Wednesday, 16 January 2013

Emedinews:Insights on Medicolegal Issues:What is the blast lung?



  • When a bomb explodes causes disruptive effect, burns, air blast, flying missiles injuries, falling masonry, fumes and incendiary bombs
  • bomb explosion create a pressure of 1000 to 1500 tons per square inch could be generated however 200kg per square inch is enough to cause destructive injuries to human tissues
  • The injuries caused due to air blast effect like bomb blast to the pulmonary tissues and alveoli tissues is called blast lung injuries
  • In such type of air blast the rupture of tympanic membranes with bleeding and injuries to cochlea is invariable seen in the bomb blast victims. The ENT consultation must be taken in bomb blast cases for internal ear injuries
  • In scan lungs of air blast victim lungs shows pleural patchy bleedings
  • The reactive pulmonary swelling convert into Bronco pneumonia and may prove fatal in bomb blast cases
  • In cases of death due to bomb blast effect the intracranial bleeding along with bleeding and laceration in mesentery and omentum is seen in autopsy. The air embolism become fatal in many cases of air blast injuries
  • Multiple injuries, burn, shock and air embolism is seen as cause of death in bomb blast victim

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