M, Abid., Bilal A, Zahid S, Salim M, Baseer A, Manzoor A, Imran M, Ismail F,

ABSTRACT

Objective: The aim of the study was to evaluate the different lines of management and outcome in Bomb Blast Injury patients.

Study Design: Descriptive retrospective study.

Place and Duration: Department of cardiothoracic Surgery Post Graduate Medical Institute Lady Reading Hospital, Peshawar from 1st may 2007 to 11  February 2010.

Material and Methods: Our study include all bomb blast injuries in NWFP, PAKISTAN, all patients which drained into lady reading hospital Peshawar were  included in our study. Patients were screened and the patients only with thoracic injuries were included irrespective of their age and sex. Those patients who had chest trauma due to fire arm injury, stab injury, road traffic accident, blunt injuries and iatrogenic were excluded from study. All the patients were received in mass trauma unit and than shifted to thoracic trauma centre.
The patient were individualized on the basis of clinical parameters and grouped as stable and unstable, after hemodynamic stabilization decision regarding surgical intervention was made on the basis of clinical features and radiological examination.

Results: Out of 67 bomb blasts in NWFP, Pakistan from 1st may 2007 to 11th February 2010 there were 2382 casualties reported in mass trauma unit Lady Reading Hospital
Major injuries in these patients were lung laceration, foreign bodies, flail chest, injuries to major vessels and diaphragmatic injuries. Morbidity was 37 including air leak, wound infection, clotted hemothorax and empyema. Mortality was 7.

Conclusion: The management of Bomb Blast Injury patients is a challenging task. Adequate initial line of management of Bomb Blast Injury patients will minimize life threatening complications. Early thoracotomy has definite role both in emergency situations and for various complications resulting from Bomb Blast Injury.

Department of Cardiothoracic Surgery, Post Graduate Medical Institute Lady Reading Hospital, Peshawar