Search
explosion (blast injury)
a rapid increase in volume & release of energy in the form of heat
Complications:
- injuries sustained from exposure to explosions include:
- burns
- barotrauma
- perforated tympanic membrane
- sudden hearing loss after a blast injury accompanied by vertigo with nystagmus suggests possible fistula to the inner ear [3]
- foreign body injury
- tissue of other humans embedded into humans [2]
- other trauma
Management:
1) post-exposure prophylaxis for
- hepatitis B
- hepatitis C
- HIV1
- tetanus
General
EVENT
References
- Wikipedia: Explosion
http://en.wikipedia.org/wiki/Explosion
- Physician's First Watch, April 22, 2013
David G. Fairchild, MD, MPH, Editor-in-Chief
Massachusetts Medical Society
http://www.jwatch.org
- Sax P
Postexposure Prophylaxis (PEP) After Blast Injuries
HIV and ID Observations
http://blogs.jwatch.org/hiv-id-observations/index.php/postexposure-prophylaxis-pep-after-blast-injuries/2013/04/20/?q=pfw-featured
- Chapman LE at el
Recommendations for Postexposure Interventions to Prevent
Infection with Hepatitis B Virus, Hepatitis C Virus, or Human
Immunodeficiency Virus, and Tetanus in Persons Wounded During
Bombings and Other Mass-Casualty Events - United States, 2008
Recommendations of the Centers for Disease Control and
Prevention (CDC).
MMWR. August 1, 2008 / 57(RR06);1-19
http://www.cdc.gov/MMWR/preview/mmwrhtml/rr5706a1.htm
- van Rijswijk JB, Dubach P
Binaural Tympanic-Membrane Perforations after Blast Injury.
N Engl J Med 2017; 376:e41. May 11, 2017
PMID: 28490003 Free Article
http://www.nejm.org/doi/full/10.1056/NEJMicm1612629