Comparison of numerical calculations and ALOHA modeling in consequence assessment of chlorine gas emissions from ethylene dichloride reactors

Incidents involving chemical storage tanks in the petrochemical industry are significant events with severe consequences. Within the petrochemical industry, EDC is a sector that produces ethylene dichloride through the reaction of chlorine and ethylene. The present research was conducted to evaluate the consequences of chlorine gas released from the EDC reactor in a petrochemical industry in southern Iran. Data regarding reactor specifications were obtained from the factory's technical office, while climatic data was acquired from the Meteorological Organization. The consequences of chlorine gas release from the reactor were assessed in four predefined scenarios using numerical calculation methods and modeling with the ALOHA software. The numerical calculation method involved thermodynamic fluid path analysis, discharge coefficient calculations, and wind speed impact analysis. The hazard radius was determined based on the ERPG1-2-3 index. Results showed that in the scenario of chlorine gas release from EDC reactors, according to the ALOHA model, an increase in wind speed from 3 to 7 m/h led to an expanded dispersion radius. At a radius of 700 m from the reactor, the maximum outdoor concentration reached 3.12 ppm, decreasing to 2.27 ppm at 800 m and further to 1.53 ppm at 1000 m. The comparison of numerical calculations and modeling using the ALOHA software indicates the desirable conformity of the results with each other. The R2 coefficient for evaluating the conformity of the results was 0.9964, indicating the desired efficiency of the model in evaluating the consequences of the release of toxic gasses from the EDC tank. The results of this research can be useful in designing the site and emergency response plan.

A systematic review of otologic injuries sustained in civilian terrorist explosions

PURPOSE

Determine the prevalence of otological symptoms and tympanic membrane perforation, healing rates of tympanic membrane perforation with surgical and conservative management, and hearing function in civilian victims of terrorist explosions.

METHODS

A systematic review was conducted with searches on Medline, Embase, EMCare and CINAHL for publications between the 1st January 1945 and 26th May 2023. Studies with quantitative data addressing our aims were included. This review is registered with PROSPERO: CRD42020166768. Among 2611 studies screened, 18 studies comprising prospective and retrospective cohort studies were included.

RESULTS

The percentage of eardrums perforated in patients admitted to hospital, under ENT follow up and attending the emergency department is 69.0% (CI 55.5-80.5%), 38.7% (CI 19.0-63.0%, I2 0.715%) and 21.0% (CI 11.9-34.3%, I2 0.718%) respectively. Perforated eardrums heal spontaneously in 62.9% (CI 50.4-73.8%, I2 0.687%) of cases and in 88.8% (CI 75.9-96.3%, I2 0.500%) of cases after surgery. Common symptoms present within one month of bombings are tinnitus 84.7% (CI 70.0-92.9%, I2 0.506%), hearing loss 83.0% (CI 64.5-92.9%, I2 0.505%) and ear fullness 59.7% (CI 13.4-93.4%, I2 0.719). Symptomatic status between one and six months commonly include no symptoms 57.5% (CI 46.0-68.3%), hearing loss 35.4% (CI 21.8-51.8%, I2 0.673%) and tinnitus 15.6% (CI 4.9-40.0%, I2 0.500%). Within one month of bombings, the most common hearing abnormality is sensorineural hearing loss affecting 26.9% (CI 16.9-40.1%, I2 0.689%) of ears 43.5% (CI 33.4-54.2%, I2 0.500) of people.

CONCLUSION

Tympanic membrane perforation, subjective hearing loss, tinnitus, ear fullness and sensorineural hearing loss are common sequelae of civilian terrorist explosions.

From celebration to contamination: Analysing microplastics released by burst balloons

Air balloons are a ubiquitous presence in our daily lives, and their rupture may release a substantial quantity of debris, as investigated herein. We employ Raman imaging to capture the fragments resulting from balloon explosions, enabling the identification and direct visualisation of minute microplastic particles / fragments with an improved signal-to-noise ratio for precise quantification. To circumvent the generation of misleading confocal Raman images, we recommend employing terrain mapping to scan the three-dimensional surface of the sample. It is important to acknowledge that the analysis of microplastics at the micro-scale inherently poses limitations in terms of throughput, as it necessitates a trade-off between low and high magnifications. We conduct explosive experiments on ten-to-hundred balloons, collecting debris from various angles and positions. Our investigation involves the random testing of multiple samples / sample positions at the micro-scale, with subsequent extrapolation to estimate the total amount of microplastics. The amalgamation of these results through statistical analysis indicates that each balloon explosion can potentially release tens-to-thousands of microplastics, highlighting a concern that has hitherto received insufficient attention. The characterisation approach, particularly the random Raman scanning method in combination with SEM and the statistical analysis on accumulated samples employed in this report, has the potential to serve as a useful tool in future research on microplastics and even nanoplastics.

Fuzzy multi-criteria decision-making framework for controlling methane explosions in coal mines

The structure of underground coal mines is vulnerable to many mishaps because of the challenging conditions of production and the unique features of the earth. These incidents could cause significant financial and production losses for the mines in addition to worker injury, disability, or death. In coal mines, methane explosions are a frequent threat. Establishing a safe work environment requires managing these problems with an accident control method. The current study used the fuzzy TOPSIS and fuzzy AHP techniques for this aim. The framework was used to tackle the four-alternative problem of underground coal mine explosion control method selection. To identify potential risks of a methane explosion, a data gathering survey was conducted as part of the suggested hybrid methodology. The fuzzy AHP was used to compute the fuzzy weights of the hazards. "Improper ventilation system" is ranked highest out of the 34 sub-risk factors. The fuzzy TOPSIS was then utilized to rank the explosion control methods using the weights. To assess the viability of the study's conclusions, a sensitivity analysis was carried out. The findings indicate that "improving safety technology" and "financial investments" are the best ways to reduce such events. The results additionally indicate that the fuzzy TOPSIS approach in combination with the fuzzy AHP provides a helpful framework for dynamically assessing mine methane explosion accidents.

The risk of eating disorders following the August 4th, 2020 explosion in Beirut and its relationship with trauma exposure and PTSD symptoms

INTRODUCTION

To date, no study has demonstrated the link between the diagnosis of provisional PTSD and ED in people exposed to the explosion of August 4th, 2020.

METHODS

Online participants were classified into 4 categories according to the degree of exposure to the explosion (unexposed, slightly exposed, moderately exposed, and severely exposed). The screening for ED was done using the standardized SCOFF questionnaire and the screening for provisional PTSD using the standardized IES-R questionnaire.

RESULTS

Our sample included 703 participants. In the bivariate analysis, there was a trend for an association between degree of exposure to the explosion and the risk of development of an ED (p = 0.055). The independent variables included in the multivariate analysis that were statistically associated with a risk of developing eating disorders are secondary school as the highest level of education (p = 0.029; OR = 2.15) and the risk of PTSD (p = 0.041; OR = 2.05) according to IES-R, specifically hyperarousal (p = 0.028; OR = 1.07) as a symptom cluster. Provisional PTSD played a mediating role, creating a partial and indirect relationship between the degree of exposure to the explosion and the risk of developing ED with a β coefficient of 0.075 (p < 0.001) CONCLUSION: The risk of PTSD according to IES-R was found to be a determinant of a higher risk of developing ED among participants exposed to the explosion in addition to mediating between the effect of exposure severity and the risk of ED. It is essential to fully assess and manage PTSD symptoms and ED patients exposed to such a psychological trauma.

