Blast injuries are caused by the impact from a complex pressure wave generated by an explosion. The explosion causes an instant rise in pressure, which creates a blast wave.
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Blast injuries can be categorized into primary, secondary, tertiary, and quaternary injuries:
- Primary Injuries: These result from direct interaction with the blast wave and include injuries to organs containing air (lungs, gastrointestinal tract, ears), causing blast lung, abdominal injuries, and ear trauma.
- Secondary Injuries: Caused by flying debris or fragments propelled by the blast. These lead to penetrating injuries, such as wounds or fractures from shrapnel.
- Tertiary Injuries: Result from individuals being thrown by the blast wind. These cause blunt trauma, fractures, and traumatic brain injuries due to impact with structures or the ground.
- Quaternary Injuries: This category encompasses all other injuries not directly caused by the blast, including burns, crush injuries, inhalation injuries from toxic fumes, and exacerbation of pre-existing conditions due to the blast’s effects.