Stabbing

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A detail from The Haywain Triptych by Hieronymus Bosch Hieronymus Bosch 075.jpg
A detail from The Haywain Triptych by Hieronymus Bosch

A stabbing is penetration or rough contact with a sharp or pointed object at close range. Stab connotes purposeful action, as by an assassin or murderer, but it is also possible to accidentally stab oneself or others. Stabbing differs from slashing or cutting in that the motion of the object used in a stabbing generally moves perpendicular to and directly into the victim's body, rather than being drawn across it.

Contents

Stabbings have been common among gangs and in prisons because knives are cheap, easy to acquire (or manufacture), easily concealable and relatively effective.

Epidemiology

In 2013, about 8 million stabbings occurred worldwide. [1]

In the US in 2020, 9% of the 22,429 homicides involved a sharp instrument; of these a larger proportion of females used a sharp instrument (13%) versus males (8.2%). [2]

History

After being attacked and stabbed in September 1898, Austro-Hungarian Empress Elisabeth of Bavaria boarded a ship, unaware of the severity of her condition as consequence of an acute stress reaction. Bleeding to death from a puncture wound to the heart, Elisabeth's last words were, "What happened to me?" Assassinato luigi.jpg
After being attacked and stabbed in September 1898, Austro-Hungarian Empress Elisabeth of Bavaria boarded a ship, unaware of the severity of her condition as consequence of an acute stress reaction. Bleeding to death from a puncture wound to the heart, Elisabeth's last words were, "What happened to me?"
Murder weapon, evidence and photos from a murder case in Trondheim, Norway 1928. The broken blade of the knife was stuck in the back of the stabbed victim. Exhibits in the Norwegian National Museum of Criminal Justice. Drap (murder) mordvapen kniv (knife) drapsmann (murderer) Knivdrap (stabbing) 1928 Justismuseet (Norwegian National Museum of Criminal Justice) Trondheim Norway 2019-03-14 08673.jpg
Murder weapon, evidence and photos from a murder case in Trondheim, Norway 1928. The broken blade of the knife was stuck in the back of the stabbed victim. Exhibits in the Norwegian National Museum of Criminal Justice.

Stabbings have been common throughout human history and were the means used to assassinate a number of distinguished historical figures, such as Second Caliph Umar and Roman dictator Julius Caesar and emperor Caligula.

In Japan, the historical practice of stabbing oneself deliberately in ritual suicide is known as seppuku (more colloquially hara-kiri, literally "belly-cutting" since it involves cutting open the abdomen). The ritual is highly codified, and the person committing suicide is assisted by a "second" who is entrusted to decapitate him cleanly (and thus expedite death and prevent an undignified spectacle) once he has made the abdominal wound.

Mechanism

The human skin has a somewhat elastic property as a self-defense; when the human body is stabbed by a thin object such as a small kitchen knife, the skin often closes tightly around the object and closes again if the object is removed, which can trap some blood within the body. It has thus been speculated that the fuller, an elongated concave depression in a metal blade, functions to let blood out of the body in order to cause more damage. This misconception has led to fullers becoming widely known as "blood grooves". The fuller is actually a structural reinforcement of the blade similar in design to a metal I-beam used in construction. However, internal bleeding is just as dangerous as external bleeding; if enough blood vessels are severed to cause serious injury, the skin's elasticity will do nothing to prevent blood from exiting the circulatory system and accumulating uselessly in other parts of the body.

Death from stabbing is caused by shock, severe blood loss, infection, or loss of function of an essential organ such as the heart and/or lungs.

Medical treatment

Although previously a victim of abdominal stabbing would be subject to exploratory surgery laparotomy, it is now considered safe not to operate if the patient is stable. In that case, they should be observed for signs of decompensation indicating a serious injury. If the patient initially presents stabbing injuries and is unstable, then laparotomy should be initiated to discover and rectify any internal injury.

