Literature DB >> 31970481

Minimum depths to essential structures in a UK military population using computed tomography: application to stab-resistant body armour.

J Breeze1, E A Lewis2, P F Mahoney3.   

Abstract

INTRODUCTION: Edged weapons are a known domestic threat to the police forces of the UK. This threat is mitigated by wearing stab-resistant body armour that is either worn overtly or covertly depending on role. Although the UK military have traditionally focused their body armour design upon ballistic and fragmentation threats, future roles may require protection against an edged weapon threat. Since 2017, UK police body armour requirements for anatomical coverage for both edged weapon and ballistic threats are now based upon the requirements of UK military. This revised coverage may need additional research to determine minimum distances to essential structures.
METHOD: Three entry locations and penetration vectors were chosen using the limited available information in the literature, in combination with a specialist in edged weapons defence. One hundred twenty CT trauma scans of male military service personnel were subsequently analysed to ascertain minimum distances from skin surface to the first structure encountered that is included in essential coverage (heart, aorta, vena cava, liver and spleen) at 3 specific entry points.
RESULTS: Individuals ranged between 18 and 46 years, with a mean body mass index of 24.8. The absolute minimum depth from skin surface to a structure within the auspice of essential coverage was 17 mm to the liver in entry point 3 and 19 mm to the heart in entry point 2.
CONCLUSIONS: Minimum distances to critical structures were significantly larger than those described in previous studies on civilians. This study will be used to supplement existing evidence to support existing UK police requirements for stab-resistant body armour. Using the weapon entry sites and vectors described in this study, overmatching to a behind armour depth of 17 mm would cover all of this population in this study.

Entities:  

Keywords:  Body armour; CT; Police, military; Stab

Year:  2020        PMID: 31970481     DOI: 10.1007/s00414-020-02256-6

Source DB:  PubMed          Journal:  Int J Legal Med        ISSN: 0937-9827            Impact factor:   2.686


  11 in total

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2.  A comparison of fatal with non-fatal knife injuries in Edinburgh.

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Authors:  John Breeze; E A Lewis; R Fryer; A E Hepper; Peter F Mahoney; Jon C Clasper
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6.  Safety standards for stab-resistant body armour: a computer tomographic assessment of organ to skin distances.

Authors:  S E Connor; A Bleetman; M J Duddy
Journal:  Injury       Date:  1998-05       Impact factor: 2.586

7.  Determining the dimensions of essential medical coverage required by military body armour plates utilising Computed Tomography.

Authors:  J Breeze; E A Lewis; R Fryer
Journal:  Injury       Date:  2016-06-07       Impact factor: 2.586

8.  A study of stab wounds.

Authors:  I J Swann; R MacMillan; A A Watson
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9.  Wounding patterns and human performance in knife attacks: optimising the protection provided by knife-resistant body armour.

Authors:  A Bleetman; C H Watson; I Horsfall; S M Champion
Journal:  J Clin Forensic Med       Date:  2003-12

10.  A cross-sectional study of knife injuries at a London major trauma centre.

Authors:  J R Pallett; E Sutherland; E Glucksman; M Tunnicliff; J W Keep
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1.  Gelatine Backing Affects the Performance of Single-Layer Ballistic-Resistant Materials Against Blast Fragments.

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