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Blast injuries to the lung: epidemiology and management
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Journal Article
Blast injuries to the lung: epidemiology and management
2011
Overview
Lung injury is frequently a component of the polytrauma sustained by military personnel surviving blast on the battlefield. This article describes a case series of the military casualties admitted to University Hospital Birmingham's critical care services (role 4 facility), during the period 1 July 2008 to 15 January 2010. Of the 135 casualties admitted, 107 (79.2%) were injured by explosive devices. Plain chest films taken soon after arrival in the role 4 facility were reviewed in 96 of the 107 patients. In 55 (57.3%) films a tracheal tube was present. One or more radiological abnormalities was present in 66 (68.75%) of the films. Five patients met the consensus criteria for the definition of adult respiratory distress syndrome (ARDS). The majority of casualties with blast-related lung injury were successfully managed with conventional ventilatory support employing a lung protective strategy; only a small minority received non-conventional support at any time in the form of high-frequency oscillatory ventilation. Of those casualties who survived to be received by the role 4 facility, none subsequently died as a consequence of lung injury.
Publisher
The Royal Society
Subject
/ Adult respiratory distress syndrome
/ Blast Injuries - diagnostic imaging
/ Blast Injuries - epidemiology
/ Blasts
/ Conventional Mechanical Ventilation In Blast Lung Injury
/ Humans
/ Lungs
/ Military Medicine - statistics & numerical data
/ Radiology Of Blast Lung Injury
/ Respiration, Artificial - methods
/ Respiratory Distress Syndrome, Adult - epidemiology
/ Respiratory Distress Syndrome, Adult - therapy
/ Special Feature: Lung Injury
/ United Kingdom - epidemiology
/ Warfare
