Abstract Composition C-4 is the most common plastic explosive employed by the military in Vietnam. Ingestion is followed in a few hours by multiple generalized seizures, hematuria, severe nausea and vomiting, muscle twitching, and mentation changes. Six patients requiring hospitalization were treated by gastric lavage, maintenance of airway, control of seizures, monitoring of urine volume, and maintenance of fluid and electrolyte balance. No fatalities were observed. References 1. Military Explosives, TM 9-1910, Dept of the Army, 1955, paragraphs 55 and 66. 2. Merrill, S.L.: Ingestion of an Explosive Material, Composition C-4: A Report of Two Cases , US Army Vietnam (USARV) MED BULL 3:5-11 ( (March-April) ) 1968.
Archives of Internal Medicine – American Medical Association
Published: Dec 1, 1969