Primary blast injuries--an updated concise review.

Daniel Dante Yeh, William P Schecter
Author Information
  1. Daniel Dante Yeh: Department of Surgery, Harvard Medical School, Massachusetts General Hospital, 165 Cambridge St. #810, Boston, MA, 02114, USA. dyeh2@partners.org.
  2. William P Schecter: Division of Surgery, San Francisco General Hospital, University of California San Francisco, 1001 Potrero Avenue, San Francisco, CA, 94143, USA.

Abstract

Blast injuries have been increasing in the civilian setting and clinicians need to understand the spectrum of injury and management strategies. Multisystem trauma associated with combined blunt and penetrating injuries is the rule. Explosions in closed spaces increase the likelihood of primary blast injury. Rupture of tympanic membranes is an inaccurate marker for severe primary blast injury. Blast lung injury manifests early and should be managed with lung-protective ventilation. Blast brain injury is more common than previously appreciated.

References

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MeSH Term

Blast Injuries
Explosions
Humans
Multiple Trauma
Terrorism
Trauma Severity Indices

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