Gastric Explosion While Using Electric Cautery During Gastrojejunostomy: A Case Report

Gastrointestinal gases become combustible when several gases reach a certain concentration. This occurs in situations where the gastrointestinal tract is obstructed for a certain amount of time. Hence, we present this case of a gastric explosion in a patient while performing a gastrojejunostomy. The reason underlying this combustion involved concomitant chronic pyloric stenosis. Operative procedures should include this information to enhance the safety of the patient and the surgical team.

E-cigarette explosions: patient profiles, injury patterns, clinical management, and outcome

Background

E-cigarette abuse, also known as vaping, is a widespread habit. Recently, there have been increasing reports of explosions of these devices resulting in serious burn injuries, especially to the groin, hand, and face. Overheating rechargeable lithium-ion batteries are supposed to be the responsible mechanism, especially in low quality fabrications.

Methods

In this single-center retrospective study, data of 46 patients are presented and analyzed. In addition to information on demographics, injury patterns, and treatment options, this is the first study investigating outcome after an average of 13 months via a standardized telephone interview of 31 patients (67%). Patients were specifically asked regarding their outcome, vaping habits, technical modifications to their devices and supply source.

Results

Patients were mainly male (98.2%) with a median age of 36 years. Typical injury patterns included the groin region (n = 32; 69%), hands (n = 12; 25%) and face (n = 3; 7%). All patients underwent debridement, in nine cases hydrotherapeutically. 61% (n = 28) underwent consecutive tangential necrectomy and subsequent split thickness skin graft transplantation. Wound infection was observed in 18 patients (39%), with burn depth as a significant risk factor (p < 0.001). 91% of the followed-up patients were satisfied. Surprisingly, 38% were still using e-cigarettes. 42% (n = 13) reported manual modifications of their devices to prolong battery life or increasing smoke production.

Conclusions

Injuries from exploding e-cigarettes can be serious and should be treated in a specialized burn center. E-cigarette explosions lead to characteristic injury patterns and often need surgical treatment. This should be made more public to reduce their use and keep people from modifying the devices. The counterintuitive and irrational observation of a high rate of abuse even after the injury underlines their addiction potential.

High risk and low prevalence diseases: Blast injuries

INTRODUCTION

Blast injury is a unique condition that carries a high rate of morbidity and mortality, often with mixed penetrating and blunt injuries.

OBJECTIVE

This review highlights the pearls and pitfalls of blast injuries, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence.

DISCUSSION

Explosions may impact multiple organ systems through several mechanisms. Patients with suspected blast injury and multisystem trauma require a systematic evaluation and resuscitation, as well as investigation for injuries specific to blast injuries. Blast injuries most commonly affect air-filled organs but can also result in severe cardiac and brain injury. Understanding blast injury patterns and presentations is essential to avoid misdiagnosis and balance treatment of competing interests of patients with polytrauma. Management of blast victims can also be further complicated by burns, crush injury, resource limitation, and wound infection. Given the significant morbidity and mortality associated with blast injury, identification of various injury patterns and appropriate management are essential.

CONCLUSIONS

An understanding of blast injuries can assist emergency clinicians in diagnosing and managing this potentially deadly disease.

Сhanges of trace elements in the cerebellum and their influence on the rats behavior in elevated plus maze in the acute period of mild blast-induced brain injury

BACKGROUND

In connection with the widespread use of explosive devices in military conflicts, in particular in Ukraine, is relevant to detect the biometals changes in the cerebellum and determine the presence of their influence on the behavior changes of rats in the elevated plus maze in the acute period of a mild blast-traumatic brain injury (bTBI).

METHODS

The selected rats were randomly divided into 3 groups: Group I - Experimental with bTBI (with an excess pressure of 26-36 kPa), Group II - Sham and Group III - Intact. Behavior studies was in the elevated plus maze. Brain spectral analysis was with using of energy dispersive X-ray fluorescence analysis, after obtaining the quantitative mass fractions of biometals, the ratios of Cu/Fe, Cu/Zn, Zn/Fe were calculated and the data between the three groups were compared.

RESULTS

The results showed an increase in mobility in the experimental rats, which indicates functional disorders of the cerebellum in the form of maladaptation in space. Changes in cognitive activity also is an evidence of cerebellum suppression, which is indicated by changes in vertical locomotor activity. Grooming time was shortened. We established a significant increase in Cu/Fe and Zn/Fe ratios in the cerebellum, a decrease in Cu/Zn.

CONCLUSIONS

Changes in the Cu/Fe, Cu/Zn, and Zn/Fe ratios in the cerebellum correlate with impaired locomotor and cognitive activity in rats in the acute posttraumatic period. Accumulation of Fe on the 1st and 3rd day leads to disturbance of the Cu and Zn balance on the 7th day and starts a "vicious cycle" of neuronal damage. Cu/Fe, Cu/Zn, and Zn/Fe imbalances are secondary factors in the pathogenesis of brain damage as a result of primary bTBI.

Anxiety, depression and post-traumatic stress disorder in patients on hemodialysis in the setting of the pandemic, inflation, and the Beirut blast: a cross-sectional study

BACKGROUND

In 2020, Lebanon has witnessed its worst economic crisis, exacerbated by the COVID-19 pandemic and a massive explosion of its capital. Amidst these stressors, this study aims at assessing the prevalence of depression, anxiety, suicidality, post-traumatic stress disorder (PTSD) and cognitive impairment in patients undergoing hemodialysis in an academic hospital destroyed by the explosion.

METHODS

This cross-sectional study conducted 6 months after the blast included adults on hemodialysis, with no previous diagnoses of dementia or intellectual disability. It explores prevalence rates of psychiatric disorders, in addition to other medical and psychosocial variables such as frailty, malnutrition, sarcopenia, quality of life and religiosity.

RESULTS

Forty two patients (mean age 66.1; SD: 11.2 years) undergoing hemodialysis for 6.12 years (SD:7.22 years) were included. Anxiety and depression rates reached 54.8% and 57.1% using cut-offs of 6 and 7 respectively on the Hospital Anxiety and Depression rating Scale. 9.5% of the patients reported being in the hospital at the time of the blast and 7.1% reported being injured. 33.3% screened positively for PTSD using a cut-off of 23 on the PCL-5. 26.2% had passive death wishes and 7.1% had suicide plans, however no one had attempted it. 23.8% were found cognitively impaired as shown by the Mini-Cog (<3). Around two-third of participants were moderately to severely malnourished per the GLIM criteria. One third suffered from frailty, according to the FRAIL screening tool. Around 60% suffered from sarcopenia, based on handgrip strength measures. These findings contrast with "acceptable to good" quality of life subjectively reported by participants on the Short Form 36 (SF-36) Health Survey. While one-third of participants participated in organizational religious activities, 88% reported significant subjective meaning of religion in their heart.

CONCLUSIONS

Rates of depression, anxiety, PTSD, suicidality, and cognitive impairment were found to be alarming in the setting of an urban dialysis unit following a major explosion. Psychiatric disorders were found to be compounded with increased prevalence of malnutrition, frailty, and sarcopenia. These findings urge healthcare providers to implement early diagnostic and intervention strategies to improve both mental and physical wellbeing of this vulnerable population, in similar settings.

Beirut massive blast explosion: A unique injury pattern of the wounded population

INTRODUCTION

On August 4, 2020, a massive explosion of a warehouse holding 2,700 metric tons of ammonium nitrate took place in the port of Beirut, Lebanon. This incident, which is considered as one of the largest industrial disasters lead to the death of at least 220 people and more than 6000 injuries. Hospitals near the blast were damaged significantly which made it difficult to treat injured patients. The objective of this study is to report the epidemiology and characteristics of the injuries and their initial management that could be useful for healthcare workers and policymakers in case of a similar massive accident in the future.

