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Secondary Blast Injury 

Secondary Blast Injury
Secondary Blast Injury
Acute Care Casebook

Leslie V. Simon


This case illustrates penetrating hand trauma due to secondary blast injury. Secondary blast injury is due to objects accelerated by the blast wind and is the most commonly encountered type of blast injury. Depending on the size of the fragments, secondary blast injury may present as blunt or penetrating trauma. This case addresses the evaluation of hand trauma after exposure blast caused by suicide bomber, management of foreign bodies due to blast injury, field management of flexor tendon laceration, open joints, and burns. The case also addresses postexposure prophylaxis in the setting of biological fragment exposure. Complicated causes often require specialist referral.

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