Lucky writes:
Don't forget things like Autonomic dysreflexia that can happen when a bullet misses the spine but passes by it close enough for the wake to knock the neurons funny and the subject loses control of limbs
Blunt Trauma Concussion of Spinal Cord as Mechanism of Instantaneous Collapse Produced by Centerfire Rifle Bullet Wounds to the Torso
Why does a felon (or a large game animal) instantly collapse after being shot in the torso with a centerfire rifle bullet when the speed in which this occurs is obviously too quick to have been caused by substantial blood loss?
The reason is most likely due to the diameter of the temporary cavity produced by an expanding centerfire rifle bullet, combined with the location of the temporary cavity within the body. The temporary cavity produced by an expanding .30 caliber rifle bullet ranges between 7-9 inches in diameter, which is about the diameter of a volleyball. Violent displacement of such a large mass of tissue within the thoracic or abdominal cavity can cause the spinal bones to collide forcefully against the spinal cord, disrupting nerve transmissions and causing instantaneous flaccid paralysis, in which the felon (or animal) drops in his tracks like a rock.1 The effect is indistinguishable from a shot that physically severs the spinal cord. Once the felon (or animal) is down, the effects of blood loss take over and a complete loss of consciousness may occur in a matter of seconds.
The location of the temporary cavity is an important component of this mechanism, especially with large game animals. A shot that impacts and penetrates low in the chest of an animal may not have the same effect as a shot that hits the middle or upper chest closer to the spinal column. This explains why some animals instantly collapse, and why others might run until blood loss finally brings them down.
The temporary cavity produced by common combat handgun cartridges, even high-velocity loads like MagSafe, is too small to produce this effect. Handgun bullets simply cannot duplicate the wounding effects of centerfire rifle bullets.
For comparison purposes, an expanding .223 Remington bullet produces a temporary cavity that is approximately 5 inches in diameter, and the high-velocity (1700+ fps) MagSafe .45 ACP Defender handgun bullet produces a baseball-sized temporary cavity slightly less than 4 inches in diameter. Although the temporary cavity of the 223 cartridge can produce blunt trauma concussion of the spinal cord, the effect is less reliable because it is highly dependent on shot placement and the location where the temporary cavity is formed in the body. In 1989, an Alexandria, Virginia police officer was killed when a .223 bullet failed to quickly incapacitate a felon who was high on PCP and cocaine, and holding a 12 gauge shotgun to the head of a civilian hostage. According to the police report, the bullet "...struck [the felon's] back in the center of his torso, grazed a vertebrae, severed the aorta, penetrated his right lung and liver, and exited his body in the right abdominal area." As he fell to the ground, he fired a shot from his pump-action 12 gauge shotgun directly into the face of a nearby SWAT officer killing him. He was able to pump the shotgun’s action and wound a second officer before he was finally stopped.2 (The second officer committed suicide a couple of years afterward as a result of the incident.)
Endnotes
Fackler, Martin L., M.D.: "Incapacitation Time." Wound Ballistics Review 4(1), Spring 1999; 4-8.
Walts, Earl, Lt.: "Report on the Special Investigation of the March 22, 1989 Incident at 316 Hopkins Court." City of Alexandria, Virginia; April 3, 1989; 12 pages.