[Blast injury].
The blast injury is characterized by 3 different patterns of injury: blast wave, splintered fragments and displacement of victim's body. Severe external and internal hemorrhage, tension pneumothorax and the lethal trios (hypothermia, acidosis, coagulopathy) require a rapid prehospital and inhospital trauma care according to a standardized protocol. The concepts of damage control resuscitation and damage control surgery have proven to be effective and should be integrated into the treatment.
Schmidbauer
Willi
W
Oberfeldarzt in der Abteilung XB Notfallmedizin und Rettungsmedizin am Bundeswehrkrankenhaus Berlin. willi-schmidbauer@web.de
Lenz
Stefan
S
Bubser
Florian
F
Kerner
Thoralf
T
D001753:Blast Injuries / Q000097:blood / Q000601:surgery / Q000628:therapy*; D001778:Blood Coagulation Disorders / Q000209:etiology / Q000628:therapy; D002985:Clinical Protocols; D004632:Emergency Medical Services; D006801:Humans; D009104:Multiple Trauma / Q000601:surgery / Q000628:therapy; D012151:Resuscitation