Hand Grenade Blast Injuries: An Experience in Hospital Universiti Sains Malaysia
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Abstract
Hand grenade explosion is a rare occasion in our local community. Most of us have seen or heard about the injuries only from the TV news or newspaper. We report two cases of bomb blast injury that occurred in an army camp in September 2000. These case studies illustrate the clinical presentations of hand grenade blast injures that present with multiple organ involvement. We would like to share our experience in managing such cases in a busy emergency department and highlight the outcome of those two cases. Certain issues pertaining to the complexity of the injuries and mass casualty management are also highlighted.
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References
David L. Ciraulo, Eric R, David V, et al. A survey Assessment of the Level of Preparation for Domestic Terrorism & Mass Casualty Incidents among Eastern Association for the Surgery of Trauma members. J Trauma, Injury, Infection, Critical Care 2004; 56: 1033-41.
Center for Disease Control and Prevention (CDC). Explosions and Blast Injuries: A Primer for Clinicians. Available from: URL:http://www.bt.cdc.gov/masscasualties/explosions.asp. Access 11 May 2007.
Diving Medicine Online:Underwater blast injuries. Available from: URL: www.scuba-doc.com/
uwblast.html. Access 11 May 2007. Judith E. Tintinalli, Ernest R, Ronald L. Krome. 1996. Emergency Medicine: A Comprehensive Study Guide. 4th Edition. McGraw Hill Companies: 888-890.
Kay B. Leissner, Rafael Ortega and W. Scott Beattie. Anesthesia Implications of Blast Injury. Journal of
Cardiothoracic and Vascular Anesthesia 2006; vol 20: 872-880.
P. Sorkin, A. Nimrod and P. Biderman et al., The quinary (Vth) injury pattern of blast, J Trauma 2004;
: 232. Arnold JL, Halpern P, Tsai MC, Smithline H. Mass casualty terrorist bombings: a comparison of outcomes
by bombing type. Ann Emerg Med. 2004; 43(2): 263-73.
K. Peleg, L. Aharonson-Daniel and M. Stein et al. Gunshot and explosion injuries: Characteristics, outcomes, and implications for care of terror-related injuries in Israel, Ann Surg. 2004; 239: 311–318.
NHNA Rahman and CJ Holliman. Emergency
Medicine in Malaysia. Hong Kong Journal of Emergency Medicine 2005; 12: 246-251. M.Y. Shamir, Y.G. Weiss and D. Willner et al., Multiple casualty terror events: The anesthesiologist’s perspective, Anesth Analg 2004; 98: 1746–1752.
G. Almogy, H. Belzberg and Y. Mintz et al., Suicide bombing attacks: Update and modifications to the
protocol, Ann Surg 2004; 239: 295–303.
Timothy H. Rainer, N.K. Cheung, Janice H.H. Yeung and Colin A. Graham. Do trauma teams make a difference? A single centre registry study. Resuscitation 2007; 73: 374—381.