TY - JOUR T1 - Pathophysiology of primary blast injury JF - Journal of the Royal Army Medical Corps JO - J R Army Med Corps SP - 57 LP - 62 DO - 10.1136/jramc-2018-001058 VL - 165 IS - 1 AU - Jason E Smith AU - J Garner Y1 - 2019/02/01 UR - http://militaryhealth.bmj.com/content/165/1/57.abstract N2 - The majority of patients injured in the recent conflicts in Iraq and Afghanistan were as a result of explosion, and terrorist incidents have brought blast injuries to the front door of many civilian hospitals that had not previously encountered such devastation. This article reviews the physics and pathophysiology of blast injury with particular relevance to the presentation and management of primary blast injury, which is the mechanism least familiar to most clinicians and which may cause devastating injury without externals signs. ER -