Abstract
Neurological injuries produced by explosive blasts are the result of a cascade of
events that begin with the initial explosion and evolve from the secondary, tertiary,
and quaternary effects that the explosion engenders [Lavonis EJ. Blast Injuries. EMedicine.htm].
Only the results of the primary blast are predictable, and subsequent actions ripple
outward in an increasingly random and chance sequence. This article reviews and explains
how the ensuing chain of circumstances injures the nervous system, and what examining
physicians should anticipate when they treat these patients.
Keywords
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References
Lavonis EJ. Blast Injuries. EMedicine.htm.
- Explosions and blast injuries.Ann Emerg Med. 2001; 37: 664-678
- Bomb explosions and acts of terrorism—detonation, wound ballistics, triage, and medical concerns.IMAJ. 2003; 5: 235-240
- Toxicology of blast overpressure.Toxicology. 1997; 121: 1-15
- Blast injuries.NEJM. 2005; 352: 1335-1342
- Physiological effects of blast in air and water.in: German aviation medicine, World War II. Vol. 2. US Government Printing Office, Washington (DC)1950: 1225-1259
- Medical consequences of terrorism. The conventional weapon threat.Surg Clin North Am. 1999; : 1537-1552
- Blast waves and how they interact with structures.J R Army Med Corps. 2001; 147: 16-26
- Blast injuries: bus versus open-air bombings—a comparative study of injuries in survivors of open-air versus confined-space explosions.J Trauma. 1996; 41: 1030-1035
- Analysis of 828 servicemen killed or injured by explosion in northern Ireland 1970–84: the hostile action casualty system.Br J Surg. 1989; 76: 1006-1010
- The pathophysiology of primary blast injury and its implications for treatment: Part I. The thorax.J R Nav Med Serv. 1998; 84: 79-86
- Eardrum perforation in explosion survivors: is it a marker of pulmonary blast injury?.Ann Emerg Med. 1999; 34: 168-172
- Blast Injury.Can Med Assoc J. 1967; 96: 207-214
- Blast injuries of the lungs.Br J Surg. 1976; 63: 735-737
- Findings of mild traumatic brain injury in combat veterans with PTSD and a history of blast concussion.J Neuropsychiatry Clin Neurosci. 1998; 10: 308-313
- Focus on head Injuries.Newsday. 2004 (March 29);
- Experimental pressure induced rupture of the tympanic membrane in man.Acta Otolaryngol (Stockh). 1993; 113: 62-67
- The spectrum of pediatric injuries after a bomb blast.J Pediatr Surg. 1997; 32: 307-311
- Primary blast injury after a bomb explosion in a civilian bus.Ann Surg. 1989; 209: 484-488
- Mass casualty terrorist bombings: a comparison of outcomes by bombing type.Ann Emerg Med. 2004; 43: 263-273
- Traumatic brain injury in the war zone.NEJM. 2005; 352: 2043-2047
- Casualties of war—military care for the wounded from Iraq and Afghanistan.NEJM. 2004; 351: 2471-2475
Lardner R. Report Faults Hospital for Marine's Death. The Tampa Tribune, Friday, June 3, 2005. Metro Section, page 3.
- The Israeli Trauma Group. The special injury pattern in terrorist bombings.J Am Coll Surg. 2004; 1999: 875-879
- Mass-casualty, terrorist bombings: implications for emergency department and hospital emergency response (part II).Prehosp Disaster Med. 2003; 18: 235-241
- Impact of the terrorist bombings of the Neve Shalom and Beth Israel Synagogues on a hospital in Istanbul, Turkey.Acad Emerg Med. 2005; 12: 135-141
- Evaluating and treating the post-acute sequelae of blast injuries: the rehabilitation-based Tampa VAMC Blast Injury Program.Fed Pract. 2005; 22: 67-75
- Optimizing care for combat amputees: experiences at Walter Reed Army Medical Center.JRRD. 2004; 41: vii-xii
- Utility of mechanism-of-injury-based assessment and treatment: blast injury program case illustration.J Rehabil Res Dev. 2005; 42: 403-412
- Neuropsychiatry and behavioral pharmacology. Springer-Verlag, New York1991: 1-25
- Neuropsychiatry and behavioral pharmacology. Springer-Verlag, New York1991: 26-36
- Disability and rehabilitation.World Health Organization, Geneva2003 (Available online at: www.who.int/ncd/disability/index.htm.)
- Managing the health effects of the explosive remnants of war.J R Soc Promot Health. 2004; 124: 262-267
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© 2006 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
