Death due to Accidental Explosion of a Balloon Filling Cylinder: A Case Report
DOI:
https://doi.org/10.48165/Keywords:
Cylinder, Traumatic amputation, Explosion, Blast lung, Tympanic membrane ruptureAbstract
An explosion is a process where any substance or device capable of creating a sudden gas expansion, releasing potential energy and thus creating a pressure wave. Blast injury is becoming more common in non-military population due to terrorist acts and unsafe use of domestic gases, but it is still rare to see such injuries and deaths. Explosive related deaths fall into three categories: accidental, homicidal and suicidal. Accidental deaths normally occur either at the work place or when untrained, unlicensed individuals handle legal or illegal fireworks or explosive/inflammable material. Physicians and surgeons need to have a basic understanding of the patho-physiology of such injuries, because the major prognostic factor for favourable outcome is accessible and timely medical and surgical treatment along with implementations of preventable occupational measures for safety.
Downloads
References
Tsokos M, Paulsen F, Petri S, Madea B, Puschel K, Turk EE. Histologic, immunohistochemical and ultra-structural findings in human blast lung injury. Am J Respir. Crit. Care Med. 2003; 168: 549-555
Sasser S M, Sattin R W, Hunt R C, Krohmer J. Blast lung injury. Prehosp Emerg. Care. 2006; 10: 165-172
Tsokos M, Turk EE, Madea B, et al. Pathological features of suicidal deaths by explosives. Am J Forensic Med Patho. 2003; 24: 55-63
Narayan Reddy K S. The essentials of Forensic Medicine and Toxicology. 31st edition. Hyderabad: Om Sai graphics; 2012. p.221- 223
Rajesh Bardale. Principles of Forensic Medicine and Toxicology. 1st edition. New Delhi: Jaypee Brothers Medical Publishers; 2011. p.217
Frykberg E R, Tepas JJ. Terrorist bombings: lessons learned from Belfast to Beirut. Ann Surg. 1988; 208: 569-576
Guy R J, Glover M A, Cripps N P J. Primary blast injury: pathophysiology and implications for treatment - Part III: injury to CNS and limbs. J.R. Nav Med Serv. 2000; 86: 27-31
Ladham S, Koehler S A, Woods P, et al. A case of death by explosives: the keys to a proper investigation. J Clinc. Forensic Med. 2005; 12: 85-92
Pizov R, Oppenheim-Eden A, Matot I, et al. Blast lung injury from an explosion on a civilian bus. Chest 1999; 115(1): 165-172 10. Leibovici D, Gofrit O N, Stein M, et al. Blast injuries: bus versus open-air bombings - a comparative study of injuries in survivors of open-air versus confined-space explosions. J trauma 1996; 41: 1030-1035
Katz E, Ofen B, Adler J, Abramowitz H B, Krausz M M. Primer blast injury after a bomb explosion in a civilian bus. Ann Surg. 1989; 209: 484-488
Mellor S G, Cooper G J. Analysis of 828 servicemen killed or injured by explosion in Northern Ireland 1970-84: the hostile action casualty system. Br. J. Surg. 1989; 76: 1006-1010
