The wound profile: illustration of the missile-tissue interaction.

The wound profile was developed at the Letterman Army Institute of Research in order to measure the amount, type, and location of tissue disruption produced by a given projectile, and to present the data in a standardized, easy to understand picture. The entire missile path is captured in one or more 25 X 25 X 50 cm blocks of 10% ordnance gelatin at 4 degrees C. The penetration depth, projectile deformation and fragmentation pattern, yaw, and temporary cavity of the missile in living anesthetized swine muscle are reproduced by this gelatin. Measurements are taken from cut sections of the blocks after mapping of the fragmentation pattern with biplanar X-rays. These data are then reproduced on a life-sized wound profile which includes a scale to facilitate measurement of tissue disruption dimensions, a drawing of the loaded cartridge case before firing, the bullet weight and morphology before and after firing (and calculated percent of fragmentation), and the striking velocity. This technique allows us to determine the wounding character of the projectile without the need for elaborate and expensive high-speed cine and X-ray equipment, or the need for shooting live animals. The method improves our understanding of the wounding process and should lay the groundwork to assure more rational and effective treatment.