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26 - Explosive Events

from SECTION A - CBRNE AND HAZMAT

Published online by Cambridge University Press:  05 August 2011

By
John M. Wightman  and
Chetan U. Kharod
Edited by
Kristi L. Koenig  and
Carl H. Schultz
Kristi L. Koenig
Affiliation:
University of California, Irvine
Carl H. Schultz
Affiliation:
University of California, Irvine
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Summary

The opinions and assertions herein are the private views of the authors and are not to be construed as official or as reflecting the view of the United States government, Department of Defense, or Department of the Air Force. This is in part a government work. There are no restrictions on its use.

OVERVIEW

Explosive events occur in many settings. They can have a variety of etiologies, which can be accidental or intentional. Many blasts damage only property, but every explosion can be classified as a potential injury-creating event (PICE). It is the human impact with which this chapter is mostly concerned. Injuries may occur to individuals or groups. Massive and multiple explosions may affect entire communities or larger regions, resulting in a disaster situation. According to Noji, “A disaster is defined as a natural or manmade event that results in an imbalance between the supply and demand for existing resources.”

Most explosive events are unlikely to result in major catastrophes, as defined by Lumley and Ryan, “where the social fabric of a society is disrupted and the medical infrastructure fails.” Some important exceptions exist, however. A single bombing of the only hospital in a region may cause temporary failure of that local healthcare system, until external resources can be mobilized. Multiple, intentional explosions specifically targeting critical services may impact a larger population to a greater degree. A nuclear detonation would likely disable much of a city's infrastructure.

Keywords

blast exposureexplosive eventshealthcare systemssurge capacitylocal medical respondersproblem-specific training
Type
Chapter
Information
Koenig and Schultz's Disaster Medicine
Comprehensive Principles and Practices
 , pp. 393 - 422
Publisher: Cambridge University Press
Print publication year: 2009

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