MATERIALS AND METHODS

A retrospective study was conducted. All charts of patients admitted to the emergency room and outpatient clinics on the day of the blast and during the following 2 weeks were thoroughly reviewed. Due to initial chaos during triage, direct phone contact with patients was utilized in certain situations to confirm their identity or for further information. All acute injuries were recorded based on the region, severity, degree of emergency, initial and later management, type of injured organs, and surgical procedures.

RESULTS

A total of 159 patients presented to our facility. 153 patients presented to the ER on the same day of the blast. The mean age was 47.07 years and around 60% of the patients were males (n = 93). Most of the patients presented either from zone 1 (n = 67, 42%) or zone 3 (n = 68, 43%). The majority of injuries were secondary injuries due to glass (n = 131, 82.3%), with the head (34%) and upper extremities (31.2%) being most commonly affected. A total of 94 patients (62.6%) underwent a type of imaging and 64 patients (40.2%) had at least one surgery performed during their hospitalization in which 71% of the surgeries being related to the limbs.

CONCLUSION

This study demonstrated a unique injury pattern due to this type of blast. Injuries were mostly due to glass shrapnel. Contrary to bomb blasts, most injuries were located in the head and upper extremities rather than on the lower extremities.

Total Reconstruction of Lower Lip and Chin Following Firework Injury Using Composite Bilateral Radial Forearm-Fascia Lata Flaps: A Case Report

Background

Primary explosion injuries with fireworks can lead to devastating and geometrically complex facial traumas that present a challenge to the reconstructive surgeon. Our patient, a woman in her early thirties, was hit directly in her chin by a large artillery shell firework. This caused complete soft tissue loss of the lower lip and chin beyond the oral commissures, complicated further by a comminuted mandible fracture.

Methods

After external fixation, our patient underwent a 2-stage reconstruction with a novel composite flap arrangement. Soft tissue coverage and lip reconstruction were performed with opposing bilateral radial forearm free flaps. The outer flap constituted the soft tissue of the new chin and outer lower lip, whereas the inner flap composed the intraoral lining. In the second stage, portions of the inner upper lip mucosa and superior orbicularis oris muscle were flipped down as a bipedicle, axial pattern "bucket-handle" type flap to the lower lip to reconstruct the vermilion. A graft of fascia lata was attached to the modioli of the orbicularis oris and interpositioned beneath the vermilion flap and the radial forearms to restore static and some dynamic sphincter control. One month later, the mandibular fractures underwent open reduction and internal fixation.

Results

Two months after soft tissue reconstruction with no complications, our patient had satisfactory aesthetic outcomes, oral competence, and speech.

Conclusions

This case has shown that use of bilateral, fascia lata-reinforced radial forearm flaps may be an effective choice for soft tissue reconstruction and oral competence restoration in cases of severe facial explosion trauma.

Combustible wood dust explosions and impacts on environments and health - A review

Wood dust is the major wastes from timber and wood-based panel processing, including wood sawing, sanding, chipping, flaking, etc., which easily causes fire and explosions. The fine wood dust had risks of inhaling the dust air, causing problems to the respiratory system of workers, as well as the explosive risk of the wood dust-air mixture. Wood dust explosions occur worldwide, which have caused massive damages to equipment, buildings, and environments, killed people, and threatened human health. This study was aimed at exploring the causes, affecting factors, mechanisms, models of wood dust explosions, and their environmental/health impacts through reviewing and analyzing the collected data in order to minimize wood dust explosion risks by improving of safety procedures in the wood processing industry. To better understood and prevent wood dust explosion cases in the future, this review collected the explosion reports and analyzed the accident information through the following aspects: 1) Summarization of published review articles regarding wood dust explosions in Introduction, 2) Scrutinization of wood dust explosion cases and design of testing device, 3) Exploration of effects of wood dust properties and surrounding conditions on explosion and their mechanisms, 4) Investigation of methods for reducing wood dust explosion risks, 5) Modeling and simulation of wood dust explosions, 6) Examination of environmental and health impacts of wood dust explosions. Finally, the findings in this review were summarized in Conclusions. By collecting dust explosion reports, reviewing literature, and analyzing the collected data, wood dust explosions can be better understood. The results of this study can be useful for the design of equipment and dust absorption systems, as well as further suggestion of safety improvement procedures to minimize or eliminate risks of wood dust-related fire and explosion in the wood processing industry and mitigate its impacts on environments and health.

Analysis of 983 civilian blast and ballistic casualties and the generation of a template of injury burden: An observational study

BACKGROUND

Terrorism and armed conflict cause blast and ballistic casualties that are unusual in civilian practice. The immediate surgical response to mass casualty events, with civilians injured by these mechanisms, has not been systematically characterised. Standardising an approach to reacting to these events is challenging but is essential to optimise preparation for them. We aimed to quantify and assesses the surgical response to blast and ballistic injuries managed in a world-class trauma unit paradigm.

METHODS

This was an observational study conducted at the UK-led military Medical Treatment Facility, Camp Bastion, Afghanistan from original theatre log-book entries between Nov 5, 2009, and Sept 21, 2014; a total of 10,891 consecutive surgical cases prospectively gathered by surgical teams were catalogued. Patients with combatant status/wearing body-armour to various degrees including interpreters were excluded from the study. Civilian casualties that underwent primary trauma surgery for blast and ballistic injuries were included (n=983). Surgical activity was analysed as a rate per 100 casualties, and patients were grouped according to adult vs. paediatric and ballistic vs. blast injury mechanisms to aid comparison.

FINDINGS

The three most common surgical procedures for civilian blast injuries were debridement, amputation, and laparotomy. For civilian ballistic injuries, these were debridement, laparotomy and vascular procedures. Blast injuries generated more amputations in both adults and children compared to ballistic injuries. Blast injuries generated more removal of fragmentation material compared to ballistics injuries amongst adult casualties. Ballistic injuries lead to more chest drain insertions in adults. As a rate per 100 casualties, adults injured by blast underwent significantly more debridement (63·5); temporary skeletal stabilisation (13·2) and vascular procedures (12·8) compared to children (43·4, z=4·026, p=0·00007; 5·7, z=2·230, p=0·022; 4·9, z=2·468, p=0·014). Adults injured by ballistics underwent significantly more debridement (63·4); chest drain (12·3) and temporary skeletal fixation procedures (11·4) compared to children (50·0, z=2·058, p=0.040, p<0·05; 2·9, z=2·283, p=0.0230; 2·9, z=2·131, p=0.034 respectively). By comparison, children injured by ballistics underwent significantly more removal of fragmentation and ballistic materials (20·6) when compared to adults (7·7, z=-3·234; p=0.001).

INTERPRETATION

This is the first evidence-based, template of the immediate response required to manage civilians injured by blast and ballistic mechanisms. The template presented can be applied to similar conflict zones and to prepare for terror attacks on urban populations.

FUNDING

The work was supported in part by a grant to LM from School of Medicine, University of St Andrews.

Acoustic characterisation of unexploded ordnance disposal in the North Sea using high order detonations

Results are presented of acoustic measurements made during the disposal of 54 items of unexploded ordnance (UXO) in the North Sea during the pre-construction phase of two offshore windfarms. The disposals were conducted using high-order controlled detonation of donor charges placed on the seabed adjacent to the UXOs. The total charge masses ranged from 2.5 kg to 295 kg TNT equivalent, and acoustic measurements were made at ranges of 1.5 km to 58 km from the UXO. High-order detonations can present a risk of injury or death to marine mammals and other fauna from the high sound levels produced, and these results represent the largest data set of acoustic measurements ever assembled for publication. Acoustic measurements were also made on small scare charges, used as mitigation. The sound pressure pulses are presented with their spectra, and the levels of peak sound pressure and sound exposure are presented as a function of range from the source. Measured levels are compared to data from a shallow-water propagation model, and to widely-adopted exposure level thresholds used for marine mammals, illustrating the potential for injury at distances of several kilometres.

