Objective: The human body loses flexibility and durability from the pathophysiological changes of aging; therefore, trauma and the risk of injury increase in geriatric individuals. Elderly patients who have been admitted to health centers with trauma and injury require a serious treatment approach.Materials and Methods: A total of 15851 victims who were admitted to Bursa Branch of the Council of Forensic Medicine of the Ministry of Justice between 01/01/2011 and 31/12/2011 were retrospectively evaluated, and 207 of them, who were trauma patients aged 65 years and over, were included in this study. All cases were evaluated according to the cause of the injury, localization of the trauma, bone fractures and type of medical treatment.Results: Two hundred nineteen of the total 15851 forensic patients were 65 years and older. Of these 219 cases, 207 (94.5%) had been exposed to trauma. Of these 207 cases, 138 (66.7%) were male, and 69 (33.3%) were female. The most common types of trauma were physical assault (n=136) and motor vehicle accidents (n=56), which occurred at rates of 65.7% and 27.1%, respectively. For the trauma victims, head injury was the most commonly affected body region. Ninety-seven patients were treated conservatively (46.9%), and 43 patients were treated surgically (20.8%). Traumatic bone injury (31%) was detected in 64 patients. Conclusion:The results of our study indicate that most of the geriatric victims were admitted to the medical centers with traumatic causes. Thus, it is necessary to increase our social sensitivity to trauma and the ways in can be prevented in the geriatric age group.
Carbonmonoxide (CO) related deaths, which are generally preventable accidents that include accidents due to the coal stoves and water heaters in bath at home, the mining accidents, and other accidents. CO accept as the most common cause of poisoning cases in many countries and its prominent feature is being a colorless, odorless and nonirritant gas.The autopsy records between the beginning of 2007 until the end of 2011 of Bursa Morgue Department of Council of Forensic Medicine of Turkey were reviewed. A total of 5782 autopsies had been performed and 218 (3.8%) of these involved CO poisoning. Information regarding age and sex; etiology, month and year of the accident were recorded. Study data were encoded with computer and Statistical analysis was performed using SPSS for windows program.76 of the cases were (34.9%) female and 142 were (65.1%) male and the male/female case ratio was 1.9. The average age of the cases was 46.8 and ranged between 1 and 90 years. 57.8% of deaths were in winter markedly. The highest carboxyhemoglobin saturation was 92% in the blood.Poisoning due to CO leaks from coal heaters is an important problem in our country and surrounding regions. The mining accidents should be reduced by increasing safety in the workplace. We must more expend efforts to educate the public and prevent CO poisoning.
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