World Journal of Surgery

, Volume 16, Issue 5, pp 893–898 | Cite as

The relationship of blast loading to death and injury from explosion

  • S. G. Mellor
World Progress In Surgery

Abstract

Death and injury from explosion are becoming ever more frequent. In this study an attempt is made to relate the blast loading suffered by individual victims of explosions to the injuries sustained. It includes 828 servicemen killed or injured by explosions in Northern Ireland. Two hundred sixteen servicemen were killed, most of them before any assistance could be rendered. In those exposed to a higher blast loading, blast lung was common. Those exposed to lower blast loading died primarily of head injuries. Body armour was worn by 90% of the servicemen and probably reduced the number of fatal secondary missile injuries.

Keywords

Public Health Cardiac Surgery Abdominal Surgery Vascular Surgery Thoracic Surgery 

Résumé

Lésions et décès sont de plus en plus fréquentes lors des explosions. Dans cette étude portant sur 828 militaires, blessés ou tués par explosion dans le Conflit en Irlande du Nord, on a étudié le rapport entre l'amplitude des lésions et l'importance de la charge de l'explosion. Deux cent seize d'entre eux sont décédés, la plupart avant que toute assistance puisse arriver. Lorsque la charge de l'explosion était importante, la plupart des décès étaient en rapport avec des lésions pulmonaires, alors que lorsque la charge était plus faible, le décès était le plus souvent en rapport avec des lésions crâniennes. Quatre-vingt dix pourcent des soldats étaient protégés par des vêtements pareballes, ce qui a notablement réduit le nombre de lésions fatales par projectiles.

Resumen

La muerte y las heridas por explosiones se han hecho más frecuentes. En este estudio se intenta correlacionar el efecto de la onda de explosión con las heridas resultantes. Ochocientos veintiocho militares muertos o heridos por explosiones en Irlanda del Norte fueron estudiados; 216 murieron, la mayoría antes de que se pudiera brindarles atención médica. En aquellos expuestos a ondas de explosión de mayor magnitud, fue común la lesión pulmonar, y en los expuestos a una onda explosiva menor, la mayoría murió por lesiones craneoencefálicas. Una armadura corporal fue usada por 90% de los militares, lo cual probablemente redujo el número de fatalidades por lesiones secundarias a mísiles.

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Copyright information

© Société Internationale de Chirurgie 1992

Authors and Affiliations

  • S. G. Mellor
    • 1
  1. 1.Royal Army Medical College, MillbankLondonGreat Britain

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