Table 4.
Term | Recommended conceptual definition | |
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Exposure terminology | Blast | An event that produces a shockwave/soundwave, resulting in a rapid change in atmospheric pressure |
Overpressure | Any transient increase above atmospheric pressure | |
Blast event | Specific blast exposure(s) that occur(s) within a specified chronological time frame with clearly distinguishable start and end points; a single blast event can include multiple blast exposures if these were sustained during a single, specific period of time | |
Blast exposure | Blast exposure occurs when an individual is close enough to a blast (HLB or LLB) to experience (e.g., physically feel) the shockwave | |
Occupational blast exposure | Overpressure blast exposures experienced in the course of performing one's job | |
Low-level blast (LLB) exposure | Overpressure exposure generally occurring within operational and training environments from outgoing (user directed) munitions | |
High-level blast (HLB) exposure | Overpressure exposure generally experienced in combat settings as a result of incoming or enemy-inflicted munitions, such as IEDs, rocket-propelled munitions, etc. | |
Overpressure characterization | Peak overpressure | The highest recorded change above ambient pressure (overpressure); typically measured in pounds per square inch (psi) or kilopascals (kPa) |
Impulse overpressure | The total amount of change in pressure over time resulting from a single source; typically measured in pounds per square inch per millisecond (psi/ms) | |
Reflective overpressure | The phenomenon in which pressure wave(s) hit object(s), combine, and magnify overpressure | |
Measurement terminology | Incident sensor orientation | Method of measuring change in ambient static pressure at 90 degrees to the blast origin |
Reflective Sensor Orientation | Method of measuring change in ambient pressure, which includes both static and dynamic pressure, at any orientation other than 90 degrees to the blast origin | |
Adjectives frequently used to clarify exposures | Repeated | Modifies: exposures An objective term referring to a quantity of exposures >1 |
Frequent | Modifies: events A subjective term referring to multiple exposures within a specified time frame, usually short duration |
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Acute | Modifies: exposures Refers to an exposure resulting from a single origin at a specific point in time that is relatively short in duration and transient |
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Chronic | Modifies: exposures Refers to multiple acute exposures sustained over a prolonged period of time |
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Career | Modifies: exposures, events Refers to the sum of exposures/events that occurred over the duration of occupation (typically military career) |
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Lifetime | Modifies: exposures, events Refers to the sum of exposures/events that occurred over the person's life span and can include a combination of exposures from multiple careers (e.g., military service and subsequent law enforcement careers) as well as any extra-career exposures |
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Adjectives frequently used to characterize outcomes | Acute | Modifies: outcomes Refers to outcomes that occur in close temporal proximity to the exposure and are short in duration |
Chronic | Modifies: outcomes Refers to outcomes that occur over time, not necessarily within close temporal proximity to the exposure |