It was a contact shot into the center chest on a sleeping target. I did actually record one single-shot kill from a 9X18 (Makarov).

So if the choice is to drive over an Italian anti-tankВ mine (still a little bitter about that one), or take one in the noggin, I say grin and bear it. Wounding comes from overpressure, penetrating trauma (the vast majority of the injuries) and the body actually being thrown against other objects or the ground. Blasts cause multiple injuries, and shrapnel from the blast is often travelling far faster than even the fastest modern rifle caliber bullets. 45ACP round than step on a mine or be in the first 10 yards or so of any significant blast. Let me cut to the chase here, if the goal is to live, you would rather be shot close range in the face by a 9X19 or. But that half represent a much greater number of deaths, and it doesnвЂ™t include the dead that didnвЂ™t make it to me. About half of the total were blast wounds, primarily from mines and IEDs of all types. About 20% of my patients were children under the approximate age of 12.

Looking through all my logs, both CONUSВ and OCONUS,В I have recorded 371 gun shot wounds and significant blast injuries. During my first tour in Afghanistan, I averaged one patient death per day. My averageВ medevac time for an urgent or urgent surgical patient in southern Afghanistan was four hours. Because of my specific role, and because I was often the closest competent medical providerВ for an extremely large number of people (sometimes over 20,000), I have treated an inordinant amount of gun shot and blast injuries in places where surgical treatment was often well over an hour away. Few of my patients OCONUS have been American troops, and I am grateful for that. IвЂ™veВ never worked OCONUS on a large US base,В and my patients have almost always been local nationals. IвЂ™ve done the same thingВ withВ host nationВ National Guard troops inВ Central America. I was technically a вЂњcombat advisorвЂќ for two tours inВ Afghanistan, embedded with the Afghan National Army and Afghan National Police force. Also - and this is important - when deployed I was almost always part of an вЂњadvisorвЂќ force. I was an EMT and a trauma techВ working on a truck and in a trauma room for about 10 years and I was an army combat medic for eight years. I hate sharing, but IвЂ™ve been all over the world and I have seen a whole lot of people shot, stabbed, burned, run over, and blown up, and some of you might find this information valuable. Robert asked, вЂњSeen a few people shot, have you?вЂќ

Are subsonic rounds lethal