Treatment of a teenager who was injured by a grande launcher in enclosed space

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Abstract

BACKGROUND: The performed work is on the front burner because of the increased intensity of terroristic acts with blasting devices directed to the civilian population. Besides, explosive injury is one of the damage to the population in wartime. The present article discusses the management of a teenager in the Children's Republican Clinical Hospital in Saransk (Russia) who was injured with a grenade launcher when he was in enclosed space.

CLINICAL CASE DESCRIPTION: Patient AA (17 y.o., male) was delivered to the hospital with a combined open craniocerebral injury, non-penetrating mine-explosive damage of the scalp, barotrauma, thermal lesion of the scalp and the left half of the face. He was injured by a RPG-18 grenade launcher found in the basement of a residential building. The shot was made inside the car.

CONCLUSION: To know the specific course of explosive injuries is necessary for correct diagnostics and management algorithm. In this particular case, the patient was discharged in 55 hospital days when he was recovering.

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About the authors

Nicolai A. Okunev

National Research Mordovian State University

Email: nicolai.okunev@yandex.ru
ORCID iD: 0000-0001-8786-6998
SPIN-code: 9705-0818

MD, Dr. Sci. (Medicine)

Россия, Saransk

Aleksandra I. Okuneva

National Research Mordovian State University

Author for correspondence.
Email: toropkinaokuneva@yandex.ru
ORCID iD: 0000-0002-7182-2197
SPIN-code: 9726-0748

MD, Cand. Sci. (Medicine)

Россия, Saransk

Nikolai A. Kalabkin

National Research Mordovian State University; Children's Republican Clinical Hospital, Saransk

Email: kalabkin-1990@yandex.ru
ORCID iD: 0000-0002-6916-9766
SPIN-code: 7835-2880

MD

Россия, Saransk; Saransk

Anastasia A. Kopeikina

National Research Mordovian State University

Email: kopeykina.ananas1397@mail.ru
ORCID iD: 0000-0001-8831-0895
Россия, Saransk

Agajan R. Babaniyazov

National Research Mordovian State University

Email: a.babaniyazow1999@gmail.com
ORCID iD: 0000-0003-3158-8233

MD

Россия, Saransk

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. View of the car after the fired shot.

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3. Fig. 2. Status localis on admission.

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4. Fig. 3. The imposition of milling revascularization depressions on the exposed bones of the cranial vault.

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5. Fig. 4. Status localis after treatment (before discharge).

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