Autopsy examination

When someone who has sustained a stab wound dies, the body is autopsied and the wound is inspected by a forensic pathologist. Such examination can yield valuable information about the weapon used to produce the injury. From the external appearance and internal findings, the pathologist will usually be able to offer opinion about the dimensions of the weapon including the width and minimum possible length of the blade. It is possible to determine whether the weapon was single edged or double edged. [3]

Sometimes factors like the taper of the blade and movement of knife in the wound can also be determined. Bruises or abrasions may give information about the guard. [3]

See also

Related Research Articles

<span class="mw-page-title-main">Dagger</span> Short, pointed hand-to-hand weapon

A dagger is a fighting knife with a very sharp point and usually two sharp edges, typically designed or capable of being used as a thrusting or stabbing weapon. Daggers have been used throughout human history for close combat confrontations, and many cultures have used adorned daggers in ritual and ceremonial contexts. The distinctive shape and historic usage of the dagger have made it iconic and symbolic. A dagger in the modern sense is a weapon designed for close-proximity combat or self-defense; due to its use in historic weapon assemblages, it has associations with assassination and murders. Double-edged knives, however, play different sorts of roles in different social contexts.

<span class="mw-page-title-main">Bleeding</span> Loss of blood escaping from the circulatory system

Bleeding, hemorrhage, haemorrhage or blood loss is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vagina or anus, or through a puncture in the skin. Hypovolemia is a massive decrease in blood volume, and death by excessive loss of blood is referred to as exsanguination. Typically, a healthy person can endure a loss of 10–15% of the total blood volume without serious medical difficulties. The stopping or controlling of bleeding is called hemostasis and is an important part of both first aid and surgery.

<span class="mw-page-title-main">Kukri</span> Knife associated with the Gurkhas of Nepal

The kukri or khukuri is a type of short sword with a distinct recurve in its blade that originated in the Indian subcontinent. It serves multiple purposes as a melee weapon and also as a regular cutting tool throughout most of South Asia. The kukri, khukri, and kukkri spellings are of Indian English origin, with the original Nepalese English spelling being khukuri.

<span class="mw-page-title-main">Blade</span> Sharp cutting part of a weapon or tool

A blade is the portion of a tool, weapon, or machine with an edge that is designed to puncture, chop, slice or scrape surfaces or materials. Blades are typically made from materials that are harder than those they are to be used on. Historically, humans have made blades from flaking stones such as flint or obsidian, and from various metal such as copper, bronze, and iron. Modern blades are often made of steel or ceramic. Blades are one of humanity's oldest tools, and continue to be used for combat, food preparation, and other purposes.

<span class="mw-page-title-main">Autopsy</span> Medical examination of a corpse

An autopsy is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death; or the exam may be performed to evaluate any disease or injury that may be present for research or educational purposes. The term necropsy is generally used for non-human animals.

<span class="mw-page-title-main">Internal bleeding</span> Medical condition

Internal bleeding is a loss of blood from a blood vessel that collects inside the body, and is not usually visible from the outside. It can be a serious medical emergency but the extent of severity depends on bleeding rate and location of the bleeding. Severe internal bleeding into the chest, abdomen, pelvis, or thighs can cause hemorrhagic shock or death if proper medical treatment is not received quickly. Internal bleeding is a medical emergency and should be treated immediately by medical professionals.

Knife play is a form of consensual BDSM edgeplay involving knives, daggers, and swords as a source of physical and mental stimulation. Knives are typically used to cut away clothing, scratch the skin, remove wax after wax play, or simply provide sensual stimulation. Knife play can also be a form of temperature play or body modification.

<span class="mw-page-title-main">Shiv (weapon)</span> Improvised knife-like weapon

A shiv, also chiv, schiv, shivvie, or shank, is a handcrafted bladed-weapon resembling a knife that is commonly associated with prison inmates.

A puukko is a small traditional Finnish general purpose belt knife with a single curved cutting edge, solid hidden tang and, usually, a flat spine. Military models of puukko were popular in the Russian criminal underworld under the name "Finnish knife" or finka since the 20th century. The modified version were among the models on which the Soviet military knife NR-40 was based and which was informally called "finka".

A stiletto is a specialized dagger with a long slender blade and needle-like point, primarily intended as a thrusting and stabbing weapon.

<span class="mw-page-title-main">Fairbairn–Sykes fighting knife</span> Dagger

The Fairbairn–Sykes fighting knife is a double-edged fighting knife resembling a dagger or poignard with a foil grip. It was developed by William Ewart Fairbairn and Eric Anthony Sykes in Shanghai based on ideas that the two men had while serving on the Shanghai Municipal Police in China before World War II.

<span class="mw-page-title-main">Stab vest</span> Piece of body armor which resists knife attacks

A stab vest or stab proof vest is a reinforced piece of body armor, worn under or over other items of clothing, which is designed to resist knife attacks to the chest, back and sides. Stab vests are different from bulletproof vests, most of which offer protection against firearms but afford little against stabbing with sharp-tipped objects such as knives; most stab vests afford less protection against bullets, particularly those of high caliber, but are designed to prevent serious injury by prohibiting knife penetration beyond a few millimeters. Stab vests are also needle and slash proof.

