Case Report: Blast Injury

Leung, SH; Cheung, Ka Li; Yau, HH

doi:10.1177/102490790200900108

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…from time to time. [ 1 2 3 4 ] However, the cases of mobile phones causing blast injury involving hand have never been reported till date. Only one case of mobile blast injury causing gastric perforation has been reported till now.…”

Section: Discussionmentioning

confidence: 99%

A review of three cases of mobile blast: The new culprit of hand injury

Mody

Patil

Kale

2016

Indian J Plast Surg

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Section: Discussionmentioning

confidence: 99%

A review of three cases of mobile blast: The new culprit of hand injury

Mody

Patil

Kale

2016

Indian J Plast Surg

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“…According to the literature , lungs are generally the organs mainly injured by blast injuries. This is caused by the direct impact of the blast wave, so that it is equivalent to any other form of blunt lung trauma or thoracic loadings . Whereas pulmonary contusion appeared to be the most common lung injury encountered after blunt chest trauma, it has rarely been reported as complication from sport .…”

Section: Discussion and Openingsmentioning

confidence: 99%

From military to civil loadings: Preliminary numerical‐based thorax injury criteria investigations

Goumtcha

Bodo

Taddei

et al. 2015

Numer Methods Biomed Eng

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Effects of the impact of a mechanical structure on the human body are of great interest in the understanding of body trauma. Experimental tests have led to first conclusions about the dangerousness of an impact observing impact forces or displacement time history with PMHS (Post Mortem human Subjects). They have allowed providing interesting data for the development and the validation of numerical biomechanical models. These models, widely used in the framework of automotive crashworthiness, have led to the development of numerical-based injury criteria and tolerance thresholds. The aim of this process is to improve the safety of mechanical structures in interaction with the body. In a military context, investigations both at experimental and numerical level are less successfully completed. For both military and civil frameworks, the literature list a number of numerical analysis trying to propose injury mechanisms, and tolerance thresholds based on biofidelic Finite Element (FE) models of different part of the human body. However the link between both frameworks is not obvious, since lots of parameters are different: great mass impacts at relatively low velocity for civil impacts (falls, automotive crashworthiness) and low mass at very high velocity for military loadings (ballistic, blast). In this study, different accident cases were investigated, and replicated with a previously developed and validated FE model of the human thorax named Hermaphrodite Universal Biomechanical YX model (HUBYX model). These previous validations included replications of standard experimental tests often used to validate models in the context of automotive industry, experimental ballistic tests in high speed dynamic impact and also numerical replication of blast loading test ensuring its biofidelity. In order to extend the use of this model in other frameworks, some real-world accidents were reconstructed, and consequences of these loadings on the FE model were explored. These various numerical replications of accident coming from different contexts raise the question about the ability of a FE model to correctly predict several kinds of trauma, from blast or ballistic impacts to falls, sports or automotive ones in a context of numerical injury mechanisms and tolerance limits investigations.

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Removal of Metal Fragments From Mine-Explosive Injuries Under Angiographic Control

Dotsenko,

Savvi,

Lazyrskyi

et al. 2024

Khark. Surg. Sch.

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Summary. Objective. Mine and explosive injuries are a serious problem of military conflicts and terrorist acts. Since the full-scale military invasion of the Russian Federation in Ukraine, the problem of treating mine-explosive wounds with the presence of metal fragments is an extremely important and urgent medical problem. Victims often receive multiple shrapnel injuries, which lead to serious consequences and complications. The duration of treatment for shrapnel wounds can vary significantly depending on the severity of the damage, infectious complications, and the timeliness of shrapnel removal. Materials and methods. The study is based on the analysis of the results of the treatment of 72 wounded with mine-explosive injuries with the presence of metal fragments, which got the hospital treatment at GI “V.T. Zaycev Institute of General and Urgent Surgery of NAMS of Ukraine” from 2022 to 2024, aged 18 to 72 years. Results and discussion. Active surgical tactics with removal of soft tissue fragments were used in all wounded: under angiographic control in 40 wounded (55,6%), video thoracoscopic or video laparoscopic in 17 wounded (23,6%), laparotomy access in 8 wounded (11,1%) and after thoraco-sternotomy with the use of magnets in 7 wounded (9,7%). Successful removal of debris was performed in 70 (97,2%) of the wounded. Specific postoperative complications were not noted in any case, 3 (4,2%) wounded patients developed seromas of postoperative wounds after thoracotomy. Conclusion. 1. 1. In 40 (55,6%) wounded, the removal of debris under angiographic control was effective. In addition to angiographic control, endoscopic visualization with debris extraction was used in 3 (4,2%) injured patients. 2. In 2 wounded (2,8%) after the puncture tracing of the fragment, a decision was made to leave them in view of the stability of the fragments in accordance with the developed classification, as well as in connection with the high traumatic nature of the necessary access. 3. The average duration of treatment until complete healing of wounds was 21,4 bed-days.

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Case Report: Blast Injury

Cited by 4 publications

References 6 publications

A review of three cases of mobile blast: The new culprit of hand injury

A review of three cases of mobile blast: The new culprit of hand injury

From military to civil loadings: Preliminary numerical‐based thorax injury criteria investigations

Removal of Metal Fragments From Mine-Explosive Injuries Under Angiographic Control

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