Forensic view on two Raspberry Shake burglargrams

A steadily increasing number of citizen seismological stations, often located in populated areas, record a plethora of man-made events. These events are especially of interest, when they are caused by criminal activity or man-made explosions. On 4 December 2021, during an attempted robbery of an automated teller machine (ATM) in Bonn-Röttgen, Germany, the burglars used explosions. The seismic effects of the explosions were recorded with a Raspberry Shake (RS) station at a distance of 580 m from the site. While working on the analysis of this signal, another attack on an ATM on 23 February 2022 in Kürten-Dürscheid was recorded by another RS station, this time at 830-m distance with an instrument that also included an air pressure channel. The seismic signatures of both events indicate similar procedures in both cases whereby a larger explosion was quickly followed a smaller explosion after 21 s and 49 s, respectively. An estimate of the charge weight of the explosions shows that ratios of the strength of the first to second explosion were 21:1 and 9.4:1 in the Röttgen and Dürscheid attacks, respectively.

Anxiety, depression and PTSD in children and adolescents following the Beirut port explosion

BACKGROUND

On August 4, 2020, Beirut's port experienced one of the strongest non-nuclear explosions in history, killing approximately 200 people, displacing 300,000 persons, and injuring more than 1000 children.

METHODS

An online anonymous survey assessed the prevalence of probable mental health disorders (MHDs) and impact of blast-related and other factors controlling for sociodemographics in 801 children aged 8 to 17 years old.

RESULTS

About two thirds (64%) were screened positive for probable anxiety using the Screen for Childhood Anxiety Related Disorder, 52% for probable PTSD using CRIES-13, and 33% for probable depression using the Mood and Feelings Questionnaire (MFQ). Children who resided farthest way from the explosion site or were not in Beirut during blast had a significantly lower odds of anxiety and PTSD. Children who sustained any physical injury (vs. none) or witnessed casualties (vs. not) were at higher odds for PTSD. Children of parents who reported that their homes sustained minor damages (vs. no damages at all) were at higher odds for anxiety and PTSD, and temporary displacement (vs. none) increased odds of PTSD only. Poorer perceived economic status, poorer academic performance, having a family member injured in the blast, and prior mental health care seeking were associated with higher odds for all MHDs.

CONCLUSION

Our study, the only one to document the mental health impact of the Beirut Port explosion on children, highlights the critical need for an emergency mental health response, prioritizing disadvantaged communities and children with prior mental health problems.

Explosion fatalities in Sweden, 2000-2018

Epidemiological aspects of explosion-related deaths in a civilian setting may bring comprehensive knowledge that is important for prevention efforts. This Swedish national study aimed to describe the extent of such deaths, circumstances and fatal injuries. Data, including all explosion-related deaths in Sweden from 2000 through 2018, were retrieved from the register of the National Board of Forensic Medicine. Among all 87 cases found, accidental deaths accounted for 62%, suicides for 21%, homicides for 7% and undetermined manner of death for the remaining 10% of cases. Most victims died on site. Adult males dominated in the study material, but explosions also killed four children. Explosives were most commonly involved in occupational blast deaths, suicides and homicides, followed by flammable gases and fluids. The incidence showed a significant decrease since the 1980s, based on the incidence rate from this study and a previous Swedish study (1979-1984). As already rare occurrences, blast-related deaths are challenging to prevent. Prevention efforts are needed to restrict the availability of explosives and focus on lowering the occupational risk for injury. In addition, child deaths must not be neglected. A vision of no fatalities is an appropriate goal for acting against explosion-related deaths in a civilian setting.

Physico-chemical characteristics of pulverized coals and their interrelations-a spontaneous combustion and explosion perspective

Characteristics of pulverized coals have significant influence on the spontaneous combustion and explosion processes. This paper presents an experimental and theoretical framework on physico-chemical characteristics of coal and their interrelations from spontaneous combustion and explosion perspectives. The chemical properties, morphology, bulk density, particle size, and specific surface area of pulverized coals from nine different coal subsidiaries of India are vividly investigated in five distinct sizes. Moreover, the effects of particle size on bulk density, specific surface area, and N₂ adsorption capacity of pulverized coals are critically analyzed. With decrease in particle size, the bulk density of pulverized coals decreased, and the specific surface area and N₂ adsorption capacity increased. The relationships of bulk density and specific surface area of pulverized coals with particle size are established. Moreover, the specific surface areas determined by both the particle sizing and BET methods are compared, and correlation factors between them are determined. This study generated insightful coal characteristic data, which can be useful for furthering research on spontaneous combustion and explosion involving pulverized coals.

Assessing the Impacts of Dry Blasting on Fish Eggs in Adjacent Spawning Habitat

Blasting used in construction of waterborne infrastructure may impact fish eggs in adjacent spawning habitats through introduction of mechanical vibrations as peak particle velocities (PPV). However, there are limited studies applying risk-based approaches to evaluate and mitigate these impacts. A navigation improvement project in the Soo Locks near the St. Marys Rapids provided an opportunity to evaluate existing data to inform blasting risks to fish eggs. To assess this risk, existing data were used to calculate species sensitivity distributions that were used to estimate a hazardous concentration for 5% of the salmon and trout species evaluated (HC5) and predicted no effect concentrations (PNEC). The HC5 ranged from 14.0 to 89.2 cm/s PPV, and the 'safe level' PNEC thresholds ranged from 2.8 to 17.8 cm/s PPV. This study provides a demonstration of how a risk-based approach can be effectively used to assess and manage dry blasting effects on underwater biota.

Blast injury of the finger caused by mobile battery explosion: A case report

Lithium-ion batteries can cause several types of injuries upon explosion due to misfire. We report a case in which a mobile battery explosion resulted in high-pressure injection of metal debris into a small entry point on the skin creating puncture wounds on a patient's index finger, necessitating surgical intervention for massive debridement. A healthy 45-year-old, right-hand-dominant woman presented to the emergency department 4 h after a mobile battery had exploded in her left hand, causing burns to the left index finger. The battery had exploded due to misfire because the patient had accidentally hit it with a hammer. Radiographs of the index finger demonstrated foreign material extending from the fingertip to the ulnar proximal phalanx along the flexor tendon sheath, which was consistent with a high-pressure injection injury. She underwent semiurgent incision, irrigation, and debridement of the left index finger the day after the injury. The wound healed uneventfully within a month. At the 6-month follow-up, the palm-to-tip distance was 1 cm, and sensation at the tip was recovered. Compositional analysis of the debris revealed that the two major elements were aluminum and nickel (both less than 10%); lithium constituted less than 1% of the debris, a level deemed safe in humans. The protocol of semiurgent incision, irrigation, and debridement was safe and effective in the treatment of the injection injury caused by the mobile battery explosion.

