Blast fishing (known variously as dynamite and bomb fishing) has caused long-term damage to reefs and coastal livelihoods for decades. Blasting reefs with explosives provides fish for commercial and consumption purposes across the globe, but the practice has also led to large-scale destruction of coral reefs in much of Southeast Asia, Tanzania, the Red Sea, and other areas in Asia, Africa, Europe and South America. Despite its destructive nature and widespread dispersion, there have been few reviews that offer insight to assist in analysing and managing this broad-scale threat. We address this gap with a comprehensive global analysis of the blast fishing literature to explore the distribution of blast fishing, primary drivers, ecological and economic implications and solutions. Our review analysed 212 papers from seven databases. Blasting is widespread, misreported, and ongoing. Lack of effective enforcement and governance drives blasting; socioeconomic causes may contribute but are not dominant. A combination of deterrence measures and co-managed marine protected areas (MPAs) emerges as the most effective solution to blasting. Our review provides a basis upon which further analysis can build in order to better understand blast fishing and thereby improve conservation outcomes for coral reef ecosystems, as well as the outlook for fishing communities.