Blast Lung Injury

  title={Blast Lung Injury},
  author={Scott M. Sasser and Richard Warren Sattin and R. Christopher Hunt and Jon R. Krohmer},
  journal={Prehospital Emergency Care},
  pages={165 - 172}
Current trends in global terrorism mandate that emergency medical services, emergency medicine andother acute care clinicians have a basic understanding of the physics of explosions, the types of injuries that can result from an explosion, andcurrent management for patients injured by explosions. High-order explosive detonations result in near instantaneous transformation of the explosive material into a highly pressurized gas, releasing energy at supersonic speeds. This results in the… 

Blast Injuries-and the Pivotal Role of Trauma Surgeons

  • F. Luks
  • Medicine
    Acta chirurgica Belgica
  • 2010
Treatment of blast injuries is complex and combines the principles of penetrating and blunt trauma, chemical or thermal burns and disaster and mass casualty management, and individual management of the blast injury victim requires a multidisciplinary team.

Blast Injuries: From Improvised Explosive Device Blasts to the Boston Marathon Bombing.

  • Ajay SinghN. Ditkofsky M. Lev
  • Medicine
    Radiographics : a review publication of the Radiological Society of North America, Inc
  • 2016
The mechanism of blast injuries and the imaging experience of the victims of the Boston Marathon bombing are detailed, as well as musculoskeletal, neurologic, gastrointestinal, and pulmonary injury patterns from blast injuries.

Investigating Injury Pathology of Blast-induced Polytrauma and Assessing the Therapeutic Role of Hemostatic Nanoparticles after Blast Exposure

The research presented in this dissertation required the development of a military-relevant blast polytrauma model to examine injury pathology and subsequently study the effects of hemostatic nanoparticle therapy after blast-inducedpolytrauma.

Management of combined massive burn and blast injury: A 20-year experience.

Cerebrovscular dysfunction in primary blast traumatic brain injury

Findings include the presence of focal deposits of IgG in the parenchymal brain tissue indicating an elevated permeability of the blood-brain barrier, a heterogeneous distribution of these lesions among various brain structures, changes in astrocyte glial fibrillary acidic protein expression at lesion locations, and decrease in nociception and pedal withdrawal reflex following primary blast exposure.

Biodynamics of Blast Injuries

Explosive devices have become a major weapon in current armed conflicts, antipersonnel landmines, and terrorist bombing. This has changed the trends of prevalence of the wounding mechanisms over the

Attenuation of blast pressure behind ballistic protective vests

It is suggested that ballistic protective body armour vests, especially hard body armour plates, provide substantial chest protection in primary blasts and explain the increased frequency of head injuries, without the presence of pulmonary injuries, in protected subjects reporting a history of blast exposure.

The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003–2009

  • J. Smith
  • Medicine
    Philosophical Transactions of the Royal Society B: Biological Sciences
  • 2011
A retrospective database review of cases from the UK joint theatre trauma registry from 2003 to 2009, containing details of over 3000 patients, mainly injured in Iraq and Afghanistan, finds that blast lung represents a significant clinical problem in a deployed military setting.



Explosions and blast injuries.

Out-of-hospital personnel, emergency physicians, and trauma surgeons are challenged to specifically seek evidence of internal injuries in individuals with multiple trauma, adjust management considerations to avoid exacerbation of life-threatening problems caused by the blast wave itself, and ensure appropriate disposition of these patients in possible mass-casualty situations.

Recovery from blast lung injury: one-year follow-up.

Most patients who survive lung blast injury will regain good lung function within a year, with most patients demonstrating normal lung function tests and complete resolution of the chest radiograph findings.

Toxicology of blast overpressure.

Blast lung injury from an explosion on a civilian bus.

BLI can cause severe hypoxemia, which can be improved significantly with aggressive treatment, and the BLI severity score may be helpful in determining patient management and prediction of final outcome.

Terrorism and blast phenomena: lessons learned from the attack on the USS Cole (DDG67).

The bombing of the USS Cole and an analysis of the pattern of injury are unique compared with previous terrorist bombing attacks in which the predominant injury pattern is from Type II and Type III blast phenomena.

Primary Blast Injury After a Bomb Explosion in a Civilian Bus

Besides the usual wounds sustained by victims of an explosion that occurs in a confined space, the possibility of primary blast injury to the abdomen and to the lungs should be taken into account by the treating surgeon.

Blast injury from explosive munitions.

The findings indicate that primary blast injury is more common in war injuries than previously thought and that of those affected by blast, a surprisingly high proportion retain long-term neurologic disability.

Casualties from terrorist bombings.

The patterns of injury seen in the casualties from four terrorist bombings are described to illustrate the types and severity of particular wounds.