<span class="mw-page-title-main">Blunt instrument</span> Any solid object used as a weapon

A blunt instrument is any solid object used as a weapon, which damages its target by applying direct mechanical force, and has no penetrating point or edge, or is wielded so that the point or edge is not the part of the weapon that inflicts the injury. Blunt instruments may be contrasted with edged weapons, which inflict injury by cutting or stabbing, or projectile weapons, where the projectiles, such as bullets or arrows, are accelerated to a damaging speed.

A knife fight is a violent physical confrontation between two or more combatants in which one or more participants are armed with a knife. A knife fight is defined by the presence of a knife as a weapon and the violent intent of the combatants to kill or incapacitate each other; the participants may be completely untrained, self-taught, or trained in one or more formal or informal systems of knife fighting. Knife fights may involve the use of any type of knife, though certain knives, termed fighting knives, are purposely designed for such confrontations – the dagger being just one example.

<span class="mw-page-title-main">Emergency bleeding control</span> Procedures to rapidly limit dangerous levels of bleeding

Emergency bleeding control describes actions that control bleeding from a patient who has suffered a traumatic injury or who has a medical condition that has caused bleeding. Many bleeding control techniques are taught as part of first aid throughout the world, though some more advanced techniques such as tourniquets, are often taught as being reserved for use by health professionals, or as an absolute last resort, to mitigate associated risks, such as potential loss of limbs. To manage bleeding effectively, it is important to be able to readily identify types of wounds and types of bleeding.

<span class="mw-page-title-main">Penetrating trauma</span> Type of injury

Penetrating trauma is an open wound injury that occurs when an object pierces the skin and enters a tissue of the body, creating a deep but relatively narrow entry wound. In contrast, a blunt or non-penetrating trauma may have some deep damage, but the overlying skin is not necessarily broken and the wound is still closed to the outside environment. The penetrating object may remain in the tissues, come back out the path it entered, or pass through the full thickness of the tissues and exit from another area.

<span class="mw-page-title-main">Abdominal trauma</span> Medical condition

Abdominal trauma is an injury to the abdomen. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Complications may include blood loss and infection.

<span class="mw-page-title-main">Stab wound</span> Medical condition

A stab wound is a specific form of penetrating trauma to the skin that results from a knife or a similar pointed object. While stab wounds are typically known to be caused by knives, they can also occur from a variety of implements, including broken bottles and ice picks. Most stabbings occur because of intentional violence or through self-infliction. The treatment is dependent on many different variables such as the anatomical location and the severity of the injury. Even though stab wounds are inflicted at a much greater rate than gunshot wounds, they account for less than 10% of all penetrating trauma deaths.

A defense wound or self-defense wound is an injury received by the victim of an attack while trying to defend against the assailant(s). Defensive wounds are often found on the hands and forearms if a victim raised them to protect the head and face or to fend off an assault, but may also be present on the feet and legs if a victim attempted defense while lying down and kicking out at an assailant.

On 12 March 2022, 21-year-old Thomas Roberts, from Bournemouth, Dorset, England, was murdered by Lawangeen Abdulrahimzai. Roberts was stabbed by Abdulrahimzai during an argument between Abdulrahimzai and Robert's friend over an e-scooter in Bournemouth Town Centre.

References

  1. "Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013". Lancet. 386 (9995): 743–800. 22 August 2015. doi:10.1016/s0140-6736(15)60692-4. PMC   4561509 . PMID   26063472.
  2. Liu, Grace S. (2023). "Surveillance for Violent Deaths — National Violent Death Reporting System, 48 States, the District of Columbia, and Puerto Rico, 2020". MMWR. Surveillance Summaries. 72. doi:10.15585/mmwr.ss7205a1. ISSN   1546-0738. PMC   10208308 .
  3. 1 2 James, Biju; Ajay Balachandran; Anu Sasidharan; Ramakrishanan U K; Prem T N; Thomas Jerry (22 July 2013). "Unusual Incised Stab Wound Produced by a Single Edged Weapon: A Case Report". Indian Journal of Forensic Medicine & Toxicology. 7 (2): 1–3. doi:10.5958/j.0973-9130.7.2.001.