Blast Lung Injury (BLI) Severity Score

Description

The Blast Lung Injury (BLI) severity score can be used evaluate a patient with respiratory compromise following blast injury. This can help identify patients who require more aggressive therapy or who may benefit from experimental protocols. The authors are from Hadassah University Medical Center in Jerusalem.

Parameters:

(1) ratio PaO2 to FIO2

(2) chest radiograph findings

(3) bronchopleural fistula

PaO2 to FIO2	Chest X-ray	Bronchopleural Fistula	Status of Injury
> 200	localized infiltrates	absent	mild
60 – 200	unilateral or bilateral infiltrates	present or absent	moderate
< 60	massive bilateral infiltrates	present	severe

Status of Injury	Risk ARDS	Risk of Death from Lung Injury
mild	0%	0%
moderate	33%	0%
severe	75%	75%

using the data in Table 6, page 169, Pizov (1999)

Status of Injury	Therapy
mild	low PEEP (< 5 cm H2O), no positive pressure ventilation
moderate	PEEP (5 – 10 cm H2O) and positive pressure ventilation
severe	PEEP (> 10 cm H2O) and pressure controlled ventilation

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty

Objective

ICD-10

Purpose: To grade the severity of lung involvement following blast injury using the Blast Lung Injury (BJI) severity score.

Description

Specialty

Objective

ICD-10