I found this on an AR15 website...posted by a medical professional who was working when someone was brought into the hospital who had been shot accidentally by an AR...the wound sounds pretty darn vicious to me...I wouldn't want to be in the path of .223/5.56
"First of all, he was obviously in a bad way (duhhh) and needed extensive treatment of all sorts, including ortho surgery for shattered ribs, wound care, a chest tube to drain the blood from his chest cavity and he had to be placed on a ventilator (the latter two being my job)
Second, let me describe his wound: The entry wound was small and neat, with very minor signs of cauterization from the hot bullet. The bullet immediately struck the rib underneath, which left a small entry hole but completely shattered and broke the rib in half, and splintered about 2 inches of rib completely beyond repair, leaving both ends of the rib ragged and sharp. The bullet continued on, explosively bursting and tearing the upper and middle lobes of the lung. Due to the "temporary shock cavity" we all read so much about, there was marked shearing trauma in a spherical area extending from the bullets presumed path- The external skin on his right flank under his arm was visibly distended and bruised from this shock trauma. Internally, his mediastinum (the sac in your center chest containing your heart and great vessels) was affected, his pericardial sac leaking fluid into his chest, again due to shock trauma and tearing rather than direct wounding. Luckily for him, his heart was not injured or bleeding. However, we had to surgically-remove a major portion of his right lung because of the marked destruction of the tissue (in a word: couldn't just patch the balloon!) The bullet continued on its merry way through him, luckily passing between his posterior ribs, although by now it was tumbling, so it tore through his intercostal (between ribs) muscles and left an UGLY, asymmetrical, bruised, torn exit wound roughly 2.5 inches wide that will probably never heal correctly. The spherical shock damage I described also surrounded the wound somewhat, having stretched out his ribcage and the outer skin as well."
"First of all, he was obviously in a bad way (duhhh) and needed extensive treatment of all sorts, including ortho surgery for shattered ribs, wound care, a chest tube to drain the blood from his chest cavity and he had to be placed on a ventilator (the latter two being my job)
Second, let me describe his wound: The entry wound was small and neat, with very minor signs of cauterization from the hot bullet. The bullet immediately struck the rib underneath, which left a small entry hole but completely shattered and broke the rib in half, and splintered about 2 inches of rib completely beyond repair, leaving both ends of the rib ragged and sharp. The bullet continued on, explosively bursting and tearing the upper and middle lobes of the lung. Due to the "temporary shock cavity" we all read so much about, there was marked shearing trauma in a spherical area extending from the bullets presumed path- The external skin on his right flank under his arm was visibly distended and bruised from this shock trauma. Internally, his mediastinum (the sac in your center chest containing your heart and great vessels) was affected, his pericardial sac leaking fluid into his chest, again due to shock trauma and tearing rather than direct wounding. Luckily for him, his heart was not injured or bleeding. However, we had to surgically-remove a major portion of his right lung because of the marked destruction of the tissue (in a word: couldn't just patch the balloon!) The bullet continued on its merry way through him, luckily passing between his posterior ribs, although by now it was tumbling, so it tore through his intercostal (between ribs) muscles and left an UGLY, asymmetrical, bruised, torn exit wound roughly 2.5 inches wide that will probably never heal correctly. The spherical shock damage I described also surrounded the wound somewhat, having stretched out his ribcage and the outer skin as well."