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Explosive damage in peacetime: epidemiology, pathogenesis and main clinical manifestations

https://doi.org/10.25016/2541-7487-2014-0-3-5-16

Abstract

Data on blast injuries in peacetime are provided (accidental or intentional methane explosions in mines, tanks with gas, explosives, fuel or gas, gas pipelines, product pipelines, as well as explosion of military ordnance - grenades, mines, fuses, shells, which were accidentally found by children or maliciously used by terrorists). There were collected epidemiological data on man-made disasters in coal mines and blast injuries during terrorist attacks, the physical parameters of which could be identified only approximately; injuries of this type are mostly multiple and combined, thus presenting significant challenges for health care. The reasons and circumstances of peacetime explosions were analyzed, with detailed description of the damaging factors, mechanisms and features of blast injuries. We describe the pathogenesis of blast injury, basic and clinical manifestations of lesions in the explosions.

About the Authors

V. M. Shapovalov
Kirov Military Medical Academy
Russian Federation
Dr. Med. Sci. Prof, Head of the Department of Traumatology and Orthopedics


R. V. Gladkov
Kirov Military Medical Academy
Russian Federation
PhD Med. Sci., Lecturer of the Department of Traumatology and Orthopedics


References

1. Anisimov V.N., Botyakov A.G., Kochetov G.P. Organizatsiya khirurgicheskoi pomoshchi pri arzamasskoi katastrofe [Organization of surgical care in Arzamas accident]. Voenno:meditsinskii zhurnal [Military medical journal]. 1989. N 12. P. 20–22. (In Russ.)

2. Bryusov P.G. Printsipy okazaniya khirurgicheskoi pomoshchi pri katastrofakh [Principles of surgical care in disasters]. Voenno:meditsinskii zhurnal [Military medical journal]. 1990. N 4. P. 29–32. (In Russ.)

3. Vladimirov V.G. Sindrom vzaimnogo otyagoshcheniya kak vazhneishaya osobennost' kombinirovannykh radiatsionnykh porazhenii [Syndrome of mutual burdens as a major feature of combined radiation injuries]. Voenno:meditsinskii zhurnal [Military medical journal]. 1993. N 4. P. 41–44. (In Russ.)

4. Ganin V.N. Lechenie mnozhestvennykh perelomov kostei taza u postradavshikh s tyazhelymi sochetannymi travmami universal'nymi sterzhnevymi apparatami komplekta KST_1 [Treatment of multiple pelvic fractures in patients with severe concomitant injuries due to universal rod apparatus set KST_1]: dissertation PhD Med. Sci. Sankt_Peterburg. 2000. 17 p. (In Russ.)

5. Dolgin N., Malyshev V. Terrorizm – ugroza obshchestvu [Terrorism – a threat to society]. Ekspress:informatsiya: N 482. Vserossiiskii tsentr meditsiny katastrof «Zashchita» [Express Information: N 482. National Disaster Medical Center "Protection"]. Moskva. 2000. 7 p. (In Russ.)

6. Kalnin Ya.Ya., Stepanova A.A., Eyubs L.Yu. Profilaktika khirurgicheskoi infektsii pri ispol'zovanii apparatov vneshnei fiksatsii [Prevention of surgical site infection using external fixation devices]. Ognestrel'naya rana i ranevaya infektsiya [Bullet wound and wound infection]. Leningrad. 1991. P. 183–184. (In Russ.)

7. Krylov K.M. Khirurgicheskoe lechenie glubokikh ozhogov [Surgical treatment of deep burns]: dissertation Dr. Sci. Med. Sankt_Peterburg. 2000. 42 p. (In Russ.)

8. Potapov A.I., Teryaev V.G., Gazetov B.G. Ekspertnaya otsenka organizatsii meditsinskoi pomoshchi pri katastrofakh mirnogo vremeni [Expert evaluation of the organization of medical care in peacetime disasters]. Voenno:meditsinskii zhurnal [Military medical journal]. 1990. N 4. P. 11–14. (In Russ.)

9. Farshatov M.N. Radiatsionno_mekhanicheskie porazheniya: rukovodstvo po lecheniyu kombinirovannykh radiatsionnykh porazhenii na etapakh meditsinskoi evakuatsii [Radiation_mechanical injury: guidelines for the treatment of combined radiation injuries during medical evacuation]. Moskva. 1982. 152 p. (In Russ.)

10. Cherepov V.M. Osnovnye problemy okhrany zdorov'ya naseleniya Rossii [The main problems of public health in Russia]. Zdravookhranenie Rossiiskoi Federatsii [Public Health of the Russian Federation]. 1999. N 6. P. 3–6. (In Russ.)

11. Shanin Yu.N. Puti povysheniya effektivnosti anesteziologicheskogo posobiya pri tyazhelykh sochetannykh ognestrel'nykh raneniyakh [Ways to improve the anesthetic management for severe combined gunshot wounds]. Ognestrel'naya rana i ranevaya infektsiya [Bullet wound and wound infection]. Leningrad. 1991. P. 122–123. (In Russ.)

12. Shapovalov V.M. Nechaev E.A., Gritsanov A.I. [et al.]. Vzryvnye porazheniya [Blast injuries]. Sankt_Peterburg. 2002. 656 p. (In Russ.)

