Abstract
Exposure to blast and ballistic threats occurs in both defence and civilian environments and is, unfortunately, still common today (see also Chap. 1). Ballistic injury refers to the interaction of a projectile and the human body leading to penetrating or blunt trauma, while blast injury refers to detonation of an explosive and the subsequent complex interaction of the blast, fragments and debris with the human body. There is, of course, overlap between ballistic injury and blast fragmentation. Some common areas of blast injury include the lower extremity, thorax and head, although all body regions may be exposed to blast loading. Similarly, all body regions are susceptible to ballistic injury where protection is often first focused on life-sustaining organs (heart, lungs and brain). Active areas of research include head injury in blast, vehicle and vehicle occupant blast protection, and fragmentation and ballistic protection of the head, face and thorax, including behind armour blunt trauma (BABT).
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AIS (2015) The abbreviated injury scale dictionary 2015 revision. Association for the Advancement of Automotive Medicine, Chicago IL, USA
Axelsson H, Yelverton JT (1994) Chest wall velocity as a predictor of non-auditory blast injury in a complex wave environment. In: 7th international symposium of weapons traumatology and wound ballistics, St Petersburg, Russia
Baker W (1973) Explosions in air. University of Texas Press, USA
Bangash M (1993) Impact and explosion: structural analysis and design. Blackwell Scientific Publications, Great Britain
Bass C, Rafaels K, Salzar R (2006a) Pulmonary injury risk assessment for short-duration blasts. In: Personal armour systems symposium (PASS) 2006, Leeds, UK
Bass CR et al (2006b) Injury risk in behind armor blunt thoracic trauma. Int J Occup Saf Ergon (JOSE) 12(4):429–442
Bergeron D, Walker R, Coffey C (1998) Detonation of 100-g anti-personnel mine surrogate charges in sand. Report number SR 668. Defence Research Establishment Suffield, Canada
Bir C (2017) Behind armor blunt trauma: recreation of field cases for the assessment of backface signature testing. In: Ballistics 30th international symposium, 11–15 Sept 2017
Bowen I, Fletcher E, Richmond D (1968) Estimate of man’s tolerance to the direct effects of air blast. Technical Report, DASA-2113. Defense Atomic Support Agency, Department of Defence, Washington, DC, USA
Bulson P (1997) Explosive loading of engineering structures. Taylor & Francis, New York
Cannon L (2001) Behind armour blunt trauma—an emerging problem. J R Army Med Corps 147(1):87–96
Carr D, Horsfall I, Malbon C (2013) Is behind armour blunt trauma a real threat to users of body armour? A systematic review. J R Army Med Corps 162(1):8–11
Clare V, Lewis J, Mickiewicz A, Sturdivan L (1975) Body armor-blunt trauma data. EB-TR-75016. Aberdeen Proving Ground, MD, Edgewood Arsenal, 1975. Defense Technical Information Center, http://www.dtic.mil/dtic/tr/fulltext/u2/a012761.pdf. Accessed 21 Aug 2018
Clemedson C (1956) Blast injury. Physiol Rev 36(3):336–354
Cooper G, Dudley H (1997) Scientific foundations of trauma. Butterworth-Heinemann Publ., Oxford
Coupland R (1993) War wounds of limbs—surgical management. Butterworth-Heinemann Publ., Oxford
Coupland R, Korver A (1991) Injuries from antipersonnel mines: the experience of the international committee of the red cross. Brit Med J 303:1509–1512
Croft J, Longhurst D (2007) HOSDB body armour standards for UK Police (2007) part 2: ballistic resistance. Publication No. 39/07/B, http://www.bsst.de/content/PDF/39-07-B_-_HOSDB_Body_Armour1.pdf. Accessed 22 Sept 2013
Cronin DS, Williams KV, Bass CR, Magnan P, Dosquet F, Bergeron D, van Bree J (2003) Test methods for protective footwear against AP mine blast. In: NATO joint AVT-HFM symposium, Koblenz, Germany
Cronin DS, Greer A, Williams KV, Salisbury C (2004) Numerical modeling of blast trauma to the human torso. In: Personal armour systems symposium (PASS), The Hague, The Netherlands
Cronin DS, Williams KV, Salisbury C (2011) Development and evaluation of a physical surrogate leg to predict landmine injury. J Mil Med 176(12):1408–1416
den Reijer P (1991) Impact on ceramic faced armour. Ph.D. thesis, Technical University Delft, Delft, The Netherlands
