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How an Un-deflagrated Flare Deployed from a Military Aircraſt Caused a 50% TBSA Burn Injury Marc R. Matthews 1* , John Davis 1 , Brian S. Yoon 2 , Paula A. Walker 3 , Kevin N. Foster 3 , Daniel M. Caruso 1 and Patrick H. David 4 1 Department of Surgery, Maricopa Integrated Health System, Phoenix, Arizona, USA 2 Department of Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA 3 Department of Surgery, Arizona Burn Center Maricopa Integrated Health System, Phoenix, Arizona, USA 4 Department of Anaesthesiology, Maricopa Integrated Health System, Phoenix, Arizona, USA * Corresponding author: Marc R. Mahews, Department of Surgery, Maricopa Integrated Health System, Phoenix, Arizona, USA, Tel: 602-344-5624; Fax: 602-344-5705; E-mail: [email protected] Received date: May 09, 2017; Accepted date: May 15, 2017; Published date: May 22, 2017 Citaon: Mahews MR, Davis J, Yoon BS, Walker PA, Foster KN, et al. (2017) How an Un-deflagrated Flare Deployed from a Military Aircraſt Caused a 50% TBSA Burn Injury. Trauma Acute Care 2: 44. Copyright: © 2017 Mahews MR, et al. This is an open-access arcle distributed under the terms of the Creave Commons Aribuon License, which permits unrestricted use, distribuon, and reproducon in any medium, provided the original author and source are credited. Abstract Background: Aerial, infrared countermeasure flares are used by United States Air Force aircraſt to lure a live, heat- seeking “surface to air” or “air to air” missile as a diversionary tacc to help evade destrucon. Unfortunately, an unquanfiable amount of such flares do not deflagrate (ignite) but fall to the ground. They can then be triggered to deflagrate by the subsequent handling of the device. This case report describes an un-deflagrated flare that was triggered by an unsuspecng civilian. The countermeasure flare reached a temperature of 3,400 degrees Fahrenheit, igning the civilian’s clothes and causing severe burns that subsequently required burn center admission and treatment. Case Report: A 50 year-old female living near a USAF bombing test range inadvertently “picked up” a metallic desert object. There was a subsequent deflagraon of the flare burning the paent over 49% of her body. She was transported to the burn center. She underwent seven major operave skin excisions for her third degree burns, followed by subsequent wound closure with skin graſting. Aſter being admied for over fiſty days she was discharged. Discussion: The total burden of unexploded ordinance around the world is very large. While infrared countermeasure flares were designed to have an overall reliability greater than 96.25%, tesng has shown that its reliability appears to be much closer to 99%. Handling an un-deflagrated flare is hazardous and must not be aempted. If any such ordinance is found, the individual should leave the ordnance in place and nofy the local authories. Keywords: Countermeasure flare; MJU-7A/B flare; Infrared flare; Burn injury; Deflagrate; Un-deflagrated; Explosive Ordinance Disposal; Office of special invesgaon; United States Air Force; Pyrophoric; Pyrotechnic; Unexploded ordinance; Bombing range Introducon Aerial, infrared (IR) countermeasure flares are used by United States Air Force (USAF) aircraſt to lure a live, heat-seeking “surface to air” or “air to air” missile away from that aircraſts engines’ heat signature as a diversionary tacc to help evade certain destrucon [1,2]. At a low enough altude these commonly used metallic ignion flares can also be used as markers over USAF bombing ranges to illuminate where strike aircraſt should pracce deploying their ballisc armaments. Unfortunately, an unquanfiable amount of such flares will not undergo deflagraon (ignion) and fall to the ground as un- deflagrated ordnance. This un-deflagrated flare can be triggered by the handling of the device. In spite of using a designated and clearly marked strip of land in remote areas within Arizona for such purposes, the unsuspecng individual may handle or tread over the flare causing an inadvertent deflagraon. The flares temperature can reach approximately 3,400 degrees Fahrenheit, igning the person’s clothes and causing severe cutaneous burn damage. This case report describes such an incident that subsequently required burn center admission and treatment. Case Report A 50 year old female living in Eastern Arizona near a USAF bombing test range, inadvertently “picked up” an object laying in the desert marked with “WARNING-USAF IR FLARE EXPLOSIVE/FLAMMABLE” (the only poron of the flare to remain aſter it deflagrated in the paents hands). There was a subsequent flare deflagraon and the paent was seen running from the scene with her clothes on fire. The paent sustained a 49% of total body surface area burn including her head, bilateral Case Report iMedPub Journals http://www.imedpub.com/ Trauma & Acute Care Vol.2 No.3:44 2017 © Under License of Creative Commons Attribution 3.0 License | This article is available from: https://trauma-acute-care.imedpub.com/ 1