Specific Process Conditions for Non-Hazardous Classification of Hydrogen Handling Facilities

Hazardous area classification design is required to reduce the explosion risk in process plants. Among the international design guidelines, only IEC 60079-10-1 proposes a new type of zone, namely zone 2 NE, to prevent explosion hazards. We studied how to meet the zone 2 NE grade for a facility handling hydrogen gas, which is considered as most dangerous among explosive gases. Zone 2 NE can be achieved considering the grade of release, as well as the availability and effectiveness of ventilation, which are factors indicative of the facility condition and its surroundings. In the present study, we demonstrate that zone 2 NE can be achieved when the degree of ventilation is high by accessing temperature, pressure, and size of leak hole. The release characteristic can be derived by substituting the process condition of the hydrogen gas facility. The equations are summarized considering relation of the operating temperature, operating pressure, and size of leak hole. Through this relationship, the non-hazardous condition can be realized from the perspective of inherent safety by the combination of each parameter before the initial design of the hydrogen gas facility.

A comprehensive numerical design of firefighting systems for onshore petroleum installations

Petroleum facilities containing welded steel bulk flammable liquid product storage tanks possess sundry fire hazards inherent to the facility. These installations urgently require indigenous efficient firefighting systems. So, the efficient design of firewater and firefighting foam system is dynamic in controlling fire-related emergencies. The paper deals with the in-depth conceptualization of the design and analysis of firefighting systems for a typical petroleum handling, processing and storage facility in compliance with international standards. The study is aimed to formulate the elementary technique for designing an optimized firefighting system. The proposed objective was achieved by considering an ideal tank farm site that is most commonly located in a range of terminal stations, pumping stations, petroleum refineries, well sites, etc. Sufficient illumination was enumerated on the standardized classification of the liquid fuel product with respect their flammability range. Special guidelines regarding firefighting system design basis were defined and an optimized firefighting and foam system design was developed. Moreover, sufficient limitations that must be considered during the firefighting of huge tank fires are discussed. This comprehensive numerical design philosophy offers a simple and wide-ranging guide to industrial practitioners by formulating the principles for industrial firefighting system design.

An autopsy case of death due to AC compressor blast - A rare case illustrating primary, secondary, tertiary & quaternary blast injuries

Blast injuries seen in various accidents involving pressurized containers like gas cylinders, tires, et cetera, and acts of terrorism. The associated factors can vary from poor handling of equipment to inadequate safety precautions. These injuries include a variety of injuries, such as, injuries due to shock wave, burns, fractures, et cetera, involving multi-organ systems, especially lungs and hollow organs, due to the high-pressurized shock wave. The presented case is of the death of a 24-years-old male as a result of a blast of the compressor present in the AC outdoor unit during the filling of the gas. Here, the body showed injuries due to shock wave, secondary impact, tertiary impact because of fall on the ground, and quaternary injuries due to burns. The cause of death was Blast lung associated with Subarachnoid hemorrhage.

Medico-Legal Opinion Based on Autopsy Findings of a Victim of an Explosion Involving Mass Fatality

Introduction

Investigation into explosions is one of the major areas in forensic medicine and pathology. Medico legal issues associated with these deaths are diverse and forensic experts are often expected to make clarifications. Assistance of a methodical scientific investigation of such a death in evaluation of unanswered medico legal issues, of an autopsy of one of the victims of Easter Sunday explosions is discussed.

Case history

The deceased was a 15-year-old girl who was participating in the Easter mass at St. Sebastian's Church - Kattuwapaitya, Negombo, Sri Lanka when a suicide bomber blew himself up. The mother of the deceased noticed the deceased being rushed to the hospital. However, she was pronounced dead on admission. Pre-autopsy radiology revealed spherical shrapnel in the temporal region. At autopsy, the fatal injury was found on the head and a detailed study revealed skull fractures associated with penetration by 3 shrapnels. There was a keyhole lesion among the penetrations. Internal examination revealed an extensive dural tear underlying the compound fracture. The brain was grossly edematous with lacerations on the frontal and parietal lobes associated with localized subarachnoid hemorrhage. There were multiple underlying contusions on bilateral frontal white matter. Small subarachnoid haemorrhage was noted on the basal aspect of the brain.

Discussion

Careful evaluation of the autopsy findings assisted in formulating the opinion scientifically on event reconstruction including the proximity of the victim to the epicenter of explosion and nature of explosive device, period of survival, mechanism of causation of skull fractures and the mechanism of death in addition to the cause of death.

Conclusion

A forensic pathologist following a meticulous autopsy examination, along with a team of ballistic experts and specially trained police personnel play a pivotal task in analyzing a scene of explosion and an autopsy of a victim, in concluding the case and in bringing justice to all the victims and survivors of the catastrophe.

Original experimental rat model of blast-induced mild traumatic brain injury: a pilot study

OBJECTIVE

Diagnosing blast-induced mild traumatic brain injury (mTBI) is difficult due to minimal imaging findings. This study aimed to establish a rat model of behavioral abnormality caused by blast-induced mTBI and detect new findings for therapeutic intervention.

METHODS

We used a bench-top blast wave generator with the blast wave exiting through a 20-mm I.D. nozzle aimed at the focused target. The blast wave was directed at the head of male Wistar rats under general anesthesia positioned prone 2.5 cm below the nozzle. Peak shock wave pressure was 646.2 ± 70.3 kPa.

RESULTS

After blast injury, mTBI rats did not show the findings of brain hemorrhage or contusion macroscopically and on hematoxylin-eosin-stained frozen sections but did show anorexia and weight loss in the early post-injury phase. Behavioral experiments revealed short-term memory impairment at 2 weeks and depression-like behavior at 2 and 6 weeks. Diffusion-weighted ex vivo MRI showed high-intensity areas in layers of the bilateral hippocampus. Immunohistochemical analysis revealed accumulation of reactive microglia and GFAP-positive astrocytes in the same region and loss of NeuN-positive neurons in the hippocampal pyramidal cell layer.

CONCLUSIONS

This model can reflect the pathophysiology of blast-induced mTBI and could potentially be used to develop therapeutic interventions in the future.

Three cases in Japan occurred by natural hazards and lessons for Natech disaster management

Due to recent climate change, highly-connected society, and the centralization of hazardous materials, Natech is a matter of the growing concern. As Natech disasters occur with low frequency, those in charge of facilities should learn lessons from past cases to prepare for situations in the future in which they may have to respond to a potentially catastrophic event for the first time. This paper describes three Natech cases triggered by the heavy rainfall in Japan in 2018. One resulted in violent explosions, one showed consequences half a year later, and the other managed to avoid a catastrophic situation by preparation based on prior analysis of possible damage. The lessons which can be learnt are as follows: Undertake measures based on the hazardous conditions of materials and possible reactions; Avoid normalcy bias for improved decision-making; Identify slow developing and lagging Natech consequences; Prepare and intensify safeguards to avoid possible damage based on risk analysis; Consider employees' safety in returning to their homes; Collect micro information and aggregate it; Provide current information about the situation to stakeholders; Plan resources required for recovery activities.

Characterization of the release of heated and pressurized water from a pressure cooker

Recently, self-heating consumer pressure cookers have found reinvigorated use with consumers wanting faster, more convenient, and healthier cooking. With the increased popularity, injury reports have also increased. Hazards associated with dispersion from pressurized vessels, although qualitatively understood through elementary scientific principles, have not been experimentally characterized in the literature, nor has the human ability to respond to a sudden dispersion of contents been directly reviewed. This study examined the consequence of volume and pressure on the dispersion of hot water from a typical 6 quart pressure cooker contacting a clothed user. This study found that both pressure and volume level influence the dispersion of contents after lid opening as well as the lid departure speed. Results also indicate that the speed of both the departing lid and the dispersing liquid occurred quicker than a bystander, within arm's reach, can consciously react to avoid or to shield themselves from the hot contents. The results confirmed analytical analyses found in the literature that a single layer cotton shirt (e.g., a t-shirt) saturated with water is more likely to trap hot liquid, increasing the likelihood of a more severe burn in that area due to prolonged skin contact.

