Ordog et al classified changes to a missile after penetration. The authors are from the King/Drew-UCLA Medical Center in Los Angeles.
Parameters:
(1) changes to jacket, if jacketed ammunition
(2) deformity
(3) fragmentation
(4) fracturing
(5) mushrooming (expansion in caliber or diameter)
Jacket Fracturing and Avulsion |
Grade |
no jacket |
NA |
none |
0 |
< 50% |
I |
50 - 99% |
II |
100% |
III |
Deformity |
Grade |
none (intact without distortion) |
0 |
mild distortion |
I |
moderate distortion |
II |
unrecognizable |
III |
Fragmentation |
Grade |
0 pieces (bullet intact) |
0 |
1 or 2 additional pieces |
I |
3 to 10 additional pieces |
II |
> 10 additional pieces |
III |
Fracturing |
Grade |
none (bullet intact) |
0 |
1 - 33% |
I |
34 - 66% |
II |
67 - 100% |
III |
increase due to mushrooming =
= ((final diameter in mm) - (original diameter in mm)) / (original diameter) * 100%
Mushrooming |
Grade |
none |
0 |
increase < 100% |
I |
100 - 200% |
II |
200 - 300% |
III |
> 300% |
IV |
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general