I've used them myself, but usually only as shock value to the players.
In one instance I had the PCs being attacked at night during a thunderstorm with a crossbow armed enemy. A flash of lightning revealed a form crawling across a wire linking the PCs building to another. The PC on sentry in that area opened up with a burst from their RPK-74.
The following morning showed a mass of rags on the ground under the wire. Pulling back the rags showed a torn (from bullets) and battered (from the 3 storey fall) teenage girl of about 13-14 with a distinct buldge in the midsection - she was around 4-5 months pregnant and now rather dead. A loaded pistol lay near her broken body.
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If it moves, shoot it, if not push it, if it still doesn't move, use explosives.
Nothing happens in isolation - it's called "the butterfly effect"
Mors ante pudorem
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