Literature Review of Case Reports Regarding NLW Thoracic Impacts
During the last decades, there has been an increase in the development and use of kinetic energy non-lethal projectiles, mainly because of their ability to neutralise without inflicting serious injuries. Even though these are intended to temporarily incapacitate individuals, it is often encountered...
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Published in | Human factors and mechanical engineering for defense and safety Vol. 7; no. 1 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Singapore
Springer Nature Singapore
01.12.2023
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ISSN | 2509-8004 2367-2544 |
DOI | 10.1007/s41314-023-00062-7 |
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Abstract | During the last decades, there has been an increase in the development and use of kinetic energy non-lethal projectiles, mainly because of their ability to neutralise without inflicting serious injuries. Even though these are intended to temporarily incapacitate individuals, it is often encountered that kinetic impact projectiles can cause penetration, severe injuries, permanent disabilities and even mortality. The injury level is highly related to the shot distance and the body region that is impacted. Because the thoracic region is the dominant impact region and because it hosts vital organs, it is considered to be one of the most sensitive areas of the human body. Therefore, all injuries to the chest should be regarded as potentially life threatening. The objective of this study is to review case reports and case studies of kinetic energy projectiles’ impacts on the thoracic region available in open literature. The ballistic and operational conditions and also medical outcome of each case are described. The study includes penetrative and non-penetrative impacts of different kinds of projectiles (rubber bullet, plastic bullet, bean bag, flashball, FN303) in order to be able to comprehend the injury potential of these projectiles and to provide an insight into real shooting conditions. The difficulties and limitations of the literature study are presented. |
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AbstractList | During the last decades, there has been an increase in the development and use of kinetic energy non-lethal projectiles, mainly because of their ability to neutralise without inflicting serious injuries. Even though these are intended to temporarily incapacitate individuals, it is often encountered that kinetic impact projectiles can cause penetration, severe injuries, permanent disabilities and even mortality. The injury level is highly related to the shot distance and the body region that is impacted. Because the thoracic region is the dominant impact region and because it hosts vital organs, it is considered to be one of the most sensitive areas of the human body. Therefore, all injuries to the chest should be regarded as potentially life threatening. The objective of this study is to review case reports and case studies of kinetic energy projectiles’ impacts on the thoracic region available in open literature. The ballistic and operational conditions and also medical outcome of each case are described. The study includes penetrative and non-penetrative impacts of different kinds of projectiles (rubber bullet, plastic bullet, bean bag, flashball, FN303) in order to be able to comprehend the injury potential of these projectiles and to provide an insight into real shooting conditions. The difficulties and limitations of the literature study are presented. |
ArticleNumber | 4 |
Author | Robbe, C. Papy, A. Andrei, A. de Schoutheete, J. C. |
