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Lesiones por explosión.

Stephen J Wolf1, Vikhyat S Bebarta, Carl J Bonnett

  • 1Department of Emergency Medicine, Denver Health Medical Center, Denver, CO 80204, USA. stephen.wolf@dhha.org

Lancet (London, England)
|July 28, 2009
PubMed
Resumen
Este resumen es generado por máquina.

Los proveedores de atención médica necesitan una mejor capacitación para las lesiones de explosión únicas causadas por ondas de presión. Las lesiones primarias por explosión en los pulmones, el intestino y los oídos requieren un manejo específico más allá de la atención típica del trauma.

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Área de la Ciencia:

  • Trauma Cirugía de cirugía de cirugía.
  • Medicina de emergencia Medicina de emergencia.
  • Investigación de lesiones por explosión Investigación de lesiones por explosión.

Sus antecedentes:

  • Los proveedores de atención médica a menudo carecen de capacitación para las lesiones relacionadas con explosiones.
  • La mayoría de las lesiones por explosión se manejan como un trauma penetrante o contundente.
  • Las lesiones de explosión primarias por ondas de presión plantean desafíos únicos.

Objetivo del estudio:

  • Para proporcionar una visión general de las lesiones primarias por explosión.
  • Para discutir la presentación única y el manejo de las lesiones por explosión.
  • Para abordar los desafíos en el triaje y el diagnóstico del trauma por explosión.

Principales métodos:

  • Revisión de los mecanismos de las lesiones primarias por explosión.
  • Análisis de los efectos en las interfaces aire-tejido.
  • Discusión de las estrategias de diagnóstico y gestión.

Principales resultados:

  • Las ondas de presión de la ráfaga afectan principalmente a los sistemas pulmonar, gastrointestinal y auditivo.
  • La embolia aérea arterial por lesión pulmonar puede causar isquemia sistémica.
  • El retraso en la presentación y las lesiones sutiles complican el diagnóstico y la clasificación.

Conclusiones:

  • Las lesiones primarias por explosión requieren una comprensión y un manejo especializados.
  • La atención efectiva requiere reconocer patrones únicos de lesiones y posibles complicaciones.
  • La mejora de la capacitación y los enfoques de diagnóstico son cruciales para el manejo de los sobrevivientes de explosiones.