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Overview of Explosive-Related Injuries

The Center for Disease Control has begun to put together information for doctors to use if they are required to treat patients who have been subjected to explosive blasts. The information that follows is a summary table they have prepared.

They have determined that bombs and explosions cause unique patterns of injury that is seldom seen outside of military combat. In order for U.S. physicians to be more prepared this table has been prepared to assist doctors to understand the unique pathophysiology associated with injuries caused by explosions.

System	Injury or Condition
Auditory	Timpanic membrane (TM) rupture, ossicular disruption, cochlear damage, foreignbody
Eye, orbit, face	Perforated globe, foreign body, air embolism, fractures
Respiratory	Blast lung, hemothorax, pneumothorax, pulmonary contusion and hemorrhage, A-V fistulas (source of air embolism), airway epithelial damage, aspiration pneumonitis, sepsis
Digestive	Bowel perforation, hemorrhage, ruptured liver or spleen, sepsis, mesenteric ischemia from air embolism
Circulatory	Cardiac contusion, myocardial infarction from air embolism, shock, vasovagal hypotension, peripheral vascular injury, air embolism-induced injury
Central Nervous System (CNS) injury	Concussion, closed and open brain injury, stroke, spinal cord injury, air embolism-induced injury
Renal injury	Renal contusion, laceration, acute renal failure due to rhabdomyolysis, hypotension, and hypovolemia
Extremity injury	Traumatic amputation, fractures, crush injuries, compartment syndrome, burns, cuts, lacerations, acute arterial occlusion, air embolism-induced injury

Related resources, tips, and facts

Mechanisms of blast injury

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