Facial injuries play a significant role when it comes to medico-legal interpretation, category of hurt, cause of death and for compensation purposes. Road traffic accidents had been identified as a major contributor towards facial injuries. The main objectives were to identify the different facial injuries such as abrasions, contusions, lacerations and fractures, injury pattern, the distribution and to correlate the facial injuries with vulnerable road users. A pre-prepared questionnaire was used to extract information from the autopsy reports of road traffic accidents involving 59 victims covering a period from 2005 to 2014. Majority of the victims were males (79.7%) and belonging to the age group of 21-30 (22%) and 41-50 (22%). The vulnerable road users were mostly pedestrians (39%), followed by motorcycle riders (28.8%). Only few (6.8%) of the victims had teeth injuries. Most of the victims had injuries on the right forehead (44%) and right periorbital area (37.3%). The commonest type of facial injuries were abrasions which were 44 (grazed abrasions 30.5% and other types of abrasions 44.1%) followed by lacerations 38 (64.4%). The most common injuries on the right forehead were abrasions (20.3%) and lacerations (16.9%) while on the right peri-orbital area it was contusions (18.6 %). Majority of the victims were pedestrians and motor cycle riders. Most of the injuries were observed on the right forehead and right peri-orbital region and the commonest facial injury type was abrasions. A specific type of injury pattern was not identified to retrospectively suggest the involvement of a pedestrian or others.
Even though life expectancy among the elderly has been improving health hazards due to unnatural causes are a significant medical and social issue among this group. The objective was to determine the causes and epidemiological aspects of unnatural deaths in the elderly. A retrospective descriptive study conducted for a period of 3 years, at a tertiary care hospital of Sri Lanka where information was collected from hospital records and post mortem reports of persons above 60 years of age, who died due to unnatural causes revealed that a majority of deaths were due to road traffic accidents of pedestrians.
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