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Terrorism and Your Health – What to do after a bomb blast

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This morning there was a grenade attack in a Nairobi discotheque by suspected Al Shabaab militants. This was in response to Kenyan Militia invading Somalia after kidnappings of tourists to Kenya in the recent past. This is not the first terrorist attack in East Africa and certainly not the first worldwide as attacks of this nature have become a common tactic in today's war-torn world.

Bomb Blast Victim in Hospital



I don’t like to dwell on politics, but whether we like it or not when the elephants fight the grass will suffer. Bombings and explosion incidents directed against innocent civilians are the primary instrument of global terror.

What should you know about bomb blasts? Is there anything you should do if involved in one which could aid your survival or people injured around you?

The extent and pattern of injuries produced by an explosion are a direct result of several factors including :
·         the amount and composition of the explosive material (eg, the presence of shrapnel or loose material that can be propelled)
·         the surrounding environment (eg, the presence of intervening protective barriers)
·         the distance between the victim and the blast
·         the delivery method if a bomb is involved
·         any other environmental hazards.

No two events are identical, and the spectrum and extent of injuries produced varies widely.

If unfortunate enough to be involved in a bomb blast it is unlikely that you will be able to administer care to other injured victims. EMS personnel  are specially trained to report and manage the situation on the ground.
The reaction of people involved in a blast is usually instinctive, you get down, block your ears and shield your face. You may experience shock and confusion after but always be vigilant about secondary fires, smoke, dust, or chemical or radioactive contamination. Attempt to move out of the building in an orderly manner quickly in case of collapsing walls. Also evacuate the area as fast as possible in case of a second blast. Follow the instructions of the EMS and try to help with carrying the injured because they always need extra hands at the scene.

These types of events present complex triage, diagnostic, and management challenges for the health care provider.

Keep safe out there.

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