John Franklin Brunner MD, Presenter: Nothing to Disclose

Ajay K. Singh MD, Abstract Co-Author: Nothing to Disclose

Tatiana C. Rocha MD, Abstract Co-Author: Nothing to Disclose

Joaquim Michael Havens MD, Abstract Co-Author: Nothing to Disclose

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

Sravanthi Reddy MD, Abstract Co-Author: Nothing to Disclose

Robert Brunner BA, Abstract Co-Author: Nothing to Disclose

• Explosive blast injuries in the USA most commonly result from industrial accidents and rarely terrorist bombings • Four common patterns of blast injury are traditionally described: primary, secondary, tertiary and quaternary, each with specific associated radiographic findings (Table 1) • Radiologists should be familiar with all types of blast injury to ensure appropriate imaging strategies, accurate diagnosis, and rapid recognition of an explosive blast event • Radiologist recognition of the hallmark findings of intentional terrorist bombings may result in improved clinical response and forensic investigation by legal authorities  

I. Introduction II. Blast Injury Types (Table 1)      a. Primary: Blast wave related barotrauma           i. Mechanism           ii. Injuries (Figure 1)      b. Secondary: Blast related shrapnel injury           i. Mechanism           ii. Injuries (Figure 2 and 3)      c. Tertiary: Blast wind displacement           i. Mechanism           ii. Injuries      d. Quaternary 4: All other injuries           i. Mechanism           ii. Injuries III. Strategies for Imaging Blast injuries (Figure 5)  

http://abstract.rsna.org/uploads/2014/14016731/14016731_sfn8.pdf

Brunner, J, Singh, A, Rocha, T, Havens, J, Sodickson, A, Reddy, S, Brunner, R, Explosive Blast Injuries: A Review of Radiologic Findings.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016731.html