Forensic pathological evaluation of injury severity and fatal outcome in traffic accidents: five illustrative autopsy cases of clinically unexpected death

Michiue, Tomomi; Ishikawa, Takaki; Quan, Li; Zhu, Bao‐Li; Maeda, Hitoshi

doi:10.1007/s12024-007-9025-5

Cited by 8 publications

(2 citation statements)

References 17 publications

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“…For this purpose, the abbreviated injury scale (AIS) and injury severity score (ISS) for anatomical evaluation are widely used in both forensic and clinical medicine. 9 The study of injuries from morbidity cases and the autopsy cases can be helpful to widen the knowledge ofthe medical faculty in the field of early diagnosis and management.…”

Section: Pattern Of Morbidity and Mortality Due To Road Traffic Accident Cases At Bpkoirala Institute Of Health Sciences Dharanmentioning

confidence: 99%

Cardiac Abnormalities in People Living with HIV visiting ART Center of a Tertiary Hospital in Kaski, Nepal: A CrossSectional Study

et al. 2022

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Introduction: Road traffic injuries and deaths caused by motor vehicles is a growing public health problem all over the world. Head injury and blunt abdominal trauma are major health problems and are frequent causes of death among Road Traffic Accident (RTA) victims. Methods: A total of 348 cases were examined in Emergency department and the Department of Forensic Medicine and Toxicology at B.P Koirala Institute of Health Sciences, Dharan during the period of one year. Data were collected using proforma and analyzed using Statistical Package for Social Sciences (SPSS) 11.5. Injury Severity Score (ISS) was used to assess the severity of injuries. Result: There were 318 morbidity and 30 mortality cases. Male to female ratio was 2.2:1. The commonest age group involved was 21-30 years i.e.32.1%. The most common vehicle involved was two wheelers (60.9%) followed by heavy four or more wheelers (20.9%) and the most common nature of accident was through collision of the vehicles. Abrasion was the most common injury occurred during the RTA (61.2%). 34.1% of the victims had laceration, 8.6% had contusion and 20.9% had fractures. Median Injury Severity Score was 31.5 in mortality and 1 in morbidity cases. Conclusion: Road traffic accident is one of the major causes of morbidity and mortality. Injuries in various body regions are frequent findings in victims of RTA. The median Injury Severity Score (ISS) of mortality cases was significantly high compared to that of morbidity cases.

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Section: Pattern Of Morbidity and Mortality Due To Road Traffic Accident Cases At Bpkoirala Institute Of Health Sciences Dharanmentioning

confidence: 99%

Cardiac Abnormalities in People Living with HIV visiting ART Center of a Tertiary Hospital in Kaski, Nepal: A CrossSectional Study

et al. 2022

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“…For this purpose, the AIS and the ISS for anatomical evaluation are widely used in both forensic and clinical medicine. 11 Because of soft and yielding nature of the abdominal wall, application of even a heavy force may not cause any external wound on the abdominal wall, but the transmitted force may cause serious internal wound. 12 Therefore, in case of fatalities with such injuries, severity can be underestimated.…”

mentioning

confidence: 99%

Application of Abbreviated Injury Scale and Injury Severity Score in Fatal Cases With Abdominopelvic Injuries

Subedi

Yadav

Jha

2014

American Journal of Forensic Medicine &Amp; Pathology

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In forensic casework, investigation of injury severity is important in evaluating the mortality, occasionally in terms of the adequacy of clinical management. The study was conducted with an objective to study the relationship of severity of the injuries using Abbreviated Injury Scale and Injury Severity Score (ISS) with survival period and place of death among fatal cases with abdominopelvic trauma.The total number of cases studied was 80. The injuries in all the body parts were allotted using the Abbreviated Injury Scale 2005, Update 2008, and the ISS was calculated. