Update 1988 pp 495-513 | Cite as

Urban Bomb Blast: Mechanisms of Injury and Principles of Management

  • C. J. van der Merwe
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 5)


A disaster is an emergency of such magnitude as to require extraordinary mobilization of emergency services [1]. As a sign of the times, the frequency of such disasters will inevitably increase [2–4]. The number of terrorist incident has steadily increased worldwide. From the beginning of 1976 up to 30 September 1986 there were 581 incidents in the Republic of South Africa (RSA) of which 492 (84.7%) involved explosive devices of some kind. There were 25 landmine incidents, 146 hand grenade attacks, 140 limpet mine blasts, 8 demolition mine explosions and 173 incidents caused by self-assembled explosion devices. Altogether 133 people died in these attacks [40]. The most devastating incident in the RSA was a bomb blast that occurred in Pretoria during 1983.


Shock Wave Tympanic Membrane Blast Injury Peak Overpressure Methylprednisolone Sodium Succinate 
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© Springer-Verlag Berlin Heidelberg 1988

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  • C. J. van der Merwe

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