Skull Flexure from Blast Waves: A Mechanism for Brain Injury with Implications for Helmet Design
William C. Moss, Michael J. King, and Eric G. Blackman

TL;DR
This paper reveals that blast waves can cause skull flexure leading to brain injury without impact, highlighting a new injury mechanism with implications for helmet design and military safety.
Contribution
It introduces a novel mechanism of blast-induced TBI through skull flexure, supported by numerical simulations, which was previously not well understood.
Findings
Non-lethal blasts induce skull flexure.
Skull flexure can generate damaging brain loads.
Implications for helmet design and injury diagnosis.
Abstract
Traumatic brain injury [TBI] has become a signature injury of current military conflicts, with debilitating, costly, and long-lasting effects. Although mechanisms by which head impacts cause TBI have been well-researched, the mechanisms by which blasts cause TBI are not understood. From numerical hydrodynamic simulations, we have discovered that non-lethal blasts can induce sufficient skull flexure to generate potentially damaging loads in the brain, even without a head impact. The possibility that this mechanism may contribute to TBI has implications for injury diagnosis and armor design.
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