Research on the technology of detection and risk assessment of fire areas in gangue hills

Coal gangue hills are prone to spontaneous combustion, thereby polluting the environment of mining areas such as the soil, groundwater, and atmosphere, and the frequent occurrence of gangue hill collapses, landslides, explosions, and other accidents can even endanger the lives and property of residents. To realize the safety management of coal gangue spontaneous combustion and evaluate its present risks, this paper selects the Dongzhou Kiln gangue hill in Zuoyun County, Datong City, China, as the research object to conduct a risk assessment study. The Dongzhou gangue hill fire area is relatively large, with a total area of 183,039 m². Smoke emission commonly occurs at the site, and the surface temperature reaches 50 °C, while the CO concentration exceeds 10^-3. A radon detection scheme for concealed fire zones verified with borehole temperature measurements is applied. The high-temperature area is delineated with relevant data obtained by infrared thermal imaging, radon concentration, and borehole temperature detection technologies, and a coal gangue spontaneous combustion risk assessment method is established, while the gas toxicity and explosion risks of the construction area and fire trends are analyzed. The research results indicate that there are 6 likely high-temperature regions in the test area, 4 high-toxicity areas in the drilling construction area, 1 area with a high explosion risk, and 3 areas with a high risk of spontaneous combustion. Among these areas, platform 2 is a high-risk area and needs to be carefully considered. The construction of the entire area is at high risk, including toxicity, gas explosion, and spontaneous combustion risks, and measures must be implemented to reduce the overall risk.

Head and neck injuries after a bomb explosion: Diagnostic findings and treatment approaches

OBJECTIVE

To identify the types and severity of head, face and neck (HFN) injuries, which occurred as a result of a bomb explosion and reached serious life-threatening levels, using radiological imaging methods, and to discuss the options of treatment at the time of presentation.

METHODS

Of the 16 patients brought to the emergency department, 14 with HFN injuries were included in the study. Computed tomography (CT) and radiography scans were performed at the time of presentation in all patients, except for one. The injuries were divided into three groups according to their localization as head, face, and neck.

RESULTS

A subgaleal hematoma was seen in 10 of 11 (78.5%) patients with head injuries. Eight (57.1%) of nine patients with facial injury had fractures and/or ocular injury in the orbital wall, and seven (50%) patients had maxillofacial bone fractures. Among ocular trauma cases, open-globe injuries were detected in three patients (21.4%), closed-globe in two (14.2%), and both types in three (21.4%). Of the five (35.7%) patients with secondary blast injuries in the neck, three (21.4%) had laryngeal trauma (Zone 2) due to shrapnel, localized in the false vocal cord, epiglottis, and thyrohyoid membrane, respectively. Emergency surgery was performed on a patient with a specific laryngeal injury.

CONCLUSION

We consider that in patients presenting to the emergency department with blast HFN injuries, after providing airway patency and hemodynamic stability, CT and CT angiography should be performed because these modalities guide the treatment accurately and promptly.

Incidence, casualties and risk characteristics of civilian explosion blast injury in China: 2000-2017 data from the state Administration of Work Safety

BACKGROUND

Civilian explosion blast injury is more frequent in developing countries, including China. However, the incidence, casualties, and characteristics of such incidents in China are unknown.

METHODS

This is a retrospective analysis of the State Administration of Work Safety database. Incidents during a period from January 1, 2000 to April 30, 2017 were included in the analysis. The explosions were classified based on the number of deaths into extraordinarily major, major, serious and ordinary type. Descriptive statistics was used to analyze the incidence and characteristics of the explosions. Correlation analysis was performed to examine the potential correlations among various variables.

RESULTS

Data base search identified a total of 2098 explosions from 2000 to 2017, with 29,579 casualties: 15,788 deaths (53.4%), 12,637 injured (42.7%) and 1154 missing (3.9%). Majority of the explosions were serious type (65.4%). The number of deaths (39.5%) was also highest with the serious type (P = 0.006). The highest incidence was observed in the fourth quarter of the year (October to December), and at 9:00-11:00 am and 4:00-6:00 pm of the day. The explosions were most frequent in coal-producing provinces (Guizhou and Shanxi Province). Coal mine gas explosions resulted majority of the deaths (9620, 60.9%). The number of explosion accidents closely correlated with economic output (regional economy and national GDP growth rate) (r = - 0.372, P = 0.040; r = 0.629, P = 0.028).

CONCLUSIONS

The incidence and civilian casualties due to explosions remain unacceptabe in developing China. Measures that mitigate the risk factors are of urgently required.

Explosive property and combustion kinetics of grain dust with different particle sizes

The effect of particle size on the combustion and explosion properties of grain dust is investigated by Hartmann tube, cone calorimeter (CC), and thermogravimetry (TG), it aims to provide fundamental experimental data of grain dust for an in-depth study on its potential risk. The fine-grain dust facilitates the decrease in the minimum ignition temperature (MIT) of dust layer and dust cloud, as well as the obvious increases in the maximum explosion pressure P_max (climbs from 0.36 to 0.49 MPa) and pressure rising rate dP/dt (rises from 6.05 to 12.12 MPa s⁻¹), leading to the increases in maximum combustion rate (dw/dτ)_max and combustion characteristic index S, corresponding to the greater or severer potential risk. Because the E corresponding to combustion increases from 106.05 (sample with a particle size of 180–1250 μm) to 153.45 kJ mol⁻¹ for the sample of 80–96 μm, the combustion process gradually transforms from diffusion-controlled into a kinetically controlled mode with the decreasing particle size of grain dust, together with the retardation of initially transient charring. It determines that the competition between the charring and combustion dominates the decomposition, and the combustion prevails for the coarse particle, while the charring controls the combustion for the fine-grain dust.

Sequelae of Blast Events in Iraq and Afghanistan War Veterans using the Salisbury Blast Interview: A CENC Study

Objective: To comprehensively characterize blast exposure across the lifespan and relationship to TBI.Participants: Post-deployment veterans and service members (N = 287).Design: Prospective cohort recruitment.Main Measures: Salisbury Blast Interview (SBI).Results: 94.4% of participants reported at least one blast event, 75% reported a pressure gradient during a blast event. Participants reported an average of 337.7 (SD = 984.0) blast events (range 0-4857), 64.8% occurring during combat. Across participants, 19.7% reported experiencing a traumatic brain injury (TBI) during a blast event. Subjective ratings of blast characteristics (wind, debris, ground shaking, pressure, temperature, sound) were significantly higher when TBI was experienced and significantly lower when behind cover. Pressure had the strongest association with resulting TBI (AUC = 0.751). Pressure rating of 3 had the best sensitivity (.54)/specificity (.87) with TBI. Logistic regression demonstrated pressure, temperature and distance were the best predictors of TBI, and pressure was the best predictor of primary blast TBI.Conclusion: Results demonstrate the ubiquitous nature of blast events and provide insight into blast characteristics most associated with resulting TBI (pressure, temperature, distance). The SBI provides comprehensive characterization of blast events across the lifespan including the environment, protective factors, blast characteristics and estimates of distance and munition.