13. Shapovalov V.M., Gritsanov A.I., Sorokin A.A., Bol'shakov O.V. Vzryvnye porazheniya pri tekhnogennykh katastrofakh i terroristicheskikh aktakh [Blast injuries at man_made disasters and terrorist acts]. Sankt_Peterburg. 2001. 223 p. (In Russ.)

14. Shaposhnikov Yu.G. Sovremennye kontseptsii organizatsii meditsinskoi pomoshchi pri politravme [Modern concepts of the organization of medical care in polytrauma]. Voenno:meditsinskii zhurnal [Military medical journal]. 1990. N 8. P. 58– 61. (In Russ.)

15. Shevchenko S.B. Adaptivnye mekhanizmy vosstanovleniya funktsii organizma pri zabolevaniyakh i travmakh opornodvigatel'nogo apparata [Adaptive mechanisms of recovery of body functions in diseases and injuries of the musculoskeletal system]: dissertation Dr. Sci. Med. Sankt_Peterburg. 2000. 43 p. (In Russ.)

16. Shefer Yu.M. Rabota bol'nitsy v avtonomnom rezhime pri chrezvychainykh situatsiyakh. Zdravookhranenie Rossiiskoi Federatsii [Public Health of the Russian Federation]. 1999. N 6. P. 8–11. (In Russ.)

17. Adler I., Golan E., Golan J. Terrorist bombing experience during 1975–1979. Isr. J. Med. Sci. 1983. Vol. 19, N 2. P. 189–193.

18. Adhikari S., Bandyopadhyay T., Sarkar T. Blast injuries to the hand: Pathomechanics, patterns and treatment // J. Emerg. Trauma Shock. – 2013. – Vol. 6, N 1. – P. 29–36.

19. Brismar B. The terrorist bomb explosion in Bologna, Italy, 1980: An analysis of the effects and injuries sustained // J.Trauma. – 1982. – Vol. 22, N 3. – P. 216–220.

20. Byrnes D.P. Penetrating craniocerebral missile injuries in the disturbances in Northern Ireland // Brit. J. Surg. – 1977. – Vol. 61, N 3. – P. 169–176.

21. Douglas R. Gunshot and bomb blast injuries. A review of experience in Belfast // J. Roy. Soc. Med. – 1982. – Vol. 75, N 7. – Р. 542–545.

22. Dussault M.C., Smith M., Osselton D. Blast injury and the human skeleton: an important emerging aspect of conflict_related trauma // J. Forensic. Sci. – 2014. – Vol. 59, N 3. – P. 606–612.

23. Graham I., Cooper Ph.D., Robert L. [et al.]. Casualties from terrorist bombings // J. Trauma. – 1983. – Vol. 23, N 11. – P. 95–96.

24. Hill J. Blast injury with particular reference to recent terrorist bombing incidents // Ann. Roy. Coil. Surg. Engl. – 1979. – Vol. 61, N 1. – P. 4–11.

25. Kennedy T.L., Johnston G.W. Surgery of violence! I. Civilian bomb injuries // Brit. Med. J. – 1975. – Vol. 1, N 5954. – Р. 382–383.

26. Kim P.S., Malin E., Kirkham J.C. [et al.]. The Boston marathon bombings: the early plastic surgery experience of one Boston hospital // Plast. Reconstr. Surg. – 2013 – Vol. 132, N 5. – P. 1351–1363.

27. Konzert_Wenzel J., Wischhofer E. Bombenattentat Oktoberfest, Munchen, 1980: Verlauf, Analysen, Resultate // Fortschr. Med. – 1981. – Bd. 99, N 36. – S. 1432–1427.

28. Large T.M., Bonds C., Howard M. Internal fixation in a combat theater hospital // Orthopedics. – 2013. – Vol. 36, N 8. – P. 610–618.

29. Michaelson M., Taitelman U., Bschouty Z. Crush syndrome: experience from the Lebanon war, 1982 // Isr. J. Med. Sci. – 1984. – Vol. 20, N 23. – P. 305–309.

30. Mossadegh S., Midwinter M., Parker P. Developing a cumulative anatomic scoring system for military perineal and pelvic blast injuries // J. R. Army. Med. Corps. – 2013. – Vol. 159, N 3, Suppl 1. – P. 140– 144.

31. Owen_Smith M.S. Explosive blast injury // Rev. Intern. Serv. Armees. – 1979. – Vol. 52, N 6. – Р. 515–520.

32. Owen_Smith M.S. High velocity missile wounds. – London : Edward Arnold Ltd, 1981. – P. 3–20.

33. Ramage I.K. Bullet and missile wounds in Northern Ireland // J. Roy. Nav. Med. Serv. – 1982. – Vol. 68, N 2. – P. 82–88.

34. Spaccapeli D., Allegra M., Tonelly P. Le Lesioni da onda d, urto esplosiva localizzate: il piede da mina // Giorn. Med. Milit. – 1985. – Ann. 135, fasc. 1/2. – P. 27–37.

35. Wischhofer E., Hauber P., Seegerer K. Der Bombenananschlag von Munchener Oktoberfest am 26.09.1980 // Munch. Med. Woch._Schr. – 1981. – Bd.123, N 16. – S. 639–643.

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Review

For citations:


Shapovalov V.M., Gladkov R.V. Explosive damage in peacetime: epidemiology, pathogenesis and main clinical manifestations. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2014;(3):5-16. (In Russ.) https://doi.org/10.25016/2541-7487-2014-0-3-5-16

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ISSN 1995-4441 (Print)
ISSN 2541-7487 (Online)