Author_xml | – sequence: 1 givenname: A. surname: Andrei fullname: Andrei, A. email: anca.andrei@dymasec.be organization: Department of Weapons Systems and Ballistics, Royal Military Academy – sequence: 2 givenname: C. surname: Robbe fullname: Robbe, C. organization: Department of Weapons Systems and Ballistics, Royal Military Academy – sequence: 3 givenname: A. surname: Papy fullname: Papy, A. organization: Department of Weapons Systems and Ballistics, Royal Military Academy – sequence: 4 givenname: J. C. surname: de Schoutheete fullname: de Schoutheete, J. C. organization: Queen Astrid Military Hospital |
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Cites_doi | 10.5811/westjem.2013.10.19900 10.1016/j.annfar.2012.01.027 10.1016/S0140-6736(02)08708-1 10.1007/s41314-019-0025-5 10.1016/j.clinimag.2021.03.007 10.1136/bmj.4.5843.764 10.5811/CPCEM.2021.7.52885 10.1186/1749-7922-4-26 10.1136/emj.2006.039503 10.1067/mem.2001.117272 10.1136/bmjopen-2017-018154 10.1016/j.tcr.2019.100210 10.1097/PAF.0b013e318187dfa8 10.1056/NEJMc2025923 10.1002/bjs.1800620613 10.1016/j.jemermed.2005.09.022 10.1016/S0140-6736(05)60010-4 10.1097/00005373-200211000-00032 10.1016/S0736-4679(03)00179-3 10.1161/CIRCIMAGING.120.010485 10.1177/002580249703700209 10.1016/j.jen.2008.09.013 10.1016/j.ijcard.2011.10.021 10.1097/00000433-199809000-00005 10.1016/j.ijcard.2015.03.014 10.1136/bmj.301.6759.1027 10.1097/00005373-200203000-00030 10.1136/emj.2003.007518 10.1007/s10354-013-0251-z 10.1093/jscr/rjaa078 |
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Copyright | The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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Keywords | Literature review Case reports Thoracic region Kinetic energy non-lethal projectiles Penetrative and non-penetrative injuries |
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Hum Factors Mech Eng Def Saf 3 (1):9. https://doi.org/10.1007/s41314-019-0025-5 WahlPSchreyerNYersinBInjury pattern of the Flash-Ball, a less-lethal weapon used for law enforcement: report of two cases and review of the literatureJ Emerg Med200631332533010.1016/j.jemermed.2005.09.022 ContargyrisCPeytelESudden death caused by a less lethal weapon chest-wall injury (Commotio cordis)Ann Fr Anesth Reanim201231546947110.1016/j.annfar.2012.01.027 OlsonKAPenetrating injuries from ‘less lethal’ beanbag munitionsN Engl J Med2020383111081108310.1056/NEJMc2025923 KunzSNGroveCMonticelliFMedical aspects of common non-lethal weaponsWien Med Wochenschr20141645-610310810.1007/s10354-013-0251-z CharlesAAsensioJFornoWPetronePRoldanGScottRPPenetrating bean bag injury: intrathoracic complication of a nonlethal weaponJ Trauma2002535997100010.1097/00005373-200211000-00032 SoulatGPuymiratEMousseauxEBlunt cardiac injuries due to rubber bulletsCirc Cardiovasc Imaging20201310e01048510.1161/CIRCIMAGING.120.010485 Robbe C (2013) Evaluation experimentale de l’impact thoracique des projectiles non-létaux - experimental evaluation of the thoracic impact of non-lethal projectiles, PhD thesis, Royal Military Academy (RMA) - Université de Liège (ULg). http://orbi.ulg.ac.be/handle/2268/151327 ShawJPulmonary contusion in children due to rubber bullet injuriesBr Med J19724584376476610.1136/bmj.4.5843.764 NeilDNon-Lethal2009Weapons. Palgrave Macmillan London HissJHellmanFNKahanaTRubber and plastic ammunition lethal injuries: the Israeli experienceMed Sci Law199737213914410.1177/002580249703700209 PearlRCTorbatiSGeidermanJMKinetic projectile injuries treated during civil protests in Los Angeles: a case seriesClin Pract Cases Emerg Med20215438538910.5811/CPCEM.2021.7.52885 de BritoDChallenerKSehgalAThe injury pattern of a new law enforcement weapon: the police bean bagAnn Emerg Med20013838339010.1067/mem.2001.117272 SuyamaJPanagosPDSztajnkrycerMDFitzGeraldDJBarnesDInjury patterns related to use of less-lethal weapons during a period of civil unrestJ Emerg Med200325221922710.1016/S0736-4679(03)00179-3 Association for the Advancement of Automotive Medicine. (2018). Abbreviated Injury Scale: 2015 Revision (6 ed.). Chicago, IL. 