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How an Un-deflagrated Flare Deployed from a Military Aircraft Caused a 50%TBSA Burn InjuryMarc R. Matthews1*, John Davis1, Brian S. Yoon2, Paula A. Walker3, Kevin N. Foster3, Daniel M.Caruso1 and Patrick H. David4

1Department of Surgery, Maricopa Integrated Health System, Phoenix, Arizona, USA2Department of Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA3Department of Surgery, Arizona Burn Center Maricopa Integrated Health System, Phoenix, Arizona, USA4Department of Anaesthesiology, Maricopa Integrated Health System, Phoenix, Arizona, USA*Corresponding author: Marc R. Matthews, Department of Surgery, Maricopa Integrated Health System, Phoenix, Arizona, USA, Tel: 602-344-5624;Fax: 602-344-5705; E-mail: [email protected]

Received date: May 09, 2017; Accepted date: May 15, 2017; Published date: May 22, 2017

Citation: Matthews MR, Davis J, Yoon BS, Walker PA, Foster KN, et al. (2017) How an Un-deflagrated Flare Deployed from a Military Aircraft Causeda 50% TBSA Burn Injury. Trauma Acute Care 2: 44.

Copyright: © 2017 Matthews MR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License,which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

AbstractBackground: Aerial, infrared countermeasure flares areused by United States Air Force aircraft to lure a live, heat-seeking “surface to air” or “air to air” missile as adiversionary tactic to help evade destruction. Unfortunately,an unquantifiable amount of such flares do not deflagrate(ignite) but fall to the ground. They can then be triggered todeflagrate by the subsequent handling of the device. Thiscase report describes an un-deflagrated flare that wastriggered by an unsuspecting civilian. The countermeasureflare reached a temperature of 3,400 degrees Fahrenheit,igniting the civilian’s clothes and causing severe burns thatsubsequently required burn center admission andtreatment.

Case Report: A 50 year-old female living near a USAFbombing test range inadvertently “picked up” a metallicdesert object. There was a subsequent deflagration of theflare burning the patient over 49% of her body. She wastransported to the burn center. She underwent seven majoroperative skin excisions for her third degree burns, followedby subsequent wound closure with skin grafting. After beingadmitted for over fifty days she was discharged.

Discussion: The total burden of unexploded ordinancearound the world is very large. While infraredcountermeasure flares were designed to have an overallreliability greater than 96.25%, testing has shown that itsreliability appears to be much closer to 99%. Handling anun-deflagrated flare is hazardous and must not beattempted. If any such ordinance is found, the individualshould leave the ordnance in place and notify the localauthorities.

Keywords: Countermeasure flare; MJU-7A/B flare;Infrared flare; Burn injury; Deflagrate; Un-deflagrated; Explosive

Ordinance Disposal; Office of special investigation; United StatesAir Force; Pyrophoric; Pyrotechnic; Unexploded ordinance;Bombing range

IntroductionAerial, infrared (IR) countermeasure flares are used by United

States Air Force (USAF) aircraft to lure a live, heat-seeking“surface to air” or “air to air” missile away from that aircraft’sengines’ heat signature as a diversionary tactic to help evadecertain destruction [1,2]. At a low enough altitude thesecommonly used metallic ignition flares can also be used asmarkers over USAF bombing ranges to illuminate where strikeaircraft should practice deploying their ballistic armaments.Unfortunately, an unquantifiable amount of such flares will notundergo deflagration (ignition) and fall to the ground as un-deflagrated ordnance. This un-deflagrated flare can be triggeredby the handling of the device. In spite of using a designated andclearly marked strip of land in remote areas within Arizona forsuch purposes, the unsuspecting individual may handle or treadover the flare causing an inadvertent deflagration. The flare’stemperature can reach approximately 3,400 degrees Fahrenheit,igniting the person’s clothes and causing severe cutaneous burndamage. This case report describes such an incident thatsubsequently required burn center admission and treatment.

Case ReportA 50 year old female living in Eastern Arizona near a USAF

bombing test range, inadvertently “picked up” an object layingin the desert marked with “WARNING-USAF IR FLAREEXPLOSIVE/FLAMMABLE” (the only portion of the flare toremain after it deflagrated in the patient’s hands). There was asubsequent flare deflagration and the patient was seen runningfrom the scene with her clothes on fire. The patient sustained a49% of total body surface area burn including her head, bilateral

Case Report

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© Under License of Creative Commons Attribution 3.0 License | This article is available from: https://trauma-acute-care.imedpub.com/ 1

upper and lower extremities and torso (Figures 1-4). She wasintubated in the field and transported to the Arizona BurnCenter’s intensive care unit. She underwent seven majoroperative skin excisions for her deep third degree burns coupledwith initial cadaveric allograft coverage. These operations werelater followed by wound closure with autografting using a splitthickness skin graft technique. The patient was extubated onpost-admission day 24. After being admitted for just over fiftydays she was discharged to a rehabilitation facility with burnclinic follow-up.

