[1][2], The bean bag round consists of a small fabric "pillow" filled with #9 lead shot weighing about 40 grams (1.4 oz). Although less lethal than conventional firearms, bean bag gun injuries can result in serious harm, and it is important for surgeons to recognize the unique injury patterns and characteristics of these projectiles [9]. Bean bag guns were developed as a nonlethal means for law enforcement personnel to subdue individuals. The second round, which hit the man in the jaw, had created a penetrating wound through the cheek. On post-operative day (POD) 3, the chest tube was removed; however, on POD 6 purulent drainage was observed from the previous bean bag entry wound, and laboratory evaluation revealed a leukocytosis to 21.0 K/mm3. Figure 4: Representative axial and sagittal images from the patient’s CT scan on Day 7 after initial operative intervention.The white arrows on both images show subcutaneous and intrathoracic air, concerning for an empyema. New video and internal police reports from the La Mesa protests and riots in May 2020 have been made public. The basic philosophy for the use of less lethal devices or munitions is this: It is a force option that provides officers a means to resolve incidents involving aggressive or violent suspects/subjects with a significantly reduced risk of serious injury or death. Case 2. Super-Sock' is designed to deliver its kinetic energy over a relatively large area and impart a Less-Lethal impact to the target. It is designed to deliver a blow that will cause minimum long-term trauma and no penetration but will result in a muscle spasm or other reaction to briefly render a violent suspect immobile. They have caused around one death a year since their introduction in the US. Penetrating thoracic injury from a bean bag round complicated by development of post-operative empyema. The shotgun round is inaccurate over about 6 metres (20 ft) and has a maximum range of around 20 metres (70 ft). She was among those who were hit by a bean bag round and the force of the round knocked her to the ground. 3). 870 a a j r 5. Everyone has shotguns, and this ensures that the multi-round impact delivery system is cost effective, readily available, and easy to get into the hands of properly trained personnel. Upon intra-operative inspection, the right middle lobe was contused but not actively bleeding, so no further intervention was performed, and a new chest tube was placed. Copyright © 2021 Oxford University Press and JSCR Publishing Ltd. Tel: 402-840-5875; Fax: 916-734-5633; E-mail: Search for other works by this author on: Penetrating injury from a less-lethal bean bag gun, Penetrating bean bag injury: intrathoracic complication of a nonlethal weapon, Death, injury and disability from kinetic impact projectiles in crowd-control settings: a systematic review, The injury pattern of a new law enforcement weapon: the police bean bag, Study on police bean bag injuries in a pork model, Minimally invasive surgical management of penetrating chest injury from kinetic impact bean bag projectile, Splenic laceration and pulmonary contusion injury from bean bag weapon, Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons. Non-penetrating thoracic injuries from bean bag rounds most commonly lead to skin ecchymosis, broken ribs and pulmonary/cardiac contusions with deeper transfer of energy [7]. A strike in the abdominal area can cause internal bleeding or strike the celiac plexus which can disrupt breathing or heartbeat, but such a hit is generally safer than most other areas as well as presenting a larger target than an extremity. Bean bag guns were first developed in the 1970s as a nonlethal means for law enforcement personnel to subdue individuals without resorting to lethal force [1]. Online sources said her eyeball has burst & she might be permanently blind in one eye. Studies of conventional metallic bullets have shown that infection and complication rates remain low in instances in which embedded bullets are not removed; thus routine removal is not recommended [10]. This is why many officers are taught to aim for the extremities when using a bean bag round. A bean bag round, also known by its trademarked name flexible baton round, is a type of baton round, fired from a shotgun, and used for less lethal apprehension of suspects. 