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References_xml | – reference: SuyamaJPanagosPDSztajnkrycerMDFitzGeraldDJBarnesDInjury patterns related to use of less-lethal weapons during a period of civil unrestJ Emerg Med200325221922710.1016/S0736-4679(03)00179-3 – reference: de BritoDChallenerKSehgalAThe injury pattern of a new law enforcement weapon: the police bean bagAnn Emerg Med20013838339010.1067/mem.2001.117272 – reference: WahlPSchreyerNYersinBInjury pattern of the Flash-Ball, a less-lethal weapon used for law enforcement: report of two cases and review of the literatureJ Emerg Med200631332533010.1016/j.jemermed.2005.09.022 – reference: Robbe C (2013) Evaluation experimentale de l’impact thoracique des projectiles non-létaux - experimental evaluation of the thoracic impact of non-lethal projectiles, PhD thesis, Royal Military Academy (RMA) - Université de Liège (ULg). http://orbi.ulg.ac.be/handle/2268/151327 – reference: GrangeJTKozakRGonzalezJPenetrating injury from a less-lethal bean bag gunJ Trauma Acute Care Surg200252357657810.1097/00005373-200203000-00030 – reference: VoiglioEJFantonLCaillotJLNeidhardtJPMalicierDSuicide with ‘non-lethal’ firearmLancet Lond Engl1998352913188210.1016/S0140-6736(05)60010-4 – reference: CharlesAAsensioJFornoWPetronePRoldanGScottRPPenetrating bean bag injury: intrathoracic complication of a nonlethal weaponJ Trauma2002535997100010.1097/00005373-200211000-00032 – reference: GuentherTMGustafsonJDWozniakCJZakaluznySAUtterGH“Penetrating thoracic injury from a bean bag round complicated by development of post-operative empyemaJ Surg Case Rep202020204rjaa07810.1093/jscr/rjaa078 – reference: BrunP-MBessereauJChenaitiaHBarberisCPeyrolMCommotio cordis as a result of neutralization shot with the Flash Ball less-lethal weaponInt J Cardiol20121583e474810.1016/j.ijcard.2011.10.021 – reference: HissJHellmanFNKahanaTRubber and plastic ammunition lethal injuries: the Israeli experienceMed Sci Law199737213914410.1177/002580249703700209 – reference: MaguireKHughesDMFitzpatrickMSDunnFRockeLGRBairdCJInjuries caused by the attenuated energy projectile: the latest less lethal optionEmerg Med J EMJ200724210310510.1136/emj.2006.039503 – reference: KunzSNGroveCMonticelliFMedical aspects of common non-lethal weaponsWien Med Wochenschr20141645-610310810.1007/s10354-013-0251-z – reference: RitchieAJGibbonsJRLife threatening injuries to the chest caused by plastic bulletsBMJ19903016759102710.1136/bmj.301.6759.1027 – reference: NoelACastellantPGilardMMansouratiJAcute myocardial infarction due to left anterior descending coronary artery dissection after rubber bullet shootingInt J Cardiol201518465365410.1016/j.ijcard.2015.03.014 – reference: OlsonKAPenetrating injuries from ‘less lethal’ beanbag munitionsN Engl J Med2020383111081108310.1056/NEJMc2025923 – reference: PatelATooheySBoysen-OsbornMSplenic laceration and pulmonary contusion injury from bean bag weaponWest J Emerg Med201415211811910.5811/westjem.2013.10.19900 – reference: SoulatGPuymiratEMousseauxEBlunt cardiac injuries due to rubber bulletsCirc Cardiovasc Imaging20201310e01048510.1161/CIRCIMAGING.120.010485 – reference: MarrufoABoydDLeshikarDMinimally invasive surgical management of penetrating chest injury from kinetic impact bean bag projectile”Trauma Case Rep20192210021010.1016/j.tcr.2019.100210 – reference: SchadeKSBlunt chest trauma from a bean bag gunJ Emerg Nurs2009351747510.1016/j.jen.2008.09.013 – reference: HaarRJIacopinoVRanadiveNDanduMWeiserSDDeath, injury and disability from kinetic impact projectiles in crowd-control settings: a systematic reviewBMJ Open2017712e01815410.1136/bmjopen-2017-018154 – reference: ManhasNSStahlDSchellenbergMGholamrezanezhadANon-lethal weapon: injury patterns and imaging correlates for firearm alternativesClin Imaging20217916517210.1016/j.clinimag.2021.03.007 – reference: Rezende-NetoJSilvaFDPortoLBTeixeiraLCTienHRizoliSBPenetrating injury to the chest by an attenuated energy projectile: a case report and literature review of thoracic injuries caused by ‘less-lethal’ munitionsWorld J Emerg Surg2009411510.1186/1749-7922-4-26 – reference: ChuteDJSmialekJEInjury patterns in a plastic (AR-1) baton fatalityAm J Forensic Med Pathol199819322622910.1097/00000433-199809000-00005 – reference: NeilDNon-Lethal2009Weapons. Palgrave Macmillan London – reference: Dickson B (2003) “BATON ROUNDS A review of the human rights implications of the introduction and use of the L21A1 baton round in Northern Ireland and proposed alternatives to the baton round.” Omega founcdation – reference: MahajnaABlunt and penetrating injuries caused by rubber bullets during the Israeli-Arab conflict in October, 2000: a retrospective studyLancet Lond Engl200235993201795180010.1016/S0140-6736(02)08708-1 – reference: “Association for the Advancement of Automotive Medicine. (2018). Abbreviated Injury Scale: 2015 Revision (6 ed.). Chicago, IL.” – reference: Papy A, Lemaire E, Robbe C, Nsiampa N, DB, PH (2019) Police use of non-lethal weapons analysis of real cases. Hum Factors Mech Eng Def Saf 3 (1):9. https://doi.org/10.1007/s41314-019-0025-5 – reference: PearlRCTorbatiSGeidermanJMKinetic projectile injuries treated during civil protests in Los Angeles: a case seriesClin Pract Cases Emerg Med20215438538910.5811/CPCEM.2021.7.52885 – reference: Hubbs K, Klinger D (2013) “Impact munitions data base of use and effects, disponible sur internet en mars: https://www.ncjrs.gov/pdffiles1/nij/grants/204433.pdf,” U.S. Department of Justice, 2004 – reference: ContargyrisCPeytelESudden death caused by a less lethal weapon chest-wall injury (Commotio cordis)Ann Fr Anesth Reanim201231546947110.1016/j.annfar.2012.01.027 – reference: MillarRRutherfordWHJohnsonSMalhotraVJInjuries caused by rubber bullets: a report on 90 patientsBr J Surg197562648048610.1002/bjs.1800620613 – reference: HughesDMaguireKDunnFFitzpatrickSRockeLPlastic baton round injuriesEmerg Med J EMJ200522211111210.1136/emj.2003.007518 – reference: Rogan L (2013) “I NT E R OF F I C E M EM O R AN DU M,” NIJ – reference: KobayashiMMellenPFRubber bullet injury: case report with autopsy observation and literature reviewAm J Forensic Med Pathol200930326226710.1097/PAF.0b013e318187dfa8 – reference: ShawJPulmonary contusion in children due to rubber bullet injuriesBr Med J19724584376476610.1136/bmj.4.5843.764 – volume: 15 start-page: 118 issue: 2 year: 2014 ident: 62_CR13 publication-title: West J Emerg Med doi: 10.5811/westjem.2013.10.19900 – volume: 31 start-page: 469 issue: 5 year: 2012 ident: 62_CR31 publication-title: Ann Fr Anesth Reanim doi: 10.1016/j.annfar.2012.01.027 – ident: 62_CR34 – volume: 359 start-page: 1795 issue: 9320 year: 2002 ident: 62_CR8 publication-title: Lancet Lond Engl doi: 10.1016/S0140-6736(02)08708-1 – ident: 62_CR36 – ident: 62_CR2 doi: 10.1007/s41314-019-0025-5 – volume: 79 start-page: 165 year: 2021 ident: 62_CR17 publication-title: Clin Imaging doi: 10.1016/j.clinimag.2021.03.007 – volume: 4 start-page: 764 issue: 5843 year: 1972 ident: 62_CR22 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Title | Literature Review of Case Reports Regarding NLW Thoracic Impacts |
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