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This could cause serious injury to bones and tissue, not to mention the possibility of severe internal bleeding if any organs erupt due to the force.
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that will not happen, assuming the round is within the vest's designed parameters. You get bruised, and there have been a very few instances of a rib cracking or similar, but serious injuries and erupting organs are not going to happen. A fair number of officers have continued the fight with minimal interruption aftern being shot while wearing their vest.