Abstract
During the last 30 or 40 years, blast injury has become more and more common in certain countries. Most of these injuries are the result of terrorist activity or civilian conflicts. The leading countries are Great Britain, the former Yugoslavia, and Israel. Not only has the number of terrorist attempts grown, but also the magnitude and potency of blast munitions has increased over the years, thus augmenting the risk of severe injuries. Understanding the mechanism of explosions and the possible injuries inflicted by blast is crucial in an attempt to save wounded patients. Therefore, treatment of blast injuries should be part of the common knowledge of every surgeon and physician treating severely injured patients [1–4].
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References
Cemak I, Savic J, Zunic G, et al (1999) Recognizing, scoring, and predicting blast injuries. World JSurg;23: 44–53
Mallonee S, Shariat S, Stennies G, et al (1996) Physical injuries and fatalities resulting from the Oklahoma City bombing. JAMA 276: 382–387
Mellor SG (1992) The relationship of blast loading to death and injury from explosion. World J Surg 16: 893–898
Stein M, Hirshberg A (1999) Medical consequences of terrorism. The conventional weapon threat. Surg Clin North Am 79: 1537–1552
Hiss J, Kahana T (2000) Trauma and identification of victims of suicidal terrorism in Israel. Mil Med 165: 889–893
Mellor SG Dodd KT Harmon JW Cooper GJ 1997 Ballistic and other implications of blast. In Ryan JM Rich NM Dale RF Morgans BT Cooper GJ eds Ballistic trauma clinical relevance in peace and war. Arld London pp 47–59.
Cripps NPJ, Glover MA, Guy RJ (1999) The pathophysiology of primary blast injury and its implications for treatment. II The auditory structures and abdomen. J Roy Nav Med Serv 85: 13–24
Guy RJ, Glover MA, Cripps NPJ (1998) The pathophysiology of primary blast injury and its implications for treatment. Part I: The thorax. J Roy Nav Med Serv;84: 79–86
Guy RJ, Glover MA, Cripps NPJ (2000) The pathophysiology of primary blast injury and its implications for treatment. Part III: Injury to the central nervous system and the limbs. J R Nav Med Serv 86: 27–31
Katz E, Ofek B, Adler J, et al (1989) Primary blast injury after a bomb explosion in a civilian bus. Ann Surg 209: 484–488
Leibovici D, Gofrit ON, Stein M, et al (1996) Blast injuries: bus versus open-air bombings — a comparative study of injuries in survivors of open-air versus confined-space explosions. J Trauma 41: 1030–1035
Cernak I, Savic J, Ignjatovic D, Jevtic M (1999) Blast injury from explosive munitions. J Trauma 47: 96–104
Leibovici D, Gofrit ON, Shapira SC (1999) Eardrum perforation in explosion survivors: is it a marker of blast injury? Ann Intern Med 34: 168–172
Irwin RJ, Lerner MR, Bealer JF, et al (1997) Cardiopulmonary physiology of primary blast injury. J Trauma 43: 650–655
Irwin RJ, Lerner MR, Bealer JF, et al (1999) Shock after blast wave injury is caused by a vagally mediated reflex. J Trauma 47: 105–110
Pizov R, Oppenheim-Eden A, Matot I, et al (1999) Blast injury from an explosion on a civilian bus. Chest 115: 165–172
Sorkin P, Szold O, Kluger Y, et al (1998) Permissive hypercapnia ventilation in patients with severe pulmonary blast injury. J Trauma 45: 35–38
Weiss YG, Oppenheim-Eden A, Gilon D, et al (1999) Systolic pressure variation in hemodynamic monitoring after severe blast injury. J Clin Anesth 11: 132–135
Oppenheim A, Pizov R, Pikarsky A, et al (1998) Tension pneumoperitoneum after blast injury: Dramatic improvement in ventilatory and hemodynamic parameters after surgical decompression. J Trauma 44: 915–917
Paran H, Neufeld D, Shwartz I, et al (1996) Perforation of the terminal ileum induced by blast injury: delayed diagnosis or delayed perforation? J Trauma 40: 472–475
Wolf DG, Polacheck I, Block C, et al (2000) High rate of candidemia in patients sustaining injuries in a bomb blast at a marketplace: a possible environmental source. Clin Infect Dis 31: 712–716
Hirshberg B, Oppenheim-Eden A, Pizov R, et al (1999) Recovery from blast injury. One-year follow-up. Chest 116: 1683–1688
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© 2002 Springer-Verlag Italia
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Muggia-Sullam, M. (2002). Blast Injury. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2099-3_34
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DOI: https://doi.org/10.1007/978-88-470-2099-3_34
Publisher Name: Springer, Milano
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