Blast & Shrapnel Injuries

First aid for blast and shrapnel injuries in children in Israel, following PHTLS methodology (Scene safety, Airway, Breathing, Circulation, Disability, Exposure). Children are at higher risk due to smaller body mass, thinner chest wall, less blood volume, and greater energy transfer per kilogram. Apply when: When a child has been injured by a blast event including rocket/missile attack, explosive device, or any explosion causing primary blast injuries (pressure wave), secondary injuries (shrapnel/fragments), tertiary injuries (thrown by blast), or quaternary injuries (burns, inhalation, crush from structural collapse). Common contexts in Israel include rocket attacks, terrorist bombings, and injuries during rush to shelters (miklat/mamad).