Wounds from high velocity, center-fire rifles are relatively uncommon. Such wounds are markedly different from those caused by handguns or .22 rim-fire rifles. Injuries from pistol or .22 rim-fire rifle bullets are confined to tissue and organs directly in the wound track. In contrast, high velocity rifle bullets can injure structures without actually contacting them. Discussion of rifle wounds in the medical literature is concerned almost exclusively with injuries from military ammunition [1–3]. Wounds encountered by medical examiners, however, almost always involve hunting ammunition, whose design and construction is radically different from that of military ammunition. Because of these differences, the wounds produced by hunting ammunition are much more devastating.
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