“Higher pressures can tear lung tissues, cause internal bleeding, collapse lungs, and result in injuries to the abdomen or intestines. In fact, even if the person appears externally uninjured, the blast wave may have caused a life-threatening internal injury. Therefore, anyone exposed to a powerful explosion must undergo a medical examination.” 1


As for falling shrapnel, here’s an example of missile shrapnel from Iran, even without an explosive payload.
“Warning: Graphic footage. Iran fired 181 ballistic missiles at Israel tonight. Only one person was killed: A Palestinian man in Jericho. We’ve said it once, and we’ll say it again: the Iranian regime is dangerous, destructive, and one of the greatest threats to regional and world stability.” https://x.com/i/status/1841224280991781207
Youtube:
Oct 1, 2024, during Iran’s second battle against Israel: “A 37-year-old Palestinian labourer was struck and killed by a piece of errant shrapnel from one of Iran’s missiles during an attack on Israel. ”
Source: https://www.jpost.com/israel-news/defense-news/article-858108 https://x.com/i/status/1841224280991781207