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Blast injuries in children: a mixed-methods narrative review.

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Title: Blast injuries in children: a mixed-methods narrative review.
Authors: Milwood Hargrave, J
Pearce, P
Mayhew, E
Bull, A
Taylor, S
Item Type: Journal Article
Abstract: Background and significance. Blast injuries arising from high explosive weaponry is common 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 paediatric population. Understanding blast injury patterns in this cohort is essential for providing appropriate provision of services and care for this vulnerable cohort. Methods. In this mixed-method review, original papers were screened for data pertaining to paediatric injuries following blasts. Information on demographics, morbidity and mortality and service requirements were evaluated. The papers were written and published in English from a range of international specialists in the field. Patient and public involvement statement: No patients or members of the public were involved in this review. Results. Children affected by blast injuries are predominantly male and their injuries arise from explosive remnants of war, particularly unexploded ordinance. Blasts show increased morbidity and mortality in younger children, while older children have injury patterns similar to 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 disproportionate requirement for both operative and non-operative service resources, and provisions for this burden are essential. Conclusions. Certain characteristics of paediatric injuries arising from blasts are distinct from that of the adult cohort, while the intensive demands on services highlights the importance of understanding the diverse injury patterns in order to optimise future service provisions in caring for this the child blast survivor.
Date of Acceptance: 8-Aug-2019
URI: http://hdl.handle.net/10044/1/72789
DOI: 10.1136/bmjpo-2019-000452
ISSN: 2399-9772
Publisher: BMJ Publishing Group
Journal / Book Title: BMJ Paediatrics Open
Volume: 3
Issue: 1
Copyright Statement: © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Publication Status: Published online
Article Number: e000452
Online Publication Date: 2019-09-03
Appears in Collections:Bioengineering
Faculty of Engineering