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When I'm standing next to someone at the range who is shooting a 50 BMG --- I seem to feel a pressure wave from the muzzle brake after the gun is discharged. Is this the same type of pressure wave that you get from explosions such as in fertilizer bombs? I've read it's not the noise that kills in these bombs...but the pressure wave that first affects the ears, then the brain and finally stops the heart.
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It's called concussion, and, yes, it's the same physical force, only amplified to extraordinary levels in explosive ordnance.