Dobratz B, Crawford P (1985) Properties of chemical explosives and explosives simulants. LLNL explosives handbook, UCRL-52997. Livermore CA, USA: Lawrence Livermore Laboratory
Fackler M (1987) What’s wrong with wound ballistics literature and why. US Army Medical Research and Development Command
Fackler M, Malinowski J (1988) Ordnance gelatin for ballistic studies. Am J Forensic Med Pathol 9:218–219
Flynn M (2009) State of the insurgency—trends, intentions and objectives. ISAF, Afghanistan
Gibbs T, Popolato A (1980) LASL explosive property data. University of California Press, California
Glasner J (2007) The Halifax explosion: surviving the blast that shook a nation. Altitude Pub., Canmore
Gryth D, Drobin D, Persson J, Aborelius U, Hansson K, Malm E, Bursell J, Olsson L, Kjellström B (2003) Severity of behind armour blunt trauma (BABT) de-pends on extent of deformation of body armour—studies in swine. In: NATO joint AVT-HFM symposium, Koblenz, Germany, 19–22 May 2003
Gupta R, Przekwas A (2013) Mathematical models of blast induced TBI: current status, challenges and prospects. Front Neurol 4(59)
Haladuick T, Cronin DS, Lockhart P, Singh D, Bouamoul A, Ouellet S, Dionne JP (2012) Head kinematics resulting from simulated blast loading scenarios. In: Personal armour systems symposium (PASS) 2012, Nuremberg, Germany
Hanlon E, Gillich P (2012) Origin of the 44-mm behind-armor blunt trauma standard. Mil Med 177(3):333–339
Hetherington J, Smith P (1994) Blast and ballistic loading of structures. Butterworth-Heinemann, Burlington
Hyde D (1998) Microcomputer Programs CONWEP and FUNPRO, Applications of TM 5-855-1, Fundamentals of Protective Design for Conventional Weapons (User’s Guide). Report ADA195867. Vicksburg, MS: Department of the Army, Waterways Experiment Station, Corps of Engineers
Jussila J (2004) Preparing ballistic gelatine—review and proposal for a standard method. Forensic Sci Int 141:91–98
Kingery C, Bulmash G (1984) Airblast parameters from TNT spherical air burst and hemispherical surface burst. Report ARBL-TR-02555, U.S. Army BRL, Aberdeen Proving Ground, MD
Knudsen P (2010) NATO task group on behind armour blunt trauma (RTO-TR-HFM-024). Thoracic Response to Undefeated Body Armour, Report RTO-TR-IST-999
Krug E (ed) (2002) World report on violence and health. World Health Organization, Geneva, http://www.who.int/violence_injury_prevention/violence/en/. Accessed 22 Sept 2013
Lockhart P, Cronin DS (2015) Helmet foam evaluation to mitigate head response from primary blast exposure. Comput Methods Biomech Biomed Eng 18(6):635–645
Mahoney PF, Ryan J, Brooks A, Schwab CW (2005) Ballistic trauma: a practical guide, 2nd edn. Springer Publ., New York
Makris A, Dionne JP, Mitric B (2004) Innovative protective helmet for chem-bio/blast threats. In: International soldier systems conference (ISSC), Boston, Massachusetts, USA
Manseau J, Williams K, Dionne JP, Levine J (2006) Response of the hybrid III dummy subjected to free-field blasts—focussing on tertiary blast injuries. MABS 2006
Marsh S (1980) LASL shock Hugoniot data. University of California Press, California
Mayorga M (1997) The pathology of primary blast overpressure injury. Toxicology 121(1):17–28
Mayorga MA, Anderson I, van Bree JLMJ, Gotts P, Sarron JC, Knudsen PJT (2010) Thoracic response to undefeated body armour. RTO-TR-HFM-024, https://doi.org/10.14339/rto-tr-hfm-024
Metker L, Prather R, Johnson E (1975) A method for determining backface signatures of soft body armors. EB-TR-75029. Aberdeen Proving Ground, MD, Edgewood Arsenal, 1975. Defense Technical Information Center, http://www.dtic.mil/dtic/tr/fulltext/u2/a012797.pdf. Accessed 21 Aug 2018
Meyers M (1994) Dynamic behavior of materials. Wiley, Toronto
Molde A, Naevin J, Coupland R (2001) Care in the field for victims of weapons of war. International Committee of the Red Cross, Geneva
Montanarelli N, Hawkins C, Goldfarb M, Ciurej T (1973) Protective garments for public officials. LWL-TR-30B73. Aberdeen Proving Ground, MD, Edgewood Arsenal, 1973. Defense Technical Information Center, http://www.dtic.mil/dtic/tr/fulltext/u2/a089163.pdf. Accessed 21 Aug 2018
