Vol 9 | Issue 1 | January-April 2023 | Page: 09-12 | Suresh Jaganathan, Balaji Thirugnanam, Shanmugapriya Senthilkumar, Duraiyarassu Uthaman
Author: Suresh Jaganathan , Balaji Thirugnanam , Shanmugapriya Senthilkumar , Duraiyarassu Uthaman 
 Department of Anaesthesiology and Critical Care, Preethi Hospitals, Madurai, Tamil Nadu, India.
Address of Correspondence
Dr. Suresh Jaganathan,
Department of Anaesthesiology and Critical Care, Preethi Hospitals, Madurai, Tamil Nadu, India.
Blast injuries are rare, but life-threatening medical emergencies. A blast injury is a complex type of physical trauma resulting from direct or indirect exposure to an explosion. Blast is a process where any substance or device, capable of creating a sudden gas expansion, releasing potential energy and thus creating a pressure wave damaging the surrounding objects. Blast injury is becoming more common in non-military population due to terrorist acts and unsafe use of explosive equipment and substances, but it is still rare to see such injuries and deaths. Accidental blasts normally occur at work place which results from the handling of potentially hazardous equipment by untrained, unlicensed individuals or by the use of faulty, under -maintained equipment. The interpretation of blast injuries carries great importance in understanding the mechanism of these injuries, to correlate the clinical findings with the circumstances of the case and also help in the management of blast victims. We hereby describe a case of country bomb blast injury in a stone quarry where explosive device will be used to break stones. The purpose of this reported case is to highlight the clinical presentation of blast injury and possible clinical outcomes.
Keywords: Blast injury, Poly trauma , Amputation, Embolism.
1. David L Ciraulo , Eric R Frykberg, David V Feliciano, Thomas E Knuth, Charles M Richart, Christy D Westmoreland, Kathryn A Williams. A survey assessment of the level of preparedness for domestic terrorism and mass casualty incidents among Eastern Association for the Surgery of Trauma members J Trauma 2004 May;56(5):1033-9
2. Explosions and blast injuries: A primer for clinicians. Centers for Disease Control and Prevention web site www.cdc.gov/masstrauma/preparedness/primer.pdf. Accessed 1/21
3. Wightman JM, Wayne BA. Blast and crush injuries. In: Tintinalli JE, Kelen GD, Stapczynski JS, editors. Emergency Medicine-A Comprehensive Study Guide. 6th ed. New York: McGraw- Hill; 2004. pp. 46–50. [Google Scholar]/04.
4. Stephen J Wolf 1 , Vikhyat S Bebarta, Carl J Bonnett, Peter T Pons, Stephen V Cantrill. Blast injuries Lancet 2009 Aug 1;374(9687):405-15
5. Sorkin P, Nimrod A, Biderman P, et al. The quinary (Vth) injury pattern of blast. J Trauma. 2004;56:232. [Mil Med
6. Steven T Williams 1 , Thomas H Harding 1 , J Keegan Statz 1 , John S Martin. Blast Wave Dynamics at the Cornea as a Function of Eye Protection Form and Fit 2017 Mar;182(S1):226-229. Google Scholar
7. Ajay K Singh ,Noah G Ditkofsky, John D York , Hani H Abujudeh , Laura A Avery , John F Brunner Aaron D Sodickson , Michael H Lev 1 Radiographics Jan-Feb 2016;36(1):295-307.
8. Huller T. Bazini Y. Blast injury of the chest and abdomen. Arch Surg 1970;100:24.
9. Argyros GJ. Management of primary blast injury. Toxicology 1997;121:105-115
10. Explosions and blast injuries: A primer for clinicians. Centers for Disease Control and Prevention web site www.cdc.gov/masstrauma/preparedness/primer.pdf. Accessed 1/21/04.
11. Stapczynski JS. Blast injuries. Ann Emerg Med 1982;11:687-694
12. Wightman JM, Gladish SL. Explosions and blast injuries. Ann Emerg Med. 2001;37:664– 78. [PubMed] [Google Scholar]
13. Weiner SL, Barrett J. Explosions and explosive device-related injuries. In: Trauma Management for Civilian and Military Physicians. Philadelphia; Saunders: 1986:13-26.
|How to Cite this Article: Jaganathan S, Thirugnanam B, Senthilkumar S, Uthaman D | Resuscitation and Management of Bomb Blast Survivor- A Challenge in Real | Journal of Anaesthesia and Critical Care Case Reports | January-April 2023; 9(1): 09-12 |
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