Early medical care and trauma management in mass casualties from major explosive accidents: a retrospective analysis and recommendations

The on-site mortality rate in mass casualties from major explosions is extremely high, and the injuries are often complex. Current early triage methods are limited and overly simplistic. The incidence of pulmonary injuries is high in explosive accidents, with rapid disease progression and elevated mortality. Timely identification of blast injuries and continuous monitoring of injury progression are critical to preventing further exacerbation of traumatic brain injuries and other organ damage. Strengthening regional trauma care infrastructure is essential for reducing preventable deaths.