National Research Council (2012) Testing of body armor materials, phase III. National Academies Press. https://doi.org/10.17226/13390
Nechaev E, Gritsanov A, Fomin N, Minnullin I (1995) Mine blast trauma—experience from the war in Afghanistan. Russian Ministry of Public Health and Medical Industry, Russian R.R. Vreden Research Institute of Traumatology, translated from Russian by the Council Communication, Stockholm, Sweden
Needham C, Weiss G, Przekwas A, Tan X, Merkle A, Iyer K (2013) Challenges in measuring and modeling whole body blast effects, http://ftp.rta.nato.int/public/PubFullText/RTO/MP/RTO-MP-HFM-207///MP-HFM-207-12.doc. Accessed 20 Sept 2013
Nelson M (1970) Underwater blast injury—a review of the literature. Report Number 646, Bureau of Medicine and Surgery, Navy Department. Research Work Unit MF099
Nerenberg J, Dionne JP, Makris A, Fisher G (2002) Evaluation of the ABS-LPU ensemble for compliance with U.S. army advanced bomb suit program. UXO/Countermine Forum, Orlando, Florida, USA
NIJ (2008) National Institute of Justice NIJ Standard-0101.06 Ballistic Resistance of Body Armor, http://www.nij.gov/nij/pubs-sum/223054.htm. Accessed 20 Sept 2013
Prather R, Swann C, Hawkins C (1977) Backface signatures of soft body armors and the associated trauma effects. ARCSL-TR-77055. Aberdeen Proving Ground, Md.: Edge-wood Arsenal, http://www.dtic.mil/dtic/tr/fulltext/u2/a049463.pdf. Accessed 17 Oct 2018
Rafaels K, Bass C, Panzer M, Salzar R (2010) Pulmonary injury risk assessment for long-duration blasts: a meta-analysis. J Trauma 69(2):368–374
Ritzel D, Parks SA, Roseveare J, Rude G, Sawyer T (2011) Experimental blast simulation for injury studies. HFM-207 NATO, Halifax
Robertson N, Hayhurst C, Fairlie G (1994) Numerical simulation of explosion phenomena. Int J Comput Appl Technol 7(3–6):316–329
Sellier K, Kneubuehl B (1994) Wound ballistics and the scientific background. Elsevier, UK. ISBN 0-444-81511-2
Singh D, Cronin DS, Lockhart P, Haladuick T, Bouamoul A, Dionne JP (2012) Evaluation of head response to blast using sagittal and transverse finite element head models. In: Personal armour systems symposium (PASS), Nuremberg, Germany
Small Arms Survey (2012) Tracking national homicide rates: generating estimates using vital registration data, armed violence: issue brief, number 1, http://www.smallarmssurvey.org/fileadmin/docs/G-Issue-briefs/SAS-AVD-IB1-tracking-homicide.pdf. Accessed 20 Sept 2013
Small Arms Survey (2013a) Conflict armed violence, armed violence, http://www.smallarmssurvey.org/armed-violence/conflict-armed-violence.html. Accessed 20 Sept 2013
Small Arms Survey (2013b) Indirect conflict deaths, armed violence, http://www.smallarmssurvey.org/armed-violence/conflict-armed-violence/indirect-conflict-deaths.html. Accessed 20 Sept 2013
Sonden A, Rocksen D, Riddez L, Davidsson J, Persson JK, Gryth D, Bursell J, Arborelius UP (2009) Trauma attenuating backing improves protection against behind armor blunt trauma. J Trauma 67(6):1191–1199
Stuhmiller J, Ho K, Vorst M, Dodd K, Fitzpatrick T, Mayorga M (1996) A model of blast overpressure injury to the lung. J Biomech 29:227–234
Thom C, Cronin DS (2009) Shock wave amplification by fabric materials. Shock Waves 19(1):39–48
US Department of the Army (1967) Explosives and demolitions. Headquarters Department of the Army, Washington, DC, Field Manual 5-25
US Department of the Army (1990) Structures to resist the effects of accidental explosions. Technical Manual 5-1300, Nov 1990
Wightman J, Gladish S (2001) Explosions and blast injuries. Ann Emerg Med 37(6):664–678
Wilbeck J (1978) Impact behavior of low strength projectiles. Air Force Materials Lab Wright-Patterson AFB OH, 7/1978
Wilkins M (1978) Mechanics of penetration and perforation. Int J Eng Sci 16:793–807
World Health Organization (WHO) (2018) World health statistics 2018, monitoring health for the SDGs (Sustainable Development Goals), http://apps.who.int/iris/bitstream/handle/10665/272596/9789241565585-eng.pdf?ua=1. Accessed 19 Aug 2018
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Schmitt, KU., Niederer, P.F., Cronin, D.S., Morrison III, B., Muser, M.H., Walz, F. (2019). Ballistic and Blast Trauma. In: Trauma Biomechanics. Springer, Cham. https://doi.org/10.1007/978-3-030-11659-0_11
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