The wounding potential and mechanisms of tissue damage of firearms are
reviewed. Internal ballistics is the study of projectile flight withi
n a firearm while external ballistics describes projectile flight thro
ugh air to the target. Terminal ballistics characterizes the final eff
ects of the bullet after it has impacted its target. Upon impact, thre
e tissue phenomena are noted: sonic wave formation, temporary cavitati
on, and permanent cavitation. Subsequent tissue damage is dependent on
the characteristics of the firearm that fired the projectile (e.g. ri
fle versus handgun), the nature of the projectile itself (e.g. fully j
acketed versus expanding bullet), and the attributes of the target tis
sue (e.g. tissue elasticity).