Protocol for the assessment of potential health effects from embedded metal fragments

Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of...

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Veröffentlicht in:Military medicine 2009-03, Vol.174 (3), p.265
Hauptverfasser: Kane, Michele A, Kasper, Christine E, Kalinich, John F
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creator Kane, Michele A
Kasper, Christine E
Kalinich, John F
description Potential health issues arising from embedded metal fragment injuries are an operational health issue in the military medical community. Embedded fragment injuries can occur not only from standard-use munitions, but also from improvised explosive devices (IEDs). With few exceptions, the behavior of metal fragments, when embedded in the body, is not known. Herein, we propose a multitiered assessment protocol that can be used to both determine future health issues associated with newly developed munitions and, once the composition has been identified, determine potential toxicity of embedded fragments as a result of an IED event. The main premise of this assessment protocol is to view the embedded fragment as an implanted medical device and to utilize the guidelines already in place for testing the safety of such materials. Use of this structured, tiered approach will yield information critical for informed medical decisions.
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Alloys
Bombs
Corrosion
Cytotoxicity
Explosions
Explosive Agents - adverse effects
Explosives
Foreign Bodies - complications
Foreign Bodies - etiology
Foreign-Body Migration - complications
Humans
Injuries
Mass Screening
Medical equipment
Medical personnel
Metals
Metals - toxicity
Military Medicine
Military Personnel
Military supplies
Toxicity
title Protocol for the assessment of potential health effects from embedded metal fragments
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