure such as attempts to revive or other trauma as reflected by such matters as damage to the body. Then, when the brain tissue samples were examined, micro bleeding sometimes could only be ascertained under a microscope because it was so minor, though some was macroscopically visible. It was noted that such bleeding could occur anywhere, but did not necessarily occur everywhere, but was most commonly at the edge of the white matter.

In looking at the histological images at the end, some of the microbleeds are correlated with calibers, such as the suicide to the chest noted above. Of course to see the damage, magnification of 100-250x was needed.

Translated from page 115...
The most likely theory of minor bleeding in the brain gunshot injuries to the chest is spread by blood pressure waves (due to incompressibility of fluid) from the chest vascular system to the point where very thin wall, ie the capillaries, which may not withstand the increased pressure and burst. Given that the research was not possible to completely eliminate the influence of skeletal transmission system, we can obviously ignore his possible involvement in causing brain injury.
 
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Personally I am not suprised with this info. To me it seems logical that a high velocity round could inflict brain damaged by hydralic shock force alone. We are 80% or so water after all.
 
Strong enough to cause problems with the fine mesh of brain cells is one thing. A similar interference with very small blood vessels in another part of the body would yield nothing worse than a mild bruise. To show the true effect of hydrostatic shock you'd need to determine the point beyond which the shockwave is strong enough to tear major blood vessels and organ tissue sufficiently to contribute to shock and death.
 
Alright, but how do the effects of these blood-pressure waves compare to those of a solid punch to the head, or any other cause of a concussion?
 
heres my question, if this is such a huge phenomenon, why hasn't it been confirmed before now, I mean I can just picture my drill with that vein bulging in his forehead telling my it's where you hit em that counts...

Funny thing is, he didn't fall over from that pressure...
 
tbipwave.jpg

For a hit to the center of the chest, average time until incapacitation decreases rapidly with pressure wave magnitude as magnitudes approach 500 psi. See: Links between traumatic brain injury and ballistic pressure waves originating in the thoracic cavity and extremities. Brain Injury 21(7): 657-662, 2007.

hydrostatic.jpg

Ballistic pressure waves that were measured with a high speed pressure transducer for the specified loads. See: http://en.wikipedia.org/wiki/Hydrostatic_shock
 
Look Courtney, we see folks shot all the time with handgun calibers who don't get incapacitated. These tiny brain bleeds are inconsequential. You drop a pebble in the pond and the ripple waves make it to the far shore and disturb some of the flotsam, but they don't tear out the dam.

So how come you are posting under a new moniker now?
 
Alright, but how do the effects of these blood-pressure waves compare to those of a solid punch to the head, or any other cause of a concussion?


Blood pressure is a tricky thing, in that it's a closed system.


Don't think blood loss; think pressure changes.


I think the only reason this study might be viable is that the sudden spike in blood pressure might cause the body to react by reducing it somehow.

The reason you faint when you stand up is due to the baroreceptor reflex.


If a gunshot caused a sudden short in the baroreceptors of the brain, I could definitely see it causing an immediate incapacitation (if only for a few seconds.)
 
You'd think an effect as obvious and consistent as this would have some anecdotal analogue from individuals in the military or law enforcement. It's not like shooting people is some theoretical concept. Heck, you can ask people who've been shot. A lot of them live!

;)
 
Actually, there's a lot of anecdotal evidence that this CAN happen.

This is what Roy Weatherby postulated was the cause of game that dropped in one shot -- he used relatively small, but really fast loads for game, the Weatherby Magnums. His favorite was apparently the .257, even for large game, with a muzzle velocity of 3400-3800 fps depending on the weight of the bullet.

The other part of the anecdotal evidence is that the same bullet, same shot, on the same game sometimes caused an instant drop, and sometimes didn't.

One hypothesis: if the bullet hits at the peak of systolic blood pressure, it will cause this. Otherwise, it won't. This would make sense.
 
I've seen obvious tissue damage well away from rifle caliber wound channels and even around .357 magnum wounds in the proximity, that with the naked, untrained eye. I'm not surprised at all after reading much of the good Doctor Courtney's work. I've had too many bang, flops with rifles not to think that the pressure wave is important and the handgunned deer didin't exactly run 300 yards as if they were bow shot with a Muzzy tri blade and only crush cavity and bleed out mattered. :rolleyes:

Bottom line, though, I am confident in my .38, let alone my 9x19 for carry. Hit 'em hard and hit 'em often until they stop, that's the motto. :D

My criticism of the post, probably should say "supported" and not "confirmed" in the title.
 
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Personally I am not suprised with this info. To me it seems logical that a high velocity round could inflict brain damaged by hydralic shock force alone. We are 80% or so water after all.

I am not sure that a 9mm round out of a handgun is considered "high velocity" though. I wonder what the severity of the so-called hemorrhaging was from this round. Are we talking heavy, potentially fatal bleeding in the brain, or a trickle that requires an SEM imaging device to even see?

I assume that it is theoretically possible for hemorrhaging to occur in parts of the body other than the direct area of the permanent/temporary wound cavity. Excessive spikes in blood pressure could occur when 350+ ft/lbs of energy are delivered to a relatively small portion of mass.
 
Well at least Dr Courtney is looking at human cases, he must be encouraged to do so, it is a step in the right direction. I'm sure the researchers will be able to exclude the effects of alcohol or drugs by looking at a similar sample of stab victims with the same criteria as the 33 gunshot cases...and not finding any micro bleeds. Right?
That's what I would do.

The Hydrostatic Shock Wikipedia page ( http://en.wikipedia.org/wiki/Hydrostatic_shock ) was an important source for the OP.

I'm sure it was important, seeing as though it was the OP who made the relevant entries in the cited Wiki article ;)
 
I am not sure that a 9mm round out of a handgun is considered "high velocity" though. I wonder what the severity of the so-called hemorrhaging was from this round. Are we talking heavy, potentially fatal bleeding in the brain, or a trickle that requires an SEM imaging device to even see?

I assume that it is theoretically possible for hemorrhaging to occur in parts of the body other than the direct area of the permanent/temporary wound cavity. Excessive spikes in blood pressure could occur when 350+ ft/lbs of energy are delivered to a relatively small portion of mass.



Blood loss is not the same thing as pressure change.


Think about standing up too quickly; it is possible to faint due to the change in blood pressure.

It's a closed sytem, as well.
no blood is lost.
 
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Blood loss is not the same thing as pressure change.

Read his post again, as well as the original post.

Pressure wave can CAUSE internal bleeding. That's the whole point of the thread.

Fainting is from a sudden drop in blood pressure. This would be a sudden and extreme rise in blood pressure, causing the small blood vessels in the brain to pop.
 
It's not about bleeding, armedbear.

It's not about brain swelling, caused by hemmorhaging (bleeding.)

It's about pressure breaking neural connections in the brain via blood vessels flexing the brain.
 
Cufflike pattern haemorrhages around small brain vessels were found in all specimens. These haemorrhages are caused by sudden changes of the intravascular blood pressure as a result of a compression of intrathoracic great vessels by a shock wave caused by a penetrating bullet.

Flexing the brain, flooding it, depriving it of O2, or all of the above?
 
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