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jueves, 6 de octubre de 2016

wounding Patterns of Blast Injury

TacMed Australia
TacMed - 04 OCT 2016 - By Dan Pronk
"The wounding patterns of blast injuries are well known to any military medic who has served recently on operations, with Improvised Explosive Devices (IEDs) constituting a significant proportion of the casualties on the battlefields of Iraq and Afghanistan. Sadly the IED threat is no longer confined to war zones, with a series of high profile, mass-casualty IED terror events occurring in places of mass gathering in first-world countries in recent years.
Terrorists have come to favour explosives because of their proven ability to inflict mass casualties, cause fear and disruption in the community and attract media interest (ANZCTC 2016).
Recent mass-casualty events of international significance include the Boston Marathon bombing of April 2013, the Charlie Hebdo shootings of January 2015 and the November attacks in Paris the same year. More recently we have seen the airport bombings in Brussels and Istanbul, and once again another mass-casualty terrorist attack in France when a truck bomb exploded on 14 July 2016, killing 84 people and injuring in excess of 300 more.
Turkish President Recep Tayyip Erdogan made the following poignant statement on the day of the Istanbul Airport bombing:
“The bombs that exploded in Istanbul today could have gone off at any airport in any city around the world” (bbc.com, 2016)
With that thought in mind it is important that first responders and civilian medical staff have an understanding of the patterns of injury associated with blast, as to be best prepared for the very real possibility that a mass-casualty incident occurs in their city. There are some outstanding lessons to be learned from the experiences of the French medical responders in the wake of the multisite terror attacks around Paris in November 2015 (Hirsch M 2015), and I encourage readers to pursue that reference. This article presents an overview of the specific wounding patterns of blast to better inform medical responders of the constellations of injury patterns following blast, as to be able to manage not only the obvious, but also the unseen life-threatening injuries..."