Blast Lung Injury From an Explosion on a Civilian Bus

• Published in: Chest Vol. 115; no. 1; pp. 165 - 172
• Main Authors: Pizov, Reuven, Oppenheim-Eden, Arieh, Matot, Idit, Weiss, Yoram G., Eidelman, Leonid A., Rivkind, Avraham I., Sprung, Charles L.
• Format: Journal Article
• Language: English
• Published: Northbrook, IL Elsevier Inc 01.01.1999; American College of Chest Physicians
• Subjects: Adolescent; Adult; ARDS; Biological and medical sciences; Blast Injuries - classification; Blast Injuries - diagnosis; Blast Injuries - etiology; Blast Injuries - mortality; blast trauma; Explosions; Fatalities; Female; Foreign Bodies - classification; Foreign Bodies - diagnosis; Foreign Bodies - etiology; Foreign Bodies - mortality; high-frequency jet ventilation; Humans; Hypoxia - classification; Hypoxia - diagnosis; Hypoxia - etiology; Hypoxia - mortality; Injuries; Injuries of the thorax. Foreign bodies. Diseases due to physical agents; Injury Severity Score; Israel; lung barotrauma; Lung Injury; Male; mechanical ventilation; Medical sciences; Middle Aged; Motor Vehicles; Nitric oxide; Patients; Pneumothorax; Pneumothorax - classification; Pneumothorax - diagnosis; Pneumothorax - etiology; Pneumothorax - mortality; Prognosis; Respiratory Distress Syndrome, Adult - classification; Respiratory Distress Syndrome, Adult - diagnosis; Respiratory Distress Syndrome, Adult - etiology; Respiratory Distress Syndrome, Adult - mortality; Retrospective Studies; Survival Rate; Trauma; Traumas. Diseases due to physical agents; Tropical medicine; Ventilators; Jerusalem Israel; Israel; nitric oxide; mechanical ventilation; PEEP; high-frequency jet ventilation; Fio2; blast trauma; HFJV; lung barotrauma; PPV; PCIRV; ARDS; ALI; BLI; Human; Lung disease; Bus; Blast trauma; Prognosis; Respiratory disease; Exploration; Trauma; Bronchopulmonary; Symptomatology; Clinical management; Treatment; Classification; Bronchus disease; Severity score; Diagnosis; Collective transport system

To assess clinical signs and management of primary blast lung injury (BLI) from explosions in an enclosed space and to propose a BLI severity scoring system. Retrospective analysis. Fifteen patients with primary BLI resulting from explosions on two civilian buses in 1996. Ten patients were extremely...