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Certain bullets such as the British dumdum bullet were prohibited for
use in 1899 because they were thought to produce wounds too cruel for
war between civilised nations. The detection of fragments of bullets in
radiographs of wounds has been assumed to be a sign of both a large
volume of tissue destruction and the use of prohibited bullets. On
p 403 Coupland examined the relation between bullet fragmentation and
the size of wounds in nearly 6000 bullet wounds sustained in armed
conflict. He found that fragmentation of bullets is neither a necessary
nor a sufficient cause of large wounds (those with a clinically
detectable cavity). He concludes that existing legislation on the
construction of bullets should be supplemented by legislation on
bullets' potential to cause large wounds.