Bomb blast injuries are a significant cause of morbidity and mortality in both military and civilian settings. Explosions produce complex, multi-modal trauma categorized into primary, secondary, tertiary, and quaternary effects. Blast waves primarily damage air-containing organs, with blast lung injury being a critical concern, while secondary blast wind causes injuries from flying debris. Effective management requires a structured triage system based on ATLS principles, with special consideration for traumatic brain injury (TBI) and long-term rehabilitation. 1. Introduction
Caused by the blast wave overpressure directly affecting air-filled organs (lungs, bowel, middle ear). bomb blast
Bomb blast injuries are no longer confined to battlefields and are a recurring issue in terrorism. Bomb blast injuries are a significant cause of
Confined spaces significantly increase the severity of injuries due to wave reflection and higher sustained pressure. 3. Mechanisms of Blast Injury Bomb blast injuries are no longer confined to
Blast injuries are typically categorized into four main mechanisms:
Caused by the victim being thrown by the blast wind, leading to blunt trauma, fractures, and traumatic amputation.
Miscellaneous injuries, including burns, toxic inhalation, and structural collapse. 4. Clinical Presentation and Management