Pulmonary Hemorrhage as a Result of Underwater Blast Injury in a Pediatric Patient.

The physiology and management of blast injuries and underwater blast injuries are described in the literature; however, cases of underwater blast injuries in pediatric patients are not discussed. We describe a case of a 10-year-old girl presenting to the pediatric emergency department who sustained injury from a firework discharged while underwater and then developed respiratory failure as a result of pulmonary hemorrhage and required endotracheal intubation.