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Pediatric Terrorism and Disaster Preparedness

Public Health Emergency Preparedness

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Table 7.2. Spectrum of Primary Blast Injury on Body Systems

System Injuries
Respiratory Pulmonary contusion
Pulmonary hemorrhage
Respiratory failure
Stripped-epithelium lesion
Alveolo-venous fistula
Bronchopleural fistula
Traumatic emphysema
Air embolism
Acute respiratory distress syndrome
Gastrointestinal (GI) GI hemorrhage
GI perforation
Spleen or liver hemorrhage or rupture
Retroperitoneal hemorrhage
Tunica albuginea (testis) hemorrhage
Auditory Tympanic membrane rupture
Ossicular chain disruption
Cochlear nerve injury
Labyrinthine fistula
Perilymphatic fistula
Circulatory Coronary embolism
Myocardial contusion
Thrombosis/disseminated intravascular coagulation
Central nervous system (CNS) Cerebral air embolism
Retinal artery embolism

Source: Sharpnack DD, Johnson AJ, Phillips Y. The Pathology of Primary Blast Injury. In: Bellamy RF, Zajtchuk R, eds. Conventional Warfare: Ballistics, Blasts, and Burn Injuries. Washington, DC: Office of the Surgeon General of the U.S. Army; 1991: 271-94

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