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Blast Lung Injury in Children: Injury Patterns and Associated Organ Injuries

İnan Korkmaz1, Mehmet Emin Çelikkaya2

  • 1From the Departments of Radiology.

Pediatric Emergency Care
|July 18, 2023
PubMed

Insights

Blast lung injury (BLI) is common in children after bombings and often occurs with other injuries. While BLI itself doesn't correlate with mortality, associated brain damage and low trauma scores are significant indicators in pediatric blast victims.

Area of Science:

  • Trauma Surgery
  • Pediatric Radiology
  • Emergency Medicine

Background:

  • Bombings are a leading cause of child fatalities in warfare.
  • Civilian children are disproportionately affected by blast injuries.
  • Blast lung injury (BLI) is a significant concern in pediatric trauma.

Purpose of the Study:

  • To determine the frequency of pediatric blast lung injury (BLI).
  • To characterize lung injury patterns using tomographic imaging.
  • To investigate the relationship between BLI, associated injuries, and mortality in children.

Main Methods:

  • Retrospective analysis of 36 pediatric patients with BLI.
  • Evaluation of pediatric trauma scores upon emergency department admission.
  • Review of computed tomography (CT) scans for lung injury patterns and other system injuries.

Main Results:

  • Pulmonary contusion was the most frequent lung injury pattern.
  • Children with low pediatric trauma scores showed higher rates of brain damage and intra-abdominal injuries.
  • No significant correlation was found between BLI presence/patterns and mortality, but brain damage and low trauma scores were higher in deceased children.

Conclusions:

  • Pediatric blast lung injury (BLI) is a frequent occurrence following explosive events.
  • BLI is often associated with injuries to other organ systems in pediatric victims.
  • A comprehensive radiological assessment is crucial for managing children with blast injuries.
Abstract

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