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The Medical Impacts of Thermobaric Weapons: A Scoping Review

Cheran A, Gnaedinger A, Tolany A, Obi E, Tertyshnyii S, Ratnayake A, Mokhallalati A, Mitiku HE et al.

Military medicine, 2026

2 citations

Abstract

Introduction: Thermobaric weapons (TW) are a class of explosive weapons designed to use oxygen from the surrounding environment to deliver blasts generating intense pressure and heat, penetrating structures more efficiently than conventional weapons. Despite the increasing use of TW in conflicts globally, no comprehensive evaluation of the literature on TW has been published to date. This review aims to assess current evidence on the medical Impacts of TW.

Materials and methods: A scoping review of the literature was conducted in accordance with PRISMA Scoping Review (PRISMA-ScR) methodology. Structured searches of databases including Web of Science, Embase, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Global Index Medicus, Military and Government Collection, Global Health, SciELO, and Google Scholar as well as grey literature sources were performed to identify records that described injuries related to TW use.

Results: The search identified 7,365 records. After title-abstract, full text screening and exclusion of duplicative data, 16 eligible reports, including 3 grey literature reports, were included in analysis. Represented regions included Eastern Europe, the Middle East, East Africa, and Southeast Asia. Of the reports, 8 were narrative reviews, 3 were case series, one was a case control, one was a modelling study, and 3 were grey literature reports. Four reports were conducted in high-resource settings in North America and Europe, although…

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