Total body disruption is the immediate and nonsurvivable[1] destruction of the body. Synonymous terminology from the field of emergency medical services (EMS) is "gross dismemberment".[2]
Commonly referred to as being "blown up", "blown apart", or "dashed to pieces" in older literature,[3] total body disruption may be caused by such traumas as being within or in close proximity to a powerful explosion, uncontrolled decompression, or implosion. It is the most severe type of blast injury.[4] Gross dismemberment may also be caused by a fall at terminal velocity onto a solid surface or water, from being within a high-speed crashing object, or during incidents involving high pressure differentials, where the body may be forced through a small crevice, as in the Byford Dolphin diving bell accident.
Total body disruption is invariably fatal to animals, such as humans, since the brain (if not destroyed) is deprived of oxygenated blood, while other organs (if not destroyed) are deprived of the involuntary functions.[5] In some jurisdictions, gross dismemberment is the only (and thence obligatory) assessment where EMS personnel may declare death.[6][7]
Incomplete, initially unidentifiable human remains caused by total body disruption may be referred to as "disassociated portions".[8]
^Holcomb JB, McMullin NR, Pearse L, Caruso J, Wade CE, Oetjen-Gerdes L; et al. (2007). "Causes of death in U.S. Special Operations Forces in the global war on terrorism: 2001-2004". Ann Surg. 245 (6): 986–91. doi:10.1097/01.sla.0000259433.03754.98. PMC1876965. PMID 17522526.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^"Indianapolis Journal 13 May 1902". Hoosier State Chronicles: Indiana's Digital Historic Newspaper Program. 1902-05-13. Retrieved 2020-09-17.
^Kristi L. Koenig; Carl H. Schultz (18 April 2016). Koenig and Schultz's Disaster Medicine: Comprehensive Principles and Practices. Cambridge University Press. pp. 469–470. ISBN978-1-316-47292-7.
^Champion HR, Holcomb JB, Young LA (2009). "Injuries from explosions: physics, biophysics, pathology, and required research focus". J Trauma. 66 (5): 1468–77, discussion 1477. doi:10.1097/TA.0b013e3181a27e7f. PMID 19430256.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^Jones, Chris (November 2009). "The Things That Carried Him". In American Society of Magazine Editors (ed.). The Best American Magazine Writing 2009. Columbia University Press. p. 85. ISBN978-0-231-14796-5.
January 01, 1970
total, body, disruption, immediate, nonsurvivable, destruction, body, synonymous, terminology, from, field, emergency, medical, services, gross, dismemberment, commonly, referred, being, blown, blown, apart, dashed, pieces, older, literature, total, body, disr. Total body disruption is the immediate and nonsurvivable 1 destruction of the body Synonymous terminology from the field of emergency medical services EMS is gross dismemberment 2 Commonly referred to as being blown up blown apart or dashed to pieces in older literature 3 total body disruption may be caused by such traumas as being within or in close proximity to a powerful explosion uncontrolled decompression or implosion It is the most severe type of blast injury 4 Gross dismemberment may also be caused by a fall at terminal velocity onto a solid surface or water from being within a high speed crashing object or during incidents involving high pressure differentials where the body may be forced through a small crevice as in the Byford Dolphin diving bell accident Total body disruption is invariably fatal to animals such as humans since the brain if not destroyed is deprived of oxygenated blood while other organs if not destroyed are deprived of the involuntary functions 5 In some jurisdictions gross dismemberment is the only and thence obligatory assessment where EMS personnel may declare death 6 7 Incomplete initially unidentifiable human remains caused by total body disruption may be referred to as disassociated portions 8 See also editDecapitation Dismemberment Hemicorporectomy Incompatible with lifeReferences edit Holcomb JB McMullin NR Pearse L Caruso J Wade CE Oetjen Gerdes L et al 2007 Causes of death in U S Special Operations Forces in the global war on terrorism 2001 2004 Ann Surg 245 6 986 91 doi 10 1097 01 sla 0000259433 03754 98 PMC 1876965 PMID 17522526 a href Template Cite journal html title Template Cite journal cite journal a CS1 maint multiple names authors list link https www jems com administration and leadership proof life make every possible Indianapolis Journal 13 May 1902 Hoosier State Chronicles Indiana s Digital Historic Newspaper Program 1902 05 13 Retrieved 2020 09 17 Kristi L Koenig Carl H Schultz 18 April 2016 Koenig and Schultz s Disaster Medicine Comprehensive Principles and Practices Cambridge University Press pp 469 470 ISBN 978 1 316 47292 7 Champion HR Holcomb JB Young LA 2009 Injuries from explosions physics biophysics pathology and required research focus J Trauma 66 5 1468 77 discussion 1477 doi 10 1097 TA 0b013e3181a27e7f PMID 19430256 a href Template Cite journal html title Template Cite journal cite journal a CS1 maint multiple names authors list link https scmh org wp content uploads 2014 01 DeadonScene pdf http www ocmca org wp content uploads 2018 Protocols Section 7 Procedures 7 6 Patient Death Termination of Resusitation and Pronouncement pdf Jones Chris November 2009 The Things That Carried Him In American Society of Magazine Editors ed The Best American Magazine Writing 2009 Columbia University Press p 85 ISBN 978 0 231 14796 5 Retrieved from https en wikipedia org w index php title Total body disruption amp oldid 1217665414, wikipedia, wiki, book, books, library,
