Ajay K. Singh MD, Presenter: Nothing to Disclose

Edward Kiho Sung MD, Abstract Co-Author: Nothing to Disclose

John Franklin Brunner MD, Abstract Co-Author: Nothing to Disclose

Karen Buch MD, Abstract Co-Author: Nothing to Disclose

Osamu Sakai MD, PhD, Abstract Co-Author: Speaker, Bracco Group Speaker, KYORIN Holdings, Inc Speaker, Eisai Co, Ltd

Stuart R. Pomerantz MD, Abstract Co-Author: Research Grant, General Electric Company

Aaron D. Sodickson MD, PhD, Abstract Co-Author: Research Grant, Siemens AG

Michael H. Lev MD, Abstract Co-Author: Research support, General Electric Company Stockholder, General Electric Company

This exhibits describes the imaging features of primary, secondary and tertiary blast wave injuries from Boston marathon bombing. Cases from Boston marathon bombing will be used to describe how a low detonation device can still cause significant injuries to the head and neck

Introduction Blast waves:  primary, secondary and tertiary blast waves Reasons for the infrequency of upper body injuries- 1. Location of blast device 2. Low power explosive 3.  Protection by bony calvarium Reasons for intracranial injuries:  Passage of shrapnel through the weak spots:  Orbital and external audatory canal passage Examples of injuries to head and neck: 1.  Ocular rupture and orbital foreign bodies 2. Intracranial shrapnel with frontal lobe laceration 3.  Facial injuries: Nasal and orbital wall fractures 4.  Neck injuries 5.  Tympanic membrane perforation from shrapnel 5.  Scalp foreign bodies and subgaleal hematoma

http://abstract.rsna.org/uploads/2014/14012360/14012360_nyqk.pdf

Singh, A, Sung, E, Brunner, J, Buch, K, Sakai, O, Pomerantz, S, Sodickson, A, Lev, M, Head and Neck Trauma from Blast Injuries: Boston Marathon Bombing Experience.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14012360.html