Operational and Medical Management of Explosive and Blast Incidents

David W. Callaway, MD, MPADirector, Division of Operational and Disaster MedicineAssociate Professor, Emergency MedicineCarolinas Medical CenterCharlotte, NC 
Jonathan L. Burstein, MDAssistant Professor, Emergency MedicineBeth Israel Deaconess Medical CenterHarvard Medical SchoolBoston, MA

Part I. Introduction
Chapter 1. Scope and Scale of the Problem   Chapter 2. Blast Physics and Biophysics 
Chapter 3. State of the Science - Blast Injury Pathophysiology
Chapter 4. Operational Considerations: Review of Contemporary Data
Chapter 5. Civilian Hospital and Healthcare System Preparedness (Location, Preparedness, 
Epidemiology Review of Data) Chapter 6. Military Trauma System Response to Blast MCI                                   
Chapter 7. The Modern Explosive Threat: Improvised Explosive Devices
Chapter 8. Interagency Collaboration and Maturation - The United Kingdom Experience
Chapter 9. Case Study: The Madrid Train Bombing of March 11, 2004
Part II. Prehospital Management
Chapter 10. Scope of the Problem and Operational Considerations                            
Chapter 11. Lessons in Prehospital Trauma Management During Combat
Chapter 12. First Responders: Clinical Care of Blast Trauma in the Prehospital Setting
Chapter 13. The Explosive Mass Casualty: Prehospital Incident Management and Triage
Chapter 14. Transporting Blast-Injured Patients                                                         
Chapter 15. Risk-Related Zones of Prehospital Operations
Chapter 16. Tactical Emergency Medical Support (TEMS)
Chapter 17. Case Study: Ptimary Blast Injury in a Field Setting 
Chapter 18. Case Study: 2013 Boston Marathon
Part III. Emergency Department
Chapter 19. Emergency Department Response to Explosive Incidents: Scope of the Problem and 
Operational Considerations                                                 Chapter 20. Emergency Medicine: Combat Lessons Learned                                         
Chapter 21. First Receivers: Managing Blast Injuries upon Hospital Arrival
Chapter 22. The Role of Blood Products in Damage Control Resuscitation in Explosion-Related Trauma 
Chapter 23. Pediatric Considerations 
Chapter 24. Organization, Operations, Management, and Their Role in Surge Capacity and Mass Casualty Incidents 
Chapter 25. Case Study: Emergency Department Response to the Boston Marathon Bombing                                      
Chapter 26. Case Study: Management of Blast Incidents in Israel
Part IV. Surgical Management 
Chapter 27. Scope of the Problem and Operational Considerations: Logistics, Surge Capacity, Organizing a Response, Sustainment Issues, Resource Utilization                                                      
Chapter 28. Combat Lessons Learned
Chapter 29. Damage Control Surgery
Chapter 30. Anesthesia Care in Blast Injury       
Chapter 31. Vascular Injuries                                     
Chapter 32. Management of Thoracoabdominal Blast Injuries
Chapter 33. Genitourinary Injuries 
Chapter 34. Management of Orthopaedic Blast Injuries
Chapter 35. Reconstructive Plastic Surgery in Blast and Burn Injuries
Chapter 36. Pediatric Blast Injuries
Chapter 37. Case Study: Boston Bombings, a Surgeon's View
Part V. ICU Management 
Chapter 38.  ICU Management of Blast Victims: Scope of the Problem and Operational 
ConsiderationsChapter 39. Ventilator Strategies                    
Chapter 40. ICU Management: Extended Resuscitation Considerations
Chapter 41. Case Study from Afghanistan:  Dismounted Complex Blast Injury
Part VI. Special Considerations
Chapter 42. Chemical, Biological, Radiological, or Nuclear Event (CBRNE): Prehospital and 
Hospital ManagementChapter 43. Burn Management                    
Chapter 44. Wound Management
Chapter 45. Psychological Consequences: Responders and Community

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