Trauma attenuating backing improves protection against behind armor blunt trauma

Journal of Trauma - Injury, Infection and Critical Care

Volumn 67, Issue 6, 2009, Pages 1191-1199

  Sondén, Anders ^a,b,d   Rocksén, David ^d   Riddez, Louis ^a   Davidsson, Johan ^e   Persson, Jonas K ^d,f   Gryth, Dan ^c   Bursell, Jenny ^g   Arborelius, Ulf P ^d  

^a KAROLINSKA INSTITUTE   (Sweden)

^b Section of Surgery   (Sweden)

^c Section of Prehospital Care   (Sweden)

^d SWEDISH DEFENCE RESEARCH AGENCY   (Sweden)

^e CHALMERS UNIVERSITY OF TECHNOLOGY   (Sweden)

^f KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^g Karolinska University Hospital ^*

Author keywords

Behind armor blunt trauma; Body armor; High energy missiles; Lung contusion; Trauma attenuating backing

Indexed keywords

CALCIUM; GLUCOSE; HEMOGLOBIN; POTASSIUM; SODIUM;

ACIDOSIS; ANIMAL EXPERIMENT; APNEA; ARTICLE; BLUNT TRAUMA; BODY ARMOR; CONTROLLED STUDY; ELECTROENCEPHALOGRAPHY; ELECTROLYTE BLOOD LEVEL; FEMALE; GLUCOSE BLOOD LEVEL; HEMOPTYSIS; HYPOTENSION; LUNG ARTERY PRESSURE; LUNG CONTUSION; MALE; MISSILE WOUND; NONHUMAN; PATHOPHYSIOLOGY; PRIORITY JOURNAL; STATISTICAL ANALYSIS; THORAX PRESSURE;

ANIMALS; DISEASE MODELS, ANIMAL; ELECTROENCEPHALOGRAPHY; FORENSIC BALLISTICS; LINEAR MODELS; PROTECTIVE CLOTHING; REPRODUCIBILITY OF RESULTS; SWINE; THORACIC INJURIES; WOUNDS, GUNSHOT;

EID: 73949135458     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181a5b0e1     Document Type: Article

References (25)

1. Berman AT, Salter F. Low-velocity gunshot wounds in police officers. Clin Orthop Relat Res. 1985:113-119.
2. Gondusky JS, Reiter MP. Protecting military convoys in Iraq: an examination of battle injuries sustained by a mechanized battalion during Operation Iraqi Freedom II. Mil Med. 2005;170:546-549.
3. Peleg K, Rivkind A, Aharonson-Daniel L. Does body armor protect from firearm injuries? J Am Coll Surg. 2006;202:643-648.
4. Kosashvili Y, Hiss J, Davidovic N, et al. Influence of personal armor on distribution of entry wounds: lessons learned from urban-setting warfare fatalities. J Trauma. 2005;58:1236-1240.
5. Carroll AW, Soderstrom CA. A new nonpenetrating ballistic injury. Ann Surg. 1978;188:753-757.
6. Gryth D, Rocksen D, Persson JK, et al. Severe lung contusion and death after high-velocity behind-armor blunt trauma: relation to protection level. Mil Med. 2007;172:1110-1116.
7. Drobin D, Gryth DA, Persson JK, et al. EEG-changes, circulation and lung function after high velocity Behind Armor Blunt Trauma (BABT). J Trauma. 2006:63:405-413.
8. Ouellet S, Cronin D, Doman D, et al. Parametric study of an anti-trauma layer to reduce BABT. Presented at the Proceedings of Personal Armor System Symposium, The Hague, The Netherlands, September 6-10, 2004:129-138.
9. Cohn SM. Pulmonary contusion: review of the clinical entity. J Trauma. 1997;42:973-979.
10. Liden E, Berlin R, Janzon B, et al. Some observations relating to behind-body armour blunt trauma effects caused by ballistic impact. J Trauma. 1988;28:S145-S148.
11. Roberts JC, O'Connor JV, Ward EE. Modeling the effect of nonpenetrating ballistic impact as a means of detecting behind armor blunt trauma. J Trauma. 2005;58:1241-1251.
12. Gryth D, Rocksen D, Arborelius UP, et al. Bilateral vagotomy inhibits apnea and attenuates other physiological responses after blunt chest trauma. J Trauma. 2008;64:1420-1426.
13. Irwin RJ, Lerner MR, Bealer JF, et al. Cardiopulmonary physiology of primary blast injury. J Trauma. 1997;43:650-655.
14. Avidan V, Hersch M, Armon Y, et al. Blast lung injury: clinical manifestations, treatment, and outcome. Am J Surg. 2005;190:927-931.
15. Viano DC, Lau IV, Andrzejak DV, Asbury C. Biomechanics of injury in lateral impacts. Accid Anal Prev. 1989;21:535-551.
16. Preminger GM. Shock wave physics. Am J Kidney Dis. 1991;17:431-435.
17. Clemedson CJ. Blast injury. Physiol Rev. 1956;36:336-354.
18. Delius M, Enders G, Heine G, Stark J, Remberger K, Brendel W. Biological effects of shock waves: lung hemorrhage by shock waves in dogs-pressure dependence. Ultrasound Med Biol. 1987;13:61-67.
19. Elsayed NM. Toxicology of blast overpressure. Toxicology. 1997;121: 1-15.
20. Viano DC, Artinian CG. Myocardial conducting system dysfunctions from thoracic impact. J Trauma. 1978;18:452-459.
21. Cramer F, Paster S, Stephenson C. Cerebral injuries due to explosion waves, cerebral blast concussion: a pathologic clinical and electroencephalographic study. Arch Neurol Psychiatry. 1949;61:1-20.
22. Medin A. Blast Overpressures, Gases and Fumes From a HEAT Warhead Caused Temporary Incapacitation to the Crews of Two Attacked Armoured Personnel Carriers. Internal Report FOA Swedish Defence Research Establishment. Sweden: Swedish Defence Research Establishment; 1997.
23. Medin A, Axelsson H, Suneson A. The Reactions of the Crew in an Armoured Personnel Carrier to an Anti-tank Mine Blast. Sweden: Swedish Defence Research Establishment; 1998.
24. Cernak I, Wang Z, Jiang J, Bian X, Savic J. Cognitive deficits following blast injury-induced neurotrauma: possible involvement of nitric oxide. Brain Inj. 2001;15:593-612.
25. Suneson A, Hansson HA, Seeman T. Pressure wave injuries to the nervous system caused by high-energy missile extremity impact. Part II: Distant effects on the central nervous system-a light and electron microscopic study on pigs. J Trauma. 1990;30:295-306. (Pubitemid 20117369)