Spontaneous migration of a falling bullet in the cerebellum reveals the importance of intraoperative skull X-ray

Cranial gunshot wounds (CGSWs) are the most lethal types of the cranial traumas and they are usually mortal. Falling bullets or gravitational bullets are the ones that move under the effect of the gravity force after the muzzle force diminished. CGSWs constitute a major clinical challenge for neurosurgeons dealing with trauma in both the military and civil experience. We report the case of a 21-year-old man with a falling bullet wound to the head. The decision of surgical treatment of a bullet injury is difficult if it is in close proximity to vital structures; removal of the bullet may cause significant neurological damage; however, migration can lead to a worsening of the neurological status of the patient. Before surgical removal of any intracranial bullet, as valuable information, it is recommended that a plain skull X-ray be obtained after final positioning of the head.

A comparison of fragmenting lead-based and lead-free bullets for aerial shooting of wild pigs

In response to the health threats posed by toxic lead to humans, scavenging wildlife and the environment, there is currently a focus on transitioning from lead-based to lead-free bullets for shooting of wild animals. We compared efficiency metrics and terminal ballistic performance for lead-based and lead-free (non-lead) bullets for aerial shooting of wild pigs (Sus scrofa) in eastern Australia. Ballistic testing revealed that lead-based and lead-free bullets achieved similar performance in precision and muzzle kinetic energy (E0) levels (3337.2 J and 3345.7 J, respectively). An aerial shooting trial was conducted with wild pigs shot with one type of lead-based and one type of lead-free bullets under identical conditions. Observations were made from 859 shooting events (n = 430 and 429 respectively), with a sub-set of pigs examined via gross post-mortem (n = 100 and 108 respectively), and a further sub-set examined via radiography (n = 94 and 101 respectively). The mean number of bullets fired per pig killed did not differ greatly between lead-based and lead-free bullets respectively (4.09 vs 3.91), nor did the mean number of bullet wound tracts in each animal via post-mortem inspection (3.29 vs 2.98). However, radiography revealed a higher average number of fragments per animal (median >300 vs median = 55) and a broader distribution of fragments with lead-based bullets. Our results suggest that lead-based and lead-free bullets are similarly effective for aerial shooting of wild pigs, but that the bullet types behave differently, with lead-based bullets displaying a higher degree of fragmentation. These results suggest that aerial shooting may be a particularly important contributor to scavenging wildlife being exposed to lead and that investigation of lead-free bullets for this use should continue.

Joseph Warren: a discussion of his life and analysis of his death

As his fellow soldiers ran past him, Joseph Warren stood bravely on Bunker Hill. It was June 17, 1775, and British troops were fighting the colonists in one of the early battles of the American Revolution. The British had already attempted two major assaults that day, and the third would end with Warren’s death. He was a medical doctor, public figure, and general who spent his life and last living moments fighting for freedom for the American colonists. After the battle, there was much confusion about what had happened to Joseph Warren. Some thought he had survived the battle; other accounts differed on how exactly he had died. The details of the events on Bunker Hill remained a mystery until the following year, when Paul Revere helped identify Warren’s body by the false teeth that had been implanted years earlier. Warren’s remains showed that his head had been struck by a bullet. Analysis of the skull helped to sift through the differing tales of Warren’s death and thus unveil the truth about what occurred that day. The smaller bullet wound in the left maxilla suggests that he was not shot while retreating with the rest of the soldiers. The larger exit wound in the right occiput illustrates that the bullet’s trajectory crossed the midline of the brain and most likely injured the brainstem. Therefore, contrary to rumors that circulated at the time, Joseph Warren most likely was killed instantly at the Battle of Bunker Hill while heroically facing his enemy.

Quantitative analysis of animal-welfare outcomes in helicopter shooting: a case study with feral dromedary camels (Camelus dromedarius)

Context Helicopter shooting is a common and effective tool for reducing overabundant wildlife populations. However, there is little quantitative information on the humaneness of the method, leading to uncertainty in wildlife-management policy. There is, subsequently, a need for an improved understanding of the welfare implications of helicopter shooting. Aim A study was undertaken to infer the humaneness of helicopter shooting for a case study species, the feral dromedary camel (Camelus dromedarius). Methods Seven post-mortem studies (n = 715) and one ante-mortem study (n = 192) were undertaken during routine helicopter shooting programs of free-ranging camels. In these studies, we measured four animal-welfare parameters to allow inference on the humaneness of the technique. These parameters were time to death, instantaneous death rate (proportion of animals for which time to death = 0), wounding rate and location of bullet-wound tract. We also modelled these welfare variables against hypothesised explanatory variables to assist improvement of future programs. Key results The mean wounding rate was 0.4%, and the killing efficacy of the technique was 99.6%. Mean time to death was 4 s, and mean instantaneous death rate was 83%. Each animal displayed a mean 2.4 bullet-wound tracts, with 75%, 63% and 35% of animals shot at least once in the thorax, cranium and cervical spine, respectively. Regression analysis revealed that the identity of the shooter and the nature of the local vegetation were the most important factors associated with an animal experiencing an inferred instantaneous death or not. Conclusions Helicopter shooting of feral camels produces a very low wounding rate and rapid time to death. Shooter identity is the most important consideration for determining animal-welfare outcomes. Improvements to the humaneness of programs can be made by increasing the rigour of shooter selection and training. Implications Wildlife killing methods must be demonstrated to be humane to receive public support; however, few shooting methods are objectively examined. Helicopter shooting can be independently examined and operators assessed. Adoption of this examination template may allow continual improvement by industry as well as increasing societal acceptance of helicopter shooting.

The Apocryphal Suicide of Saigō Takamori: Samurai,Seppuku, and the Politics of Legend

According to standard reference works, the Meiji leader Saigō Takamori committed ritual suicide in 1877. A close reading of primary sources, however, reveals that Saigō could not have killed himself as commonly described; instead, he was crippled by a bullet wound and beheaded by his followers. Saigō's suicide became an established part of Japanese history only in the early 1900s, with the rise ofbushidōas a national ideology. By contrast, in the 1870s and 1880s, the story of Saigō's suicide was just one of many fantastic accounts of his demise, which also included legends that he ascended to Mars or escaped to Russia. Remarkably, historians have treated Saigō's suicide as an unproblematic account of his death, rather than as a legend codified some four decades later. This essay links the story of Saigō's suicide to the rise of modern Japanese nationalism, and examines other Saigō legends as counternarratives for modern Japan.