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Blast Overpressure (BOP)—also referred to as overpressure or high-energy impulse noise—is the pressure produced by a shock wave that exceeds normal atmospheric pressure. Shock waves may result from explosions or sonic booms. BOP is a damaging consequence of explosive detonations and weapons fire. Exposure to these shock waves can cause injury primarily to hollow organ systems such as the auditory, respiratory, and gastrointestinal systems,¹ but can also significantly affect fluid-filled organs such as the brain.


Overpressure in Enclosed Spaces

The harmful effects of overpressure are most pronounced in enclosed environments, where pressure cannot easily dissipate. Under such conditions, the impact is magnified, partially mitigated only by structural dissipation, and the duration of exposure is extended.

Overpressure in an enclosed space can be estimated using Weibull’s formula:

Δp=(m/V)0.72Δp=(m/V)0.72

where:

  • 2410 is a constant based on 1 bar (100 kPa; 15 psi)
  • m = net explosive mass, calculated using all explosive materials and their relative effectiveness
  • V = volume of the enclosed space

The visible and invisible impacts of blast.

The visible and invisible impacts of blast.

Effect of varying psi exposures.

The above table, based on Department of Defense (DoD) data from Glasstone and Dolan (1977)2. and Sartori (1983)3., summarizes the effects of increasing blast pressure on various structures and the human body. This data originates from weapons tests and blast studies to assess the effect of blast overpressure on structures and people.4. 

'Open' vs. 'closed' space blast exposure.

The below graphs show the variation in pressure 'intensity' in an open air explosion as opposed to a closed-space. In short the open air rise quickly to peak and dissipates relatively quickly. The closed-space also rises quickly but the intensity is prolonged even causing 'rebound' type secondary impacts due to reflection, etc.

A complete picture of blast impacts.
Blast impact on the brain.
B3 blast gauges.

The Defense and Veterans Brain Injury Center (DVBIC) reports that more than 50% of injuries sustained by soldiers during the Iraq and Afghanistan conflicts were caused by explosive devices such as bombs, grenades, landmines, mortar and artillery shells, and improvised explosive devices (IEDs). Since 2006, blast-related trauma has been the leading cause of injury among U.S. and allied military personnel.

Blast-induced brain injuries can present in multiple forms, including cognitive impairment, behavioural changes, and emotional disturbances. They are frequently complicated by comorbid conditions such as depression, anxiety, and post-traumatic stress disorder (PTSD).

At present, diagnosis relies largely on neurocognitive testing and advanced imaging techniques. More recently, the Department of Defense (DoD) has trialled the use of “body sensor” technology, in which soldiers wear devices that record overpressure exposure from blasts. However, these systems currently provide only semi-quantitative data, limiting their ability to accurately capture injury severity.

To address this gap, research groups such as GLIA are advancing specific and sensitive biomarker platforms designed to improve diagnostic accuracy. These biomarkers aim to support earlier detection, enhance triage, and guide clinical decision-making—ultimately helping to mitigate the long-term impact of undiagnosed or untreated traumatic brain injury (TBI).

In parallel, ongoing collaborations are exploring the integration of sensor-based technologies with biomarker assays to provide a more comprehensive assessment of injury burden. The goal is to enable real-time, actionable insights for clinicians both on the battlefield and in acute medical settings, improving immediate care and long-term recovery for injured soldiers.

Civilian Population

With a changing world health-care providers are increasingly faced with the possibility of needing to care for people injured in explosions, but can often, however, feel undertrained for the unique aspects of the patient's presentation and management. Although most blast-related injuries (eg, fragmentation injuries from improvised explosive devices and standard military explosives), can be managed in a similar manner to typical penetrating or blunt traumatic injuries, injuries caused by the blast pressure wave itself cannot. The blast pressure wave exerts forces mainly at air–tissue interfaces within the body, and the pulmonary, gastrointestinal, and auditory systems are at greatest risk. Arterial air emboli arising from severe pulmonary injury can cause ischaemic complications—especially in the brain, heart, and intestinal tract. Attributable, in part, to the scene chaos that undoubtedly exists, poor triage and missed diagnosis of blast injuries are substantial concerns because injuries can be subtle or their presentation can be delayed. Management of these injuries can be a challenge, compounded by potentially conflicting treatment goals.5

​Civilian Populations


References

1. Pulmonary Biochemical and Histological Alterations after Repeated Low-Level Blast Overpressure Exposures", Nabil M. Elsayed, and Nikolai V. Gorbunov, Toxicological Sciences, 2007 95(1):289-296

2. Glasstone S, Dolan PJ, eds. [1977]. The effects of nuclear weapons. 3rd ed. U.S. Department of Defense and the Energy Research and Development Administration. 

​3. Sartori, L. [1983]. The effects of nuclear weapons, Physics Today, March, pp. 32-41. 

4. ARMY Manual TM 5-1300 [1990]. Department of the Army, Washington, DC, 1990 

​5. Stephen F Wolf, et al. Blast Injuries, The Lancet Vol 374, No. 9687, p405–415, 1 August 2009

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