Figure 1: Severe burns to the right hand, right upperextremity and also the face requiring intubation to protectthe airway.

Figure 2: Severe burns to the chest and shoulders withscattered burns to the anterior abdominal wall.

Figure 3: Severe burns to the bilateral lower extremities.

Figure 4: Severe burns to the left hand, upper extremity andchest wall as well as to the face.

DiscussionAerial, infrared, countermeasure flares are used by aircraft as

a diversionary tactic to avoid anti-aircraft, “heat-seeking”missiles and also to mark bombing test ranges for a secondaircraft to practice dropping or shooting their ordnance inspecified eastern Arizona sites. Such has been the routine forthe past fifty years dating back to the Vietnam-era, whichunfortunately included the area around where this patient lived.

Flares used by the USAF are composed of a pyrotechniccomposition which is primarily based on burning metal includinga mixture of magnesium, Teflon, and Viton (MTV) [3]. Theseflares weigh about 13 oz and it is estimated that approximately215,000 flares were used during practice in the mid-1990’s alone[3]. The MJU 7 A/B flare is the most heavily used military flare.Interestingly, there is no known rate of misfires released to thepublic after being deployed by an aircraft as this information isconsidered “classified” by the USAF Office of SpecialInvestigation (OSI).

Other ground devices such as the M918 40 mm munitions fora grenade launcher designed in the mid 1970’s uses a similarpyrotechnic design and has heavy metal in its fuse as well. It hasbeen studied and may have an unignited rate believed to be 3%

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to 8% [4]. While the infrared countermeasure flare was designedto have an overall reliability greater than 96.25% (confidencelevel of 95%) using an Acceptance Quality Level of 1.0 [3],testing has shown that its reliability appears to be much closerto 99%.

Nonetheless, the total burden of unexploded ordnancearound the world is very large. In 2010, construction workers inGottingen, Germany found an Allied 1,100 lb bomb from WorldWar II that was buried 23 ft below the surface of the ground [5].A German explosive ordnance disposal (EOD) team trying todisarm the bomb sustained an inadvertent detonation killingthree individuals and injuring 6 additional individuals.Unexploded or un-deflagrated ordinance may be found on everycontinent where a modern war has been fought.

Most IR countermeasure flares despite their delivery systemare airtight before deployment and deflagrate on contact withthe air so as not to ignite within an aircraft with predictabledevastating results. The pyrophoric flare falls to the ground mosttypically and as it falls, cools down in the atmosphere and mayonly look like metallic debris once on the ground. The design ofthese flares is to have them burn-out well before they touch theground as the creation of wildfires is a known risk. Unfortunatelyfor this patient, such a flare, albeit un-deflagrated, did reach theground and the subsequent motion during the handling of theun-deflagrated device may have been enough to trigger the flareto ignite when in contact with the air. This resulted in a powerfulexothermic reaction of infrared energy of over a 3,400 degreesFahrenheit, igniting her clothes and resulting in a 49% of totalbody surface area burn. The deployed flare MJU-7A/B AircraftCountermeasure Flare in question did not descend by parachuteaccording to the USAF OSI and they could not estimate when itwas deployed as the serial numbers were destroyed when itburned up under the temperature that was so intense that theonly piece left was the aforementioned metal tape wrap with itswarning. Pictures of the flare’s metallic tape wrap wererecognized immediately by the USAF explosive ordinancedisposal team and the USAF OSI, and accordingly there was noway of knowing how long it had sat at ground level in theArizona desert. In addition to this event, it has been reported onthe local San Carlos Arizona police officials’ website that otherun-deflagrated flares have been found in this portion EasternArizona communities (Figure 5) [6].

Figure 5: Image from the San Carlos Apache PoliceDepartment website dated February 2017 showing an un-deflagrated flare found in their community.

Handling any ordnance, let alone an un-deflagrated flare, ishazardous and must not be attempted. If any such ordnance isfound, the individual should leave the ordnance in place andnotify the local authorities immediately. This should then befollowed by the prompt contact with the local USAF base’s OSIand the EOD team for subsequent clearance of these incendiarydevices to protect the civilian community.

References1. Koch EC (2001) Review on Pyrotechnic Aerial Infrared Decoys.

Prop Explos Pyrotech 26: 3-11.

2. Koch EC (2006) Pyrotechnic Countermeasures: II. Advanced AerialInfrared Pyrotechnic Countermeasures. Prop Explos Pyrotech 31:3-19.

3. Global Security: MJU-7 A/B Decoy Flare (2011) website.

4. Report of the Defence Science Board task Force on UnexplodedOrdinance. Office of the Secretary of Defence for Acquisition,Technology and Logistics. (2003): 150.

5. Routine Disposal Goes Wrong: Three Killed in Explosion of WorldWar II Bomb in Germany (2010) Der Spiegel International.

6. The San Carlos Apache Police Department Facebook site (2017).

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