No abstract

Injury and death from electric current although rare, are not uncommon. In majority of the fatalities, death usually results from accidental contact with a live wire, both in industrial and domestic circumstances. The entry wound is usually in the hand or foot, with the exit wound being in the opposite hand or foot touching the earth (or the ground). Rarely, due to a unique position of the body and circumstances, they may be seen on head, face, neck, mouth, lips, body trunk, etc. However, here we present a unique site of electrocution, the eye, which has probably never been reported before. This case was also accidental in nature.

The present study is an epidemiological study of fatal Road Traffic (RTA) cases brought and admitted in our tertiary health care centre from Nov 2017 to December 2019. There were 148 fatal RTA cases involving 112 males and 36 female. In the present study males cases outnumbered the female with an approximate male female ratio of 3.1:1. Many cases of fatal head injuries were due to four & two wheelers. Most commonly seen external injuries were abrasions. Lower limbs showed fractured in 31 cases, 20.95%, and upper limbs showed fractured in 22 cases, 14.89%. So, far case fatality is concerned involvement of head plays the most important role.

It is a prospective study of 350 fatal head injury cases brought during the study period extending from Jan’2016 to Dec’2017 admitted and treated in our tertiary health care center. The incidence of fatal head injury is growing with increasing number of high speed vehicle, more mobility of the public and urbanization. In short, it is the single most common cause of morbidity and mortality in emergency wards. Maximum cases were seen in the age range of 21-30yrs, 89 cases (25.42%). Maximum cases were seen amongst males, 281 cases, 80%. The commonest causes of fatal head injuries are Road Traffic Accident (RTA) cases. Other important causes of fatal head injuries are fall from height, assault & railway accidents. External head injuries were mainly seen on frontal and parietal regions. Amongst the scalp injuries lacerations were very common seen in 149 cases, 35.90%. Skull bone fractures were frequently seen in fatal head injury cases. Presence of skull bone fractures are associated more frequently with fatal complications. Though linear fractures are common in general we observed the comminuted fractures as the commonest type of skull fractures in fatal head injury cases, seen in 77 cases, (57.03%). Depressed fractures were less common in fatal cases. Involvement of cranial fssa was seen in 113 cases. Linear type of fractures both transverse and horizontal type was more common seen in 71 coases amongst the 113 cases of cranial fossa involvement i.e. 62.83%. Involvement of middle cranial fossa was high seen in 47 cases of the 113 cases i.e. (41.59%). Presence of comminuted skull bone fractures is associated with higher rate of mortality.