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An increasing number of mass disasters involve explosions. Their principal effect is the creation of tremendous kinetic energy over a short period. The main cause of blast injuries is explosives, and there are five injury types. When approaching an explosion site, medical personnel must coordinate their actions with the police and fire-rescue services to ensure their own safety. Patient care can then be performed using standard the ABCDE principle and trauma algorithms. All vital organ systems can be affected by the blast, so a medical rescuer in the field can expect a variety of injuries.
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