Blast injuries found on the exhumed remains of Polish postwar partisans killed by the Polish security service in 1946

Exhumed, badly decomposed human remains constitute very difficult research material. It requires a great deal of caution and critical judgment to analyze the nature of injuries, especially those resulting from an explosion. Scientific publications in the field of traumatology concerning injuries caused by the action of explosives mainly focus on the effects of contemporary terrorist or military activities. The results of this research regard mainly clinical medicine and the organization of healthcare. This article discusses the problems and solutions of determining the presence of injuries caused by explosions on badly decomposed human remains exhumed 70 years after death. To obtain optimal results in valuable injures estimation it is vital to apply efficient work methods i.e.: forensic team composed of experienced pathologist and anthropologist, archeological methodology and doubled examination and description of the remains (in the field and next in the autopsy room), detailed photographical documentation and protocol. The results of forensic examinations of the remains (58 fragments forming anatomical wholes), derived from not fewer than 30 individuals (MNI = 30), confirmed, despite the presence of severe taphonomic changes, the presence of injuries caused by an explosion. Forensic examination of the remains revealed a characteristic pattern of injuries resulting from the dismembering the bodies. We discovered typical traumatic amputation of the limbs, which corresponds to the aforementioned mechanism of injury. The findings confirm the thesis that in the area of the former Luftwaffe airport near Stary Grodków (Opole province, Poland), in September 1946, a group of Polish postwar partisans was liquidated.

Floor dust erosion during early stages of coal dust explosion development

An ignition of methane and air can generate enough air flow to raise mixtures of combustible coal and rock dust. The expanding high temperature combustion products ignite the suspended dust mixture and will continue to propagate following the available combustible fuel supply. If the concentration of the dispersed rock dust is sufficient, the flame will stop propagating. Large-scale explosion tests were conducted within the National Institute for Occupational Safety and Health (NIOSH) Lake Lynn Experimental Mine (LLEM) to measure the dynamic pressure history and the post-explosion dust scour depth. The aim of this effort is to provide quantitative data on depth of dust removal during the early stages of explosion development and its relationship to the depth of floor dust collected for assessing the incombustible content most likely to participate in the combustion process. This experimental work on dust removal on is not only important for coal mine safety but also for industrial dust explosions.

Investigations on the Staudinger explosion and its prevention

About 100 years ago, Hermann Staudinger discovered a series of "strange explosions" involving alkali metals and halocarbons, which were not only very violent, but they were also initiated by mechanical shocks. Later these explosions were referred to as "Staudinger explosions". However, most of the resulting investigations by Staudinger were lost during World War II. Over the last 100 years, these explosions have been used as classroom experiments, but they pose a significant threat in chemical laboratories when chlorinated solvents are inadvertently mixed with alkali metals. To date, no simple methods are known to desensitize such abnormally high impact-sensitive systems, so that resulting interventions are rare, but demand lots of time and effort to desensitize these systems. Due to the particular threat, it was investigated how such a high-energy system can be phlegmatized or desensitized. The admixture of an indifferent solvent, such as an alkane, has proven to be useful, which under favorable conditions leads to an increase in the impact energy required for the explosion by more than 300%, thus making the mixture manageable for application forces.

The diathermy scratch pad: A cheap and efficient tool for chemical and explosion-related burns

The burn center in our hospital is a national and regional (Southeast Asia) center. Of all admissions, 10% are related to blast explosions, and 8% due to chemical burns. In the acute burn management protocol of Singapore General Hospital, early surgical debridement is advocated for all acute partial-thickness burns. The aim of early surgical debridement is to remove all debris and unhealthy tissue, preventing wound infection and thereby expediting wound healing. In chemical burns, there can be stubborn eschars that are resistant to traditional debridement. We would like to present a novel technique using the diathermy scratch pad as a cheap and efficient tool for the dual purpose of surgical debridement and dermabrasion.

Identification of fragmentation mechanism and risk analysis due to explosion of cylindrical tank

This study presents a completely new methodology for fragmentation analysis due to the explosion of cylindrical tanks. The identification of fragments' kinematic parameters was accomplished with an exact system of differential equations of motion with good convergence and high accuracy of numerical results. The fluctuation effect of the aerodynamic force of the fragments on their range is interpreted by statistical distributions. The direction and intensity of the fragments' initial velocity are determined by the inertial model. An original probabilistic mass method is proposed to represent the discrete distribution of the number of generated fragments. The correlation between the number and mass of the fragments was established by Monte Carlo simulation. The estimation of the fracture lines was carried out by the tank stress mapping procedure using data from the ANSYS software. The identification of potential fracture lines with the knowledge of the number-to-mass dependence of the fragments allows a reliable estimate of the shape of the generated fragments. The estimated sectoral risk due to tank fragmentation is consistent with literary accident data. The presented methodology can be fully applied to the assessment of the risk of other types of tanks and process installations.

Lethal explosions in a non-terrorist civilian setting

A study was undertaken to investigate the range and nature of deaths that may result from explosions in a civilian population that has not been exposed to terrorist attacks or significant military activities. A search was conducted of autopsy files at Forensic Science SA, Adelaide, Australia, from July 2000 to June 2017 for all cases where death had been attributed to an explosion. Twenty cases were identified, consisting of 10 accidents, five suicides, two homicides, one murder-suicide with two decedents and one case where the manner of death was undetermined. Explosives were involved in nine deaths, petrol in seven and propane/butane/natural gas in a further four. Deaths caused by explosions were a rare event, with most cases being caused by accidents in a domestic or industrial environment. Although suicides formed the next most-common group, it is possible that explosions caused by petrol in cases of self-immolation were not intended.

Burns caused by electronic vaping devices (e-cigarettes): A new classification proposal based on mechanisms

Introduction With more than 10 million of daily users, e-cigarettes encountered a great success. But in the past few years, the number of medical reports of injuries caused by the explosion of e-cigarettes has significantly increased. This article aims at reporting our series and reviewing the literature to propose a new classification based on the mechanisms of injuries related to e-cigarettes that can guide non-specialists and specialists in the management of these patients. Method We performed a retrospective review of our institutional burn database from June 2016 to July 2017 for injuries caused by or in the context of using an e-cigarette. The patients' demographics (age, gender), burn injury mechanisms, depth, localization, surface and interventions were described. Results Ten patients suffered from burns related to the use of e-cigarettes. The burns were located at the thigh (80%) and the hand (50%) with a mean surface of 3% of TBSA. Four different mechanisms could be described: Type A: thermal burns with flames due to the phenomenon of "thermal runaway", Type B: blasts lesions secondary to the explosion, Type C: chemical alkali burns caused by spreading of the electrolyte solution and Type D: thermal burns without flames due to overheating. These different mechanisms suggest specific surgical and non-surgical management. Conclusion Management of injuries sustained from e-cigarettes' explosions should be approached from the standpoint of mechanisms. Different mechanisms could be associated and should be considered in specific management.

Dow's fire and explosion index: a case-study in the process unit of an oil extraction factory

Introduction

The incidence of fires and explosions have led to severe damage in many industries, primarily in industries’ financial losses. This study was conducted to estimate losses due to fire and explosion and the impact of control measures on the number of losses applying Dow’s Fire and Explosion Index.

Methods

This is a case study conducted in one of the process units of an oil extraction factory. Dow’s Fire and Explosion Index Hazard classification guide, 7^th edition, issued by the American Institute of Chemical Engineers was applied. Data were obtained mainly through interviews and consultation with experts, as well as reported operating parameters and process documents.

Results

The Dow Index of the processing unit was estimated to be 243.68, and the most probable base damage was approximately $4.15 million in 2008. The actual damages were estimated to be $2,863,500, and the number of lost work days to be 64.56 days. The interruption losses were estimated to be $15,817,200 and the total losses to the system to be $18.67 million. These results demonstrated that losses resulting from production interruptions are greater than losses due to the destruction of equipment. A series of corrections was then proposed and risk analysis was performed again to examine the effects of reforms. The comparison shows that by applying reforms the FEI can change to 86.62 and the total loss can reduce to $9.03 million.

