In this section
@article{Milwood:2019:10.1136/bmjpo-2019-000452,
author = {Milwood, Hargrave J and Pearce, P and Mayhew, E and Bull, A and Taylor, S},
doi = {10.1136/bmjpo-2019-000452},
journal = {BMJ Paediatrics Open},
title = {Blast injuries in children: a mixed-methods narrative review.},
url = {http://dx.doi.org/10.1136/bmjpo-2019-000452},
volume = {3},
year = {2019}
}
TY - JOUR
AB - Background and significance. Blast injuries arising from high explosive weaponry iscommon in conflict areas. While blast injury characteristics are well recognised in the adults,there is a lack of consensus as to whether these characteristics translate to the paediatricpopulation. Understanding blast injury patterns in this cohort is essential for providingappropriate provision of services and care for this vulnerable cohort.Methods. In this mixed-method review, original papers were screened for data pertaining topaediatric injuries following blasts. Information on demographics, morbidity and mortality andservice requirements were evaluated. The papers were written and published in English from a range of international specialists in the field. Patient and public involvementstatement: No patients or members of the public were involved in this review.Results. Children affected by blast injuries are predominantly male and their injuries arisefrom explosive remnants of war, particularly unexploded ordinance. Blasts show increasedmorbidity and mortality in younger children, while older children have injury patterns similarto adults. Head and burn injuries represent a significant cause of mortality in young children,while lower limb morbidity is reduced compared to adults. Children have a disproportionaterequirement for both operative and non-operative service resources, and provisions for thisburden are essential.Conclusions. Certain characteristics of paediatric injuries arising from blasts are distinctfrom that of the adult cohort, while the intensive demands on services highlights theimportance of understanding the diverse injury patterns in order to optimise future serviceprovisions in caring for this the child blast survivor.
AU - Milwood,Hargrave J
AU - Pearce,P
AU - Mayhew,E
AU - Bull,A
AU - Taylor,S
DO - 10.1136/bmjpo-2019-000452
PY - 2019///
SN - 2399-9772
TI - Blast injuries in children: a mixed-methods narrative review.
T2 - BMJ Paediatrics Open
UR - http://dx.doi.org/10.1136/bmjpo-2019-000452
UR - http://hdl.handle.net/10044/1/72789
VL - 3
ER -
Professor Anthony Bull
Department of Bioengineering
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Imperial College London
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