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Explosions and Human Health: The Long-Term Effects of Blast Injury

Published online by Cambridge University Press:  17 July 2012

Sarah E. Finlay ,
Michelle Earby ,
David J. Baker  and
Virginia S.G. Murray
Sarah E. Finlay
Affiliation:
Extreme Events and Health Protection Section, Centre for Radiological, Chemical and Environmental Hazards, United Kingdom Health Protection Agency, London, United Kingdom
Michelle Earby
Affiliation:
Extreme Events and Health Protection Section, Centre for Radiological, Chemical and Environmental Hazards, United Kingdom Health Protection Agency, London, United Kingdom
David J. Baker*
Affiliation:
Extreme Events and Health Protection Section, Centre for Radiological, Chemical and Environmental Hazards, United Kingdom Health Protection Agency, London, United Kingdom
Virginia S.G. Murray
Affiliation:
Extreme Events and Health Protection Section, Centre for Radiological, Chemical and Environmental Hazards, United Kingdom Health Protection Agency, London, United Kingdom
*
Correspondence: David J. Baker, FRCA Extreme Events and Health Protection Section Centre for Radiological, Chemical and Environmental Hazards United Kingdom Health Protection Agency 151 Buckingham Palace Road London SW1W 9SZ United Kingdom E-mail david.baker@hpa.org.uk
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Abstract

The immediate patterns of injury from explosions are well documented, from both military and civil experience. However, few studies have focused on less immediately apparent health consequences and latent effects of explosions in survivors, emergency responders and the surrounding community. This review aimed to analyze the risks to health following an explosion in a civil setting.

A comprehensive review of the open literature was conducted, and data on 10 relevant military, civilian and industrial events were collected. Events were selected according to availability of published studies and involvement of large numbers of people injured. In addition, structured interviews with experts in the field were conducted, and existing national guidelines reviewed.

The review revealed significant and potentially long-term health implications affecting various body systems and psychological well-being following exposure to an explosion. An awareness of the short- and long-term health effects of explosions is essential in screening for blast injuries, and identifying latent pathologies that could otherwise be overlooked in stressful situations with other visually distracting injuries and, often, mass casualties. Such knowledge would guide responsible medical staff in implementing early appropriate interventions to reduce the burden of long-term sequelae. Effective planning and response strategies would ensure accessibility of appropriate health care resources and evidence-based information in the aftermath of an explosion.

Finlay SE, Earby M, Baker DJ, Murray VSG. Explosions and human health: the long-term effects of blast injury. Prehosp Disaster Med. 2012;27(4):1-7.

Keywords

blast injuryexplosionhuman health
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 27 , Issue 4 , August 2012 , pp. 385 - 391
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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