Conclusion

This study shows that Dow’s Index is a systematic tool to examine the impact of control measures. It also enhances resource management considering an optimal insurance contract. Considering the priority of reducing damage factors, several correction actions were suggested, such as modifying the drainage system, installation of hexane detectors, an automatic sprinkler system, fire detectors on the cable tray, and finally, using the water spray washing on the tanks.

Effects of concentration, temperature, humidity, and nitrogen inert dilution on the gasoline vapor explosion

This study aims at providing basic information for the explosion-protecting technology in the gasoline storage and transportation process. Experiments were conducted to investigate the explosion parameters under different gasoline vapor concentrations (0.92-2.40%), temperatures (283-343K), relative humidities (35-98%), and oxygen concentrations (12.66-20.32%) in a 20L spherical vessel. Results show that both the maximum overpressure and the rate of pressure rise are quadratic functions of initial gasoline vapor concentration. At constant initial concentration, the maximum overpressure and the rate of pressure rise decrease linearly with the increase of temperature or humidity. When using nitrogen as the dilution, the maximum overpressure and rate of pressure rise respectively show a negative exponential and a linearly relationship with the oxygen concentration. The introduced nitrogen also narrowed the explosive limits. The fuel inertization point is 12.65%. A nonlinear regression formula with 4 variables was obtained, which can be used to quantitatively predict the maximum overpressure at various initial conditions. These results are useful for predicting the explosion pressures of gasoline-air mixtures at various conditions when direct measurements are difficult to achieve.

Imaging of lower extremity trauma from Boston Marathon bombing

The goal of this study is to describe the imaging features of lower extremity blast injuries in patients encountered in the radiology departments from the Boston Marathon bombings. A total of 115 patients presented to four acute care hospitals on April 15, 2013, 43 of whom presented with lower extremity injuries and were included in this study. The imaging findings of primary, secondary, tertiary, and quaternary blast injuries were evaluated. Forty-one of 43 patients sustained secondary blast injuries to the lower extremities with 31 patients (70 %) having retained shrapnel, seven patients (16 %) having soft tissue lacerations without retained shrapnel, and ten patients (23 %) having lower extremity amputation (7 % double amputees). Eight of these patients (20 %) had lower extremity fractures, and five patients (12 %) had vascular injuries. Two of the 43 patients (5 %) had only tertiary injuries, and five of 43 patients (12 %) were noted to have lower extremity burns, consistent with quaternary blast injury. No primary blast injury occurred in the lower extremities. A vast majority of lower extremity injuries were from secondary blast injury, most commonly from retained shrapnel in 70 % of patients and 23 % of patients sustaining lower extremity amputation. Retained shrapnel in the lower extremity was most commonly ball bearings and pressure cooker fragments, and most injuries affected the leg, followed by the thigh and foot.

Suicide by Bomb, with Decapitation

Suicide by explosion is rare outside of the context of terrorist activities. We present a case of a man with a history of explosives expertise who committed suicide by bomb/decapitation. The case serves to remind forensic pathologists of several important issues when presented with a case involving explosives, such as ensuring the safety of all those involved in the investigation and the importance of interagency cooperation. Potentially invaluable ancillary tests at autopsy include performing radiology, collecting trace evidence, retaining clothing, ensuring the positive identity of the decedent, and recognizing the importance of documenting injury types and patterns.

Explosion impacts during transport of hazardous cargo: GIS-based characterization of overpressure impacts and delineation of flammable zones for ammonia

The aim of this research was to investigate accidental releases of ammonia followed by an en-route incident in an attempt to further predict the consequences of hazardous cargo accidents. The air dispersion model Areal Locations of Hazardous Atmospheres (ALOHA) was employed to track the probable outcomes of a hazardous material release of a tanker truck under different explosion scenarios. The significance of identification of the flammable zones was taken into consideration; in case the flammable vapor causes an explosion. The impacted areas and the severity of the probable destructions were evaluated for an explosion by considering the overpressure waves. ALOHA in conjunction with ArcGIS was used to delineate the flammable and overpressure impact zones for different scenarios. Based on the results, flammable fumes were formed in oval shapes having a chief axis along the wind direction at the time of release. The expansions of the impact areas under the overpressure value which can lead to property damage for 2 and 20 tons releases, under very stable and unstable atmospheric conditions were estimated to be around 1708, 1206; 3742, 3527 feet, respectively, toward the wind direction. A sensitivity analysis was done to assess the significance of wind speed on the impact zones. The insight provided by this study can be utilized by decision makers in transportation of hazardous materials as a guide for possible rerouting, rescheduling, or limiting the quantity of hazardous cargo to reduce the possible impacts after hazardous cargo accidents during transport.

Gastric explosion induced by argon plasma coagulation and prevention strategies

We describe the occurrence of an iatrogenic explosion induced by argon plasma coagulation in a 70-year-old man undergoing gastroscopy. Combustible gases in the stomach may have been released by bacterial overgrowth as a result of partial gastric outlet obstruction (caused by a gastric tumor) and reduced acidity (from proton pump inhibitor therapy). We propose a stepwise process during upper endoscopy to prevent this devastating complication, comprising aspiration, preinsufflation with CO2, and then coagulation.

Ocular injuries from pressurised bottled drinks in China

BACKGROUND

The objective of this study is to provide a systematic review on ocular injuries induced by glass bottles containing carbonated drinks in China, which emphasised the injury circumstance and visual function loss.

METHODS

We performed a literature-based retrospective analysis using predetermined inclusion and exclusion criteria. Demographic characteristics of pressurised bottled drinks-related eye injuries were obtained and vision loss was calculated.

RESULTS

A total of 26 relevant articles were found suitable for investigation of causative agent and patient demographics, of which 19 articles could be used for calculating vision loss and injury circumstance. Victims were often pertinent workers (46.0%). Most of the trauma was serious and even devastating. Final visual acuity was >10/20 in 29.2%, with severe final vision loss (<10/200) in 30.8%. Visual acuity can improve significantly with treatment (P<0.05).

CONCLUSIONS

One in three ocular injuries from glass bottles containing carbonated drinks show severe vision loss. Relevant workers are most frequently injured, followed by inappropriate handlers or openers. Besides manufacturing standards being strictly implemented, many ocular traumas related to bottled carbonated drinks should be prevented through health education.

Accidental death involving professional fireworks

An interesting case of accidental death involving the explosion of professional fireworks in an apartment is described. The examination of the scene permitted to study several effects of the explosion on walls, ceiling, furniture and especially on a balcony where the victim was found. The external examination of the victim showed extensive thermal injuries, degloving injuries and extensive shrapnel wounds. The autopsy examination showed subarachnoid haemorrhage localized to the cerebellum, haemorrhage in the soft tissues of the neck and chest and fracture of one clavicle. Almost the entire surface of lungs showed blunt injuries and the liver showed tearing of parenchyma and multiple cavities. Histological analysis were carried out showing thickening of alveolar septae, enlargement of alveolar spaces and alveolar ruptures in lung sections while numerous, round, empty spaces were detected in the parenchyma of the liver. The examination of the scene and of the fragments found showed that at least eight pyrotechnical charges exploded on the balcony, in close proximity of the threshold with the living room of the apartment. According to the chemical findings, the charges were typical for professional use and were filled with a mixture of potassium perchlorate and aluminium. A conservative calculation results in more than 1.5 kg total mass of pyrotechnic composition exploding very close to the victim.