Management in the ED
Patients with facial primary blast injuries are likely to be suffering from primary blast injury affecting other organs, most of which will take priority during stabilisation.
Establishment of an early definitive airway may be essential in deforming trauma of the face [4].
Management of ‘crushed egg shell’ injury to the middle third of the face is difficult because of haemorrhage from the comminuted maxillary sinus and orbital floor. It may be necessary to contact the maxillo-facial surgeon for consideration of early surgical intervention [10].