PMID: 8606411Mar 1, 1996Paper

The influence of personal blast protection on the distribution and severity of primary blast gut injury

The Journal of Trauma
N P Cripps, G J Cooper

Abstract

Primary blast injuries have been recognized since World War I when the most significant reported injury was to the lung. The prevalence of injury to tissues containing air was underlined by the frequency of gut blast injury in underwater explosions mostly reported during World War II. Gut injury is the most likely cause of mortality after the more immediate effects of pulmonary primary blast injury. Effective protection has been achieved for lungs exposed to short duration external blast waves by the placement of stress wave decouplers on to the thoracoabdominal wall in a pig model, thus modifying the energy coupled into the body. A combination of two densities of glass-reinforced plastic plate and Plastazote foam (GRP/PZ) effectively eliminated pulmonary injury in 17 protected animals, compared with the production of severe blast lung in nine unprotected animals (p < 0.001). Partial pulmonary protection was achieved using a plasticized lead and plastazote foam decoupling combination (PbPVC/PZ) in a further group of 10 animals. Peak incident overpressures were not significantly different in any group. Small bowel contusions were highly significantly reduced in the GRP/PZ groups when compared with unprotected animals and with Pb...Continue Reading

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Citations

Oct 21, 2011·Annals of Biomedical Engineering·Cameron R BassBruce Capehart
Aug 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·F Turégano-FuentesI Ashkenazi
Nov 26, 2010·The British Journal of Surgery·C OwersJ P Garner
Nov 26, 2015·PloS One·Rachel M LanceCameron R Bass
Dec 2, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Kay B LeissnerW Scott Beattie
Sep 12, 2006·Critical Care Nursing Clinics of North America·Elizabeth J Bridges
Jan 5, 2002·The American Journal of Forensic Medicine and Pathology·N M PetriD Cuculić
Oct 6, 1997·The British Journal of Surgery·N P Cripps, G J Cooper
Jul 5, 2003·American Journal of Respiratory and Critical Care Medicine·Michael TsokosElisabeth E Turk
Mar 22, 2018·Journal of the Royal Army Medical Corps·Andrew Sedman, A Hepper
Jan 24, 2006·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·C T Born

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