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Pulmonary injury risk assessment for long-duration blasts: a meta-analysis.

Publication ,  Journal Article
Rafaels, KA; Bass, CRD; Panzer, MB; Salzar, RS
Published in: The Journal of trauma
August 2010

Long-duration blasts are an increasing threat with the expanded use of thermobaric and other novel explosives. Other potential long-duration threats include large explosions from improvised explosive devices, weapons caches, and other explosives including nuclear explosives. However, there are very few long-duration pulmonary blast injury assessments, and use of short-duration exposure injury metrics is inappropriate as the injury mechanism for long-duration exposures is likely different from that of short-duration exposures.This study develops an injury model for long-duration (>10 milliseconds positive overpressure phase) blasts with sharp rising overpressures. For this study, data on more than 2,730 large animal experiments were collected from more than 55 experimental studies on blast. From this dataset, nearly 850 large animal experiments were selected with positive phase overpressure durations of 10 milliseconds or more. Various models were evaluated to determine the best fit of injury risk as a function of pressure and duration. A linear logistic regression was performed on the experimental data for threshold injury and lethality in terms of pressure and duration. The effects of mass, pressure, and duration scaling were all evaluated, and two goodness-of-fit indicators were used to assess the different models.New injury risk assessment curves were determined for both incident and reflected pressure conditions for reflecting surface and free-field exposures. Position dependent injury risk curves were also determined. The resulting curves are an improvement to existing assessments, because they use actual data to demonstrate theoretical assumptions on the injury risk.

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Published In

The Journal of trauma

DOI

EISSN

1529-8809

ISSN

0022-5282

Publication Date

August 2010

Volume

69

Issue

2

Start / End Page

368 / 374

Related Subject Headings

  • Time Factors
  • Survival Analysis
  • Species Specificity
  • Sheep
  • Risk Assessment
  • Pressure
  • Lung Injury
  • Logistic Models
  • Linear Models
  • Injury Severity Score
 

Citation

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ICMJE
MLA
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Rafaels, K. A., Bass, C. R. D., Panzer, M. B., & Salzar, R. S. (2010). Pulmonary injury risk assessment for long-duration blasts: a meta-analysis. The Journal of Trauma, 69(2), 368–374. https://doi.org/10.1097/ta.0b013e3181e88122
Rafaels, Karin A., Cameron R Dale Bass, Matthew B. Panzer, and Robert S. Salzar. “Pulmonary injury risk assessment for long-duration blasts: a meta-analysis.The Journal of Trauma 69, no. 2 (August 2010): 368–74. https://doi.org/10.1097/ta.0b013e3181e88122.
Rafaels KA, Bass CRD, Panzer MB, Salzar RS. Pulmonary injury risk assessment for long-duration blasts: a meta-analysis. The Journal of trauma. 2010 Aug;69(2):368–74.
Rafaels, Karin A., et al. “Pulmonary injury risk assessment for long-duration blasts: a meta-analysis.The Journal of Trauma, vol. 69, no. 2, Aug. 2010, pp. 368–74. Epmc, doi:10.1097/ta.0b013e3181e88122.
Rafaels KA, Bass CRD, Panzer MB, Salzar RS. Pulmonary injury risk assessment for long-duration blasts: a meta-analysis. The Journal of trauma. 2010 Aug;69(2):368–374.

Published In

The Journal of trauma

DOI

EISSN

1529-8809

ISSN

0022-5282

Publication Date

August 2010

Volume

69

Issue

2

Start / End Page

368 / 374

Related Subject Headings

  • Time Factors
  • Survival Analysis
  • Species Specificity
  • Sheep
  • Risk Assessment
  • Pressure
  • Lung Injury
  • Logistic Models
  • Linear Models
  • Injury Severity Score