The critical wounding components for handgun ammunition, in order of importance, are penetration and permanent cavity.33 The bullet must penetrate sufficiently to pass through vital organs and be able to do so from less than optimal angles. For example, a shot from the side through an arm must penetrate at least 10-12 inches to pass through the heart. A bullet fired from the front through the abdomen must penetrate about 7 inches in a slender adult just to reach the major blood vessels in the back of the abdominal cavity. Penetration must be sufficiently deep to reach and pass through vital organs, and the permanent cavity must be large enough to maximize tissue destruction and consequent hemorrhaging.
Several design approaches have been made in handgun ammunition which are intended to increase the wounding effectiveness of the bullet. Most notable of these is the use of a hollow point bullet designed to expand on impact.
Expansion accomplishes several things. On the positive side, it increases the frontal area of the bullet and thereby increases the amount of tissue disintegrated in the bullet's path. On the negative side, expansion limits penetration. It can prevent the bullet from penetrating to vital organs, especially if the projectile is of relatively light mass and the penetration must be through several inches of fat, muscle, or clothing.34
Increased bullet mass will increase penetration. Increased velocity will increase penetration but only until the bullet begins to deform, at which point increased velocity decreases penetration. Permanent cavity can be increased by the use of expanding bullets, and/or larger diameter bullets, which have adequate penetration. However, in no case should selection of a bullet be made where bullet expansion is necessary to achieve desired performance.35 Handgun bullets expand in the human target only 60-70% of the time at best. Damage to the hollow point by hitting bone, glass, or other intervening obstacles can prevent expansion. Clothing fibers can wrap the nose of the bullet in a cocoon like manner and prevent expansion. Insufficient impact velocity caused by short barrels and/or longer range will prevent expansion, as will simple manufacturing variations. Expansion must never be the basis for bullet selection, but considered a bonus when, and if, it occurs. Bullet selection should be determined based on penetration first, and the unexpanded diameter of the bullet second, as that is all the shooter can reliably expect.
It is essential to bear in mind that the single most critical factor remains penetration. While penetration up to 18 inches is preferable, a handgun bullet MUST reliably penetrate 12 inches of soft body tissue at a minimum, regardless of whether it expands or not. If the bullet does not reliably penetrate to these depths, it is not an effective bullet for law enforcement use.36
Given adequate penetration, a larger diameter bullet will have an edge in wounding effectiveness. It will damage a blood vessel the smaller projectile barely misses. The larger permanent cavity may lead to faster blood loss. Although such an edge clearly exists, its significance cannot be quantified.
An issue that must be addressed is the fear of over penetration widely expressed on the part of law enforcement. The concern that a bullet would pass through the body of a subject and injure an innocent bystander is clearly exaggerated. Any review of law enforcement shootings will reveal that the great majority of shots fired by officers do not hit any subjects at all. It should be obvious that the relatively few shots that do hit a subject are not somehow more dangerous to bystanders than the shots that miss the subject entirely.
Also, a bullet that completely penetrates a subject will give up a great deal of energy doing so. The skin on the exit side of the body is tough and flexible. Experiments have shown that it has the same resistance to bullet passage as approximately four inches of muscle tissue.37
Choosing a bullet because of relatively shallow penetration will seriously compromise weapon effectiveness, and needlessly endanger the lives of the law enforcement officers using it. No law enforcement officer has lost his life because a bullet over penetrated his adversary, and virtually none have ever been sued for hitting an innocent bystander through an adversary. On the other hand, tragically large numbers of officers have been killed because their bullets did not penetrate deeply enough.