Bomb blast mass casualty incidents: Initial triage and management of injuries

Singapore Medical Journal

Volumn 50, Issue 1, 2009, Pages 101-106

  Goh, S H ^a  

^a CHANGI GENERAL HOSPITAL   (Singapore)

Author keywords

Blasts in enclosed spaces; Bomb blast injuries; Bowel perforation; High order explosives; Mass casualty incidents; Multiple fractures; Pulmonary blast injury; Tympanic membrane perforation

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; AIR EMBOLISM; BOMB; CHEMICAL BURN; COMPUTER ASSISTED TOMOGRAPHY; DISEASE CLASSIFICATION; DISEASE SEVERITY; EARDRUM PERFORATION; ECHOGRAPHY; HEAD INJURY; HUMAN; HYPERBARIC OXYGEN; INJURY; LUNG BURN; LUNG INJURY; MASS DISASTER; REVIEW; VENOUS PRESSURE;

BLAST INJURIES; BOMBS; DIAGNOSTIC IMAGING; HUMANS; MASS CASUALTY INCIDENTS; TERRORISM; TRIAGE;

EID: 62649141363     PISSN: 00375675     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (22)

1. Wightman JM, Gladish JL. Explosions and blast injuries. Ann Emerg Med 2001; 37:664-78.
2. Wightman JM, Wayne BA. Blast and crush injuries. In: Tintinalli JE, Kelen GD, Stapczynski JS, eds. Emergency Medicine - A Comprehensive Study Guide. 6th ed. New York: McGraw-Hill, 2004:46-50.
3. Mayo A, Kluger Y. Terrorist bombing. World J Emerg Surg 2006; 1:33.
4. Kluger Y, Peleg K, Daniel-Aharonson L, Mayo A, Israeli Trauma Group. The special injury pattern in terrorist bombings. J Am Coll Surg 2004; 199:875-9.
5. Leibovici D, Gofrit ON, Stein M, et al. Blast injuries: bus versus open-air bombings - a comparative study of injuries in survivors of open-air versus confined-space explosions. J Trauma 1996; 41:1030-5.
6. Katz E, Ofek B, Adler J, Abramowitz HB, Krausz MM. Primary blast injury after a bomb explosion in a civilian bus. Ann Surg 1989; 209:484-8.
7. Chin FK. Scenario of a dirty bomb in an urban environment and acute management of radiation poisoning and injuries. Singapore Med J 2007; 48:950-7.
8. BBC News. 'Nerve gas bomb' explodes in Iraq. Available at: news. bbc.co.uk/2/hi/middle-east/3722255.stm. Accessed October 9, 2007.
9. Ciraulo DL, Frykberg ER. The surgeon and acts of civilian terrorism: blast injuries. J Am Coll Surg 2006; 203:942-50.
10. American College of Surgeons Committee on Trauma: Advanced Trauma Life Support for Doctors, Student Manual. 7th ed. Chicago: American College of Surgeons, 2004.
11. Leibovici D, Gofrit ON, Shapira SC. Eardrum perforation in explosion survivors: is it a marker of pulmonary blast injury? Ann Emerg Med 1999; 34:168-72.
12. DePalma RG, Burris DG, Champion HR, Hodgson MJ. Blast injuries. N Engl J Med 2005; 352:1335-42.
13. Cave KM, Cornish EM, Chandler DW. Blast injury of the ear: clinical update from the global war on terror. Mil Med 2007; 172:726-30.
14. de Ceballos JP, Turégano-Fuentes F, Perez-Diaz D, et al. 11 March 2004: The terrorist bomb explosions in Madrid, Spain - an analysis of the logistics, injuries sustained and clinical management of casualties treated at the closest hospital. Crit Care 2005; 9:104-11.
15. Aharonson-Daniel L, Klein Y, Peleg K; ITG. Suicide bombers form a new injury profile. Ann Surg 2006; 244:1018-23.
16. Pizov R, Oppenheim-Eden A, Matot I, et al. Blast lung injury from an explosion on a civilian bus. Chest 1999; 115:165-72.
17. Paran H, Neufeld D, Shwartz I, et al. Perforation of the terminal ileum induced by blast injury: delayed diagnosis or delayed perforation? J Trauma 1996; 40:472-5.
18. Abbotts R, Harrison SE, Cooper GL. Primary blast injuries to the eye: a review of the evidence. J R Army Med Corps 2007; 153:119-23.
19. Martí M, Parron M, Baudraxler F, et al. Blast injuries from Madrid terrorist bombing attacks on March 11, 2004. Emerg Radiol 2006; 13:113-22.
20. Hare SS, Goddard I, Ward P, Naraghi A, Dick EA. The radiological management of bomb blast injury. Clin Radiol 2007; 62:1-9.
21. Hirshberg B, Oppenheim-Eden A, Pizov R, et al. Recovery from blast lung injury: one-year follow-up. Chest 1999; 116:1683-8.
22. Guscott WM, Guscott AJ, Malingambi G, Parker R. The Bali bombings and the evolving mental health response to disaster in Australia: lessons from Darwin. J Psychiatr Ment Health Nurs 2007; 14:239-42.