View of Gunshot Wounds By A Surgeon

Great video, thanks for sharing. Some pretty surprising comments from that video as well, gets me thinking...

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I am J. Murphy, new to this forum. I love guns and everything about them.

If Pistol rounds are inefficient, then why do pistol caliber carbines work much better when it is the same round moving only about 200 FPS faster?

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Better bullet placement with the carbine over the pistol, I'd wager.

Or Buckshot is basically only 9 rounds of 9mm? 9 pellets .33 in diameter moving at around 1300 FPS.

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All 9 holes open up "at once" maximizing the the rate of blood pressure drop.

Excellent video. I would say it also reinforced my belief that a less-expanding but deeper penetrating pistol round is ideal for self-defense. 12" through muscle, means 8" after passing through skin, or it may even mean "stopped by the sternum/rib after penetrating the skin and muscle". Its one reason I find the hornady XTP to be a desirable loading - small expansion but deep penetration.

I did get a "kick" out of the part when they open the abdomen up and literally a tidal wave of blood spills out. Also lots of good stuff on fluid restriction, reconstituting whole blood, and BP management in cases of severe hemorrhage. Something I'll keep in mind for when I start rotations in a few months.

Also, yes, the title needs to be changed of GSW by an Anesthesiologist. Nice to see all the other MD's/DO's poping up on this thread.

Excellent presentation.

I would say it also reinforced my belief that a less-expanding but deeper penetrating pistol round is ideal for self-defense.

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Agreed. More and more "new" scientific/medical data is supporting the "old" anecdotal experience that long supported and favored heavier projectiles and deeper penetration in the single-action wheelgun era. Full circle I figure.

Compare a 9 to .45 FMJ and you have about 0.1" difference (rounding a bit). Compare an unexpanded 9mm to an expanded 9mm, and you have (estimated) 0.3" difference in diameter. That's a much bigger difference, even if both are still relatively small holes.

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Same thing I often share in reposponse to this: Compare percentages and surface area NOT diameter:

Full metal jacket. You never know what you will have to shoot through.

Don't forget clothing as a bullet barrier as well. Many of the thick Thinsulate will slow down the energy and therefore penetration with HP's. I alternate in the winter with HP's and ball ammo.

Excellent video. Well worth the time for anyone using a firearm in self-defense.

Love the video, supports what I have seen in my many years as an ER RN and also EMT on ambulances. The stopping power is why I use a Mosberg 500 loaded with 12 ga mag 00 for my main home defense weapon with a 7.62 AK 47 loaded with Fmj alt with soft nose and hp. When a friend asks me what they should get for home defense I never recomend a pistol but a shot gun or carbine.

All this talk of survivability after being shot reminds me of the old saying "most people shot by handguns survive, most people shot by shotguns do not"