Well considering that the .380 has been around since 1908 I'd say that if it wasn't a decent round then it wouldn't be around for as long as it has. IMO I think the .380 is a great defensive round.

I'd like to hear more from our LEO's or those who work in the ER any stories you guys can tell us from first hand accounts of any experience dealing with 380's. I think that would give us a realistic idea of the effectivness of this round.