2). The 40mm Bean Bag Round incorporates a 8-inch casing that contains one4. Penetrating thoracic injury from a bean bag round complicated by development of post-operative empyema @article{Guenther2020PenetratingTI, title={Penetrating thoracic injury from a bean bag round complicated by development of post-operative empyema}, author={Timothy M. Guenther and Joshua D. Gustafson and Curtis J. Wozniak and Scott A Zakaluzny and G. Utter}, journal={Journal of Surgical … The large surface area and lower velocities of the bean bag round theoretically result in transfer of most of the energy to the skin/subcutaneous tissue and minimize the likelihood of dermal penetration, thereby ‘stunning’ intended victims without causing injury to deeper structures. One video captured after he fell to the ground showed what appeared to be a bean bag round lodged in his skull. Correspondence address. The patient was breathing comfortably and normotensive, and his GCS was 15. This is likely related to the size of the thorax and its central location where law enforcement officers are often trained to aim when delivering lethal force [5]. The bag is designed to expand upon being shot, distributing the impact force over a wider area than a single, rigid projectile. [1] Despite the name, rubber bullets typically have either a metal core with a rubber coating, or are a homogeneous admixture with rubber being a minority component. WikiProject Firearms (Rated Start-class, Low-importance) This article is within the scope of WikiProject Firearms, a collaborative effort to improve the coverage of firearms on Wikipedia. Oxford University Press is a department of the University of Oxford. A bean bag round weighing approximately 40–50 g is accelerated at a velocity of 230–300 feet/second, thereby ‘stunning’ the intended victim [2]. Operative image of the removed intrathoracic bean bag with intact Kevlar coating. They look like regular shells but the effect is to fire a non-penetrative round at an assailant. A chest CT showed the object in close proximity to the right atrium, right internal mammary artery and right middle lobe (Fig. He was discharged the subsequent day and has not returned to our facility since then. Haar RJ, Iacopino V, Ranadive N, Dandu M, Weiser SD. Thus, the large, complex surface of these projectiles likely entrains bacteria, other foreign bodies (e.g. The process of identifying the officer who shot Cruz began with two videos showing the injury that eventually claimed Cruz’s life. Surgeons should strongly consider operative removal of retained bean bags or their fragments. J Surg Case Rep 2020 ;2020(4): rjaa078 - rjaa078 . By POD 20/12, the patient’s leukocytosis and right-sided effusion had resolved, and both chest tubes were removed. The fatal case studies do not prove or even suggest that shots to the chest always result in a fatal outcome. The clinicians irrigated the wound at the bedside and initiated antibiotics treatment. The following day, the surgeons performed VATS decortication, removing a significant amount of purulent pleural fluid and fibrinous exudate and placing two chest tubes. Penetrating thoracic injury from a bean bag round complicated by development of post-operative empyema. In conclusion, penetrating thoracic trauma from bean bag ballistics represents a rare complication of their use. 1). The bean bag round consists of a small fabric "pillow" filled with #9 lead shot weighing about 40 grams (1.4 oz). C. BBIW Ammunition – The BBIW ammunition, known as a “bean bag round,” is a round that consists of a fabric sock containing lead shot. The white arrows on both images show subcutaneous and intrathoracic air, concerning for an empyema. A woman identifying herself as the female protestor shot in the eye by a suspected police bean bag round spoke out for the first time since her injury today, releasing a video thanking her supporters — and the medical workers who treated her — and criticizing Carrie Lam and the police for “failing Hong Kong.”. The bean bag round consists of a small fabric "pillow" filled with #9 lead shot weighing about 40 grams (1.4 oz). A bean bag round can severely injure or kill in a wide variety of ways. If you would like to participate, please visit the project page, where you can join the discussion and see a list of open tasks. Bean bag round shown lodged in protester's goggle", Muerte de Dilan Cruz fue causada por un arma que utiliza el Esmad: Medicina Legal, https://www.kvue.com/article/news/local/austin-protester-police-struck-by-less-lethal-bean-bag-round/269-430f90a2-b6c1-4ee3-9d9c-639faf132100, https://cbsaustin.com/news/local/austin-teen-hospitalized-with-head-injury-after-police-shoot-him-with-bean-bags-at-protest, https://en.wikipedia.org/w/index.php?title=Bean_bag_round&oldid=1010570969, Articles needing additional references from January 2011, All articles needing additional references, Creative Commons Attribution-ShareAlike License, In 23 November 2019, a bean bag round fired by the, 31 May 2020, 20-year-old Justin Howell was shot in the head by the, This page was last edited on 6 March 2021, at 04:20. The shotgun round is inaccurate over about 6 metres (20 ft) and has a maximum range of around 20 metres (70 ft). It is fired from a normal 12-gauge shotgun. A 45-year-old man waving a gun confronted police. A shot to the head can break the nose, crush the larynx or break the neck or skull of the subject. When fired, the bag is expelled at around 70 to 90 metres per second (230 to 300 ft/s); it spreads out in flight and distributes its impact over about 6 square centimetres (1 sq in) of the target. CTS 2581 12GA Super-Sock Bean Bag - Sold in Packages of 5 Rounds - Quoted and Priced Individually Per Round The 2581 is the most accurate Super Sock 12 gauge bean bag for law enforcement. A bean bag round, also known as a flexible baton round, is considered a non-lethal projectile that is usually fired from a 12-gauge shotgun. Penetrating thoracic injuries from bean bag ballistics are much less common and can be associated with pulmonary/cardiac contusions, lacerations and death [2, 8]. BENEFITS OF BEAN BAG ROUNDS. hair or clothing particles) and devitalized tissue in the wound, substantially increasing the risk of infection, as occurred in this patient. Representative axial and sagittal images from the patient’s CT scan on Day 7 after initial operative intervention. Language; Watch; Edit; Active discussions. Penetrating thoracic injury from bean bag round 3 Figure 3: Operative image of the removed intrathoracic bean bag with intact Kevlar coating. However, bean bags—though they may appear only metallic on radiographs—are composed of numerous metallic pellets, possibly with cotton packing, covered with a layer of Kevlar or other fabric. It is fired from a normal 12-gauge shotgun.When fired, the bag is expelled at around 70 to 90 metres per second (230 to 300 ft/s); it spreads out in flight and distributes its impact over about 6 square centimetres (1 sq in) of the target. We report a 59-year-old man who sustained a penetrating thoracic injury from a bean bag round. Shotguns dedicated to being used for bean bag rounds are often visibly modified with either yellow or green markings, or bright orange stocks and stops, to reduce the possibility that a user might inadvertently load lethal munitions into the weapon. The round is intended to disable the person without killing them. There was a 2-cm circular wound through the skin just superior to the right nipple and a 5-cm area of ecchymotic but intact skin over the right flank. The large surface area of a bean bag round is thought to disseminate the kinetic energy of the ballistic upon impact and theoretically prevent penetration through the dermis [3]. Culture of the pleural fluid grew Staphylococcus aureus. [3], Learn how and when to remove this template message, "In defense of the 12-gauge "bean bag" round", "Impact Munitions Use: Types, Targets, Effects", "Öngyilkos lett a 2006-ban kilőtt szemű Cs. Will momentarily incapacitate violent non-compliant subjects. J Surg : ) 4 2020( 20 20p; R e e s Ca . The bean bag round consists of a small fabric "pillow" filled with #9 lead shot weighing about 40 grams (1.4 oz). This resulted in the establishment of SIMs as we know them – most particularly, the bean bag round. Bean bag rounds caused horrific injuries and 'less-lethal' rounds need to go, Texas doctors say . *The patented 37 MM 3581 Super Sock® Bean Bag provides the best point control accuracy of any other munition in this caliber. However, this technology has been associated with significant intra-abdominal and intrathoracic injuries, skin penetration and death. It still can cause serious injury and death. We present a 59-year-old man who sustained a penetrating thoracic injury from a bean bag gun. Less Lethal Philosophy. A graphic video of her injury circulated social media. He said his doctors have told him he may not be able to have children as a result of the injury. A 59-year-old man was transferred acutely from another hospital for evaluation of a penetrating thoracic injury. AUSTIN, Texas - Surgeons in Austin released a detailed commentary revealing how shocked they were by how severe police bean bag round injuries were from protests a … What Exactly Is A Bean Bag Round? Manley said one of the officers fired a bean bag round intended for the man who threw the backpack but instead hit the 20-year-old man in the head. The victim was with another person who spun a backpack 360 degrees to gain velocity and flung it toward the officers. Although the bean bag was successfully removed, the patient developed a postoperative empyema requiring operative management. Chuck Lindell. The patient reportedly had been shot twice with a bean bag gun and sustained injuries to the right chest and flank during an altercation with police officers. 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