This is the podcast, Surgery I See Rounds. My name is Jeff Guy.

Hello, this is July 4th Independence Day here in the United States. And the first week of July typically is the week in which we introduce new residents or interns into clinical care.

And it was really my hope to spend this first week of July talking about things

that are really elementary to intensive care medicine, things such as IV fluids or

management, early management strategies of sepsis, things that are really considered bread and butter

ICU. However, given the events that have transpired in the news, typically in both Scotland and the

United Kingdom, I feel compelled to talk about a topic of bomb and blast injuries.

This is a topic that many people in public health are quite frankly concerned that the

average clinician has little to know understanding and certainly very rare exposure to.

Typically often confined areas such as the battlefield or a rare industrial explosion,

the idea of treating bomb and blast explosions are becoming more commonplace,

particularly with the advent of terrorist attacks on

civilian centers of population.

The Center for Disease Control here in the United States is actually concerned that an

average provider does not have the fundamental understanding of this process and has developed quick sheets,

which can be facts to emergency departments at a time of crisis to provide a basic understanding

of some of the basic concepts of the pathology involved with bomb and blast injuries,

as well as some of the basic tenements in providing the care.

It is the objective of this podcast to provide some of that information to the provider.

Keep in mind in the event of a mass casualty, many of us will have to practice outside of our scope of practice.

If you are a paramedic, a nurse, or a junior resident, you might very likely be field-promoted to take care of patients who are typically outside of your scope due to the just massive numbers of patients that are injured and the few numbers of providers.

Bombing injuries are not as rare as we'd like to think. If we look historically back to July 7th of 2005, the London Transit

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