Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review

The aim of this paper was to review the biomechanics of knife injuries, including those that occur during stabbing rampages. In knife stab attacks, axial force and energy were found to be 1,885 N and 69 J, respectively. The mean velocity of a stabbing motion has been reported to range from 5 to 10 m...

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Main Authors: Kun Hwang, Chan Yong Park
Format: Article
Language:English
Published: Korean Society of Traumatology 2024-03-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2023-0057.pdf
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author Kun Hwang
Chan Yong Park
author_facet Kun Hwang
Chan Yong Park
author_sort Kun Hwang
collection DOAJ
description The aim of this paper was to review the biomechanics of knife injuries, including those that occur during stabbing rampages. In knife stab attacks, axial force and energy were found to be 1,885 N and 69 J, respectively. The mean velocity of a stabbing motion has been reported to range from 5 to 10 m/sec, with knife motions occurring between 0.62 and 1.07 seconds. This speed appears to surpass the defensive capabilities of unarmed, ordinarily trained law enforcement officers. Therefore, it is advisable to maintain a minimum distance of more than an arm's length from an individual visibly armed with a knife. In training for knife defense, particularly in preparation for close-quarter knife attacks, this timing should be kept in mind. Self-inflicted stab wounds exhibited a higher proportion of wounds to the neck and abdomen than assault wounds. Injuries from assault wounds presented a higher Injury Severity Score, but more procedures were performed on self-inflicted stab wounds. Wound characteristics are not different between nonsuicidal self-injury and suicidal self-wrist cutting injuries. Consequently, trauma surgeons cannot determine a patient's suicidal intent based solely on the characteristics of the wound. In Korea, percent of usage of lethal weapon is increasing. In violence as well as murders, the most frequently used weapon is knife. In the crimes using knife, 4.8% of victims are killed. Therefore, the provision of prehospital care by an emergency medical technician is crucial.
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spelling doaj-art-9675550f62944fdeb8e06adc32d1943f2025-01-16T06:10:09ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-03-013711510.20408/jti.2023.00571286Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative reviewKun Hwang0Chan Yong Park1 Department of Plastic Surgery, Armed Forces Capital Hospital, Seongnam, Korea Division of Trauma Surgery, Department of Surgery, Seoul National University Hospital, Seoul, KoreaThe aim of this paper was to review the biomechanics of knife injuries, including those that occur during stabbing rampages. In knife stab attacks, axial force and energy were found to be 1,885 N and 69 J, respectively. The mean velocity of a stabbing motion has been reported to range from 5 to 10 m/sec, with knife motions occurring between 0.62 and 1.07 seconds. This speed appears to surpass the defensive capabilities of unarmed, ordinarily trained law enforcement officers. Therefore, it is advisable to maintain a minimum distance of more than an arm's length from an individual visibly armed with a knife. In training for knife defense, particularly in preparation for close-quarter knife attacks, this timing should be kept in mind. Self-inflicted stab wounds exhibited a higher proportion of wounds to the neck and abdomen than assault wounds. Injuries from assault wounds presented a higher Injury Severity Score, but more procedures were performed on self-inflicted stab wounds. Wound characteristics are not different between nonsuicidal self-injury and suicidal self-wrist cutting injuries. Consequently, trauma surgeons cannot determine a patient's suicidal intent based solely on the characteristics of the wound. In Korea, percent of usage of lethal weapon is increasing. In violence as well as murders, the most frequently used weapon is knife. In the crimes using knife, 4.8% of victims are killed. Therefore, the provision of prehospital care by an emergency medical technician is crucial.http://jtraumainj.org/upload/pdf/jti-2023-0057.pdfbiomechanical phenomenastab woundscrime victimspolice
spellingShingle Kun Hwang
Chan Yong Park
Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review
Journal of Trauma and Injury
biomechanical phenomena
stab wounds
crime victims
police
title Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review
title_full Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review
title_fullStr Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review
title_full_unstemmed Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review
title_short Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review
title_sort biomechanics of stabbing knife attack for trauma surgeons in korea a narrative review
topic biomechanical phenomena
stab wounds
crime victims
police
url http://jtraumainj.org/upload/pdf/jti-2023-0057.pdf
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AT chanyongpark biomechanicsofstabbingknifeattackfortraumasurgeonsinkoreaanarrativereview