The increasing use of suicide bombs has brought a new set of problems for the modern clinician. To competently manage these, the clinician must have an appreciation of the underlying ballistic principles of these attacks and their common manifestations as patterns of injury. There are forensic implications in managing the casualties of such an attack, as well as those of scene and resource management. The risks of intentional and unintentional incorporation of biohazardous materials are also discussed.
Garner A., Lee A., Harrison K., Schultz CH2001. Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med38: 541-48.
6.
Health Protection Agency.2005. Post exposure prophylaxis against hepatitis B for bomb victims and immediate care providers. Consideration of other blood borne viruses (hepatitis C and HIV). Available at: http://www.hpa.org.uk/Topics/EmergencyResponse/RespondingToConventionalHazards/HealthEffectsOfExplosions/PostExposureProphylaxisAgainstBloodBorneViruses/. (accessed 12 December 2009).
7.
Hiss J., Freund M., Motro U., Kahana T.2002. The medico-legal investigation of the El Aqsah Intifada . Isr Med Assoc J4: 549-53.
8.
Hodgetts TJ, Porter C.2002. Major incident management system: the scene aid memoire for major incident medical management and support. London : BMJ Books.
9.
Hull JB, Bowyer GW, Cooper GJ, Crane J.2005. Pattern of injury in those dying from traumatic amputation caused by bomb blast. Br J Surg81: 1132-35.
10.
Hull JB, Cooper GJ1996. Pattern and mechanism of traumatic amputation by explosive blast. J Trauma40: S198-205.
11.
Hull JB2005. Traumatic amputation by explosive blast: pattern of injury in survivors. Br J Surg79: 1303-6.
12.
Jenkins J.L., McCarthy ML, Sauer LM, et al. 2008. Mass-casualty triage: time for an evidence-based approach. Prehosp Disaster Med23: 3-8.
13.
Katz E., Ofek B., Adler J., Abramowitz HB, Krausz MM1989. Primary blast injury after a bomb explosion in a civilian bus. Ann Surg209: 484-88.
14.
Kluger Y.2003. Bomb explosions in acts of terrorism: detonation, wound ballistics, triage and medical concerns. Isr Med Assoc J5: 235-40.
15.
Kuwagata Y., Oda J., Tanaka H. et al. 1997. Analysis of 2,702 traumatized patients in the 1995 Hanshin-Awaji earthquake. J Trauma43: 427-432.
16.
Mellor SG1992. The relationship of blast loading to death and injury from explosion. World J Surg16: 893-898.
17.
Nelson TJ, Wall DB, Stedje-Larsen ET, Clark RT, Chambers LW, Bohman HR2006. Predictors of mortality in close proximity blast injuries during Operation Iraqi Freedom. J Am Coll Surg202: 418-422.
18.
Pirnie BR, O’Connell E.2008. Counterinsurgency in Iraq (2003-2006). Santa Monica: RAND Corporation.
19.
Stein M., Hirshberg A.2003. Limited mass casualties due to conventional weapons: the daily reality of a level I trauma center. In: Shemer J, Shoenfeld Y eds. Terror and medicine: medical aspects of biological, chemical and radiological terrorism. Lengerich, Germany: Pabst Science, 378-93.
20.
Wong JML, Marsh D., Abu-Sitta G. et al. 2006. Biological foreign body implantation in victims of the London July 7th suicide bombings. J Trauma60: 402-4.
