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EXPLOSIVE INJURIES
BY-
E.Himasri Reddy
EXPLOSIVE INJURY (BLAST INJURY):-
DEFINITION:-
Is a complex type of physical trauma
resulting from direct or indirect
exposure to an explosion.
EXPLOSIONS:-
Can be –1.Natural
2.Chemical
3.Nuclear
4.Electrical
5.Magnetic
6.Domestic or 7.Mechanical.
In case of Medico-legal practice, the
most common are chemical whereas less
common are mechanical.
Terrorist bombings some times involves
dual explosions.
otherexplosions:-
Letter bomb
Molotov Cocktail
Booby trap
CLASSIFICATION OF
EXPLOSIVES:-
Can be done – by velocity propagation
1.High order explosives
2.Low order explosives
- by sensitivity
a)primary
b)secondary
c)tertiary explosives
• A low order explosives burns in a matter of
milliseconds & generates a pressure of about
6000 atm. Where as, high explosives rises the
pressure upto 2,75,000 atm.
• A low order explosive functions by
deflagration.
• A high order explosive functions by detonation.
BLAST WAVE:-
Dynamic over pressure.
Causes extensive damage to air filled
organs.
It has 3 different phases-
1.Positive phase pressure
2.Negative phase pressure
3.Blast wind
Injuries are mainly due to intial shock
wave, but they are aggravated based on
phases.
Intensity of an explosion declines as the
cube root of distance from an explosion
Blasts
Air blasts
Under water blasts
Solid blasts
SEP 3 2009 BELL430
APRIL17 2004 CESSANA 180
DGCA
CLASSIFICATION OF EXPLOSIVE INJURIES:-
1.Primary blast injuries
2.Secondary blast injuries
3.Tertiary blast injuries
4. Miscellaneous /Quaternary blast
injuries
Primary blast injuries:-
-caused by direct effect of
blast over pressure.
-injuries are due to compressed air which
tends to effect the air filled organs
• Secondary blast injuries:-
Are due to flying objects generated by the actual
blast.
• Tertiary blast injuries:-
Occurs when victims are thrown into air & strike to
other objects
• Miscellaneous/ Quaternary injuries:-
-Injuries due to fire or collapse of buildings.
-Causes traumatic asphyxia & crush injuries.
Case Investigation
PENTTBOM;FBI
NIST
NEW YORK
SEP 11;2001
DISTRUPTIVE EFFECTS:-
• In immediate vicinity of explosion, the victims
body would be blown into pieces & some parts
of the body may be scattered over wide areas.
• When at a little distance away from the
explosion, the injuries may be limited to the
blowing off the head or a limb or mangling of
a localized area.
Assassination of former prime minister
Case investigated by CBI.SIT.
Assassinator-Dhanu
TrailunderTADAAct.
CAUSES OF DEATH:-
Pulmonary barotrauma {Blast Lung} is the most common fatal
primary blast injury.It includes conditions like pulmonary contusion,
systemic air embolism & free radical associated injuries.
ARDS- may be the result of direct lung injury during explosion /
shock from other organ system damage.
Falling derbis or due to haemorrhage
Burns
Crush syndrome
Traumatic asphyxia due to inhalation
Of combustion products
Delayed causes like septicaemia
MEDICO LEGAL IMPORTANCE:-
Accidental- {domestic LPG/pressure cookers}
Suicidal :- in case of suicidal bombers
JUNE 27 2014
Homicidal:-terrorist activities, passenger air craft explosions.
Operationblacktornado
26-29/Nov/2008
Mumbai terror
attacks
25 Aug 2007 Hyd {NECB}
Identification of dead assumes greater importance in mass
disasters
Blood tests for carboxyhaemoglobin, cyanides & phosphorous
may be necessary in closed space exposure or fire related
blasts
Radiological examination is also important in evaluating cause
of death.
Histopathology may help to detect ARDS,pulmonary contusion
or renal failure resulting from crush syndrome
Explosive residues are to be collected for subsequent
examination by expert in field of explosives
REFERENCES:-
• Anil Aggarwal
Text book of Forensic Medicine & Toxicology
• V. V. Pillay
Text book of Forensic Medicine & Toxicology
• K. S. Narayan Reddy
The synopsis of Forensic Medicine & Toxicology
• Wikipedia.in.org
• Timesofindia.org/clipings
Explosive injuries ppt by himasri reddy

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Explosive injuries ppt by himasri reddy

  • 2. EXPLOSIVE INJURY (BLAST INJURY):- DEFINITION:- Is a complex type of physical trauma resulting from direct or indirect exposure to an explosion.
