In certain cases, there were simultaneous multiple injuries that required competing forms of treatment, such as burns and blast lung.Ī recent review on blast injuries 1 outlined the mechanisms of blast injuries and provided guidelines for initial management on the basis of experience. A high rate of surgical procedures was recorded, including thoracotomies, laparotomies, craniotomies, and vascular surgery. Injuries were mostly internal, open wounds, and burns, with an excess of injuries to nerves and to blood vessels compared with other trauma mechanisms. From the emergency department, 28.3% went directly to the operating room, 10.1% to the intensive care unit, and 58.4% directly to the ward. ![]() A total of 36.6% had a computed tomography (CT), 26.8% had ultrasound scanning, and 53.2% had an x-ray in the emergency department. Triage has changed as metal parts contained in bombs penetrate the human body with great force and may result in tiny entry wounds easily concealed by hair, clothes etc. ![]() Nearly 30% suffered severe to critical injuries (ISS ≥ 16) severe injuries (AIS ≥ 3) were more prevalent than in other trauma. A total of 1155 patients injured by explosion were studied.
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