  • 3. EXPLOSIONS:- Can be –1.Natural 2.Chemical 3.Nuclear 4.Electrical 5.Magnetic 6.Domestic or 7.Mechanical. In case of Medico-legal practice, the most common are chemical whereas less common are mechanical. Terrorist bombings some times involves dual explosions.
  • 5. CLASSIFICATION OF EXPLOSIVES:- Can be done – by velocity propagation 1.High order explosives 2.Low order explosives - by sensitivity a)primary b)secondary c)tertiary explosives
  • 6. • A low order explosives burns in a matter of milliseconds & generates a pressure of about 6000 atm. Where as, high explosives rises the pressure upto 2,75,000 atm. • A low order explosive functions by deflagration. • A high order explosive functions by detonation.
  • 7. BLAST WAVE:- Dynamic over pressure. Causes extensive damage to air filled organs. It has 3 different phases- 1.Positive phase pressure 2.Negative phase pressure 3.Blast wind Injuries are mainly due to intial shock wave, but they are aggravated based on phases. Intensity of an explosion declines as the cube root of distance from an explosion
  • 8. Blasts Air blasts Under water blasts Solid blasts SEP 3 2009 BELL430 APRIL17 2004 CESSANA 180 DGCA
  • 9. CLASSIFICATION OF EXPLOSIVE INJURIES:- 1.Primary blast injuries 2.Secondary blast injuries 3.Tertiary blast injuries 4. Miscellaneous /Quaternary blast injuries Primary blast injuries:- -caused by direct effect of blast over pressure. -injuries are due to compressed air which tends to effect the air filled organs
  • 10. • Secondary blast injuries:- Are due to flying objects generated by the actual blast. • Tertiary blast injuries:- Occurs when victims are thrown into air & strike to other objects
  • 11. • Miscellaneous/ Quaternary injuries:- -Injuries due to fire or collapse of buildings. -Causes traumatic asphyxia & crush injuries. Case Investigation PENTTBOM;FBI NIST NEW YORK SEP 11;2001
  • 12. DISTRUPTIVE EFFECTS:- • In immediate vicinity of explosion, the victims body would be blown into pieces & some parts of the body may be scattered over wide areas. • When at a little distance away from the explosion, the injuries may be limited to the blowing off the head or a limb or mangling of a localized area.
  • 13. Assassination of former prime minister Case investigated by CBI.SIT. Assassinator-Dhanu TrailunderTADAAct.
  • 14. CAUSES OF DEATH:- Pulmonary barotrauma {Blast Lung} is the most common fatal primary blast injury.It includes conditions like pulmonary contusion, systemic air embolism & free radical associated injuries. ARDS- may be the result of direct lung injury during explosion / shock from other organ system damage. Falling derbis or due to haemorrhage Burns Crush syndrome Traumatic asphyxia due to inhalation Of combustion products Delayed causes like septicaemia
  • 15. MEDICO LEGAL IMPORTANCE:- Accidental- {domestic LPG/pressure cookers} Suicidal :- in case of suicidal bombers JUNE 27 2014
  • 16. Homicidal:-terrorist activities, passenger air craft explosions. Operationblacktornado 26-29/Nov/2008 Mumbai terror attacks 25 Aug 2007 Hyd {NECB}
  • 17. Identification of dead assumes greater importance in mass disasters Blood tests for carboxyhaemoglobin, cyanides & phosphorous may be necessary in closed space exposure or fire related blasts Radiological examination is also important in evaluating cause of death. Histopathology may help to detect ARDS,pulmonary contusion or renal failure resulting from crush syndrome Explosive residues are to be collected for subsequent examination by expert in field of explosives
  • 18. REFERENCES:- • Anil Aggarwal Text book of Forensic Medicine & Toxicology • V. V. Pillay Text book of Forensic Medicine & Toxicology • K. S. Narayan Reddy The synopsis of Forensic Medicine & Toxicology • Wikipedia.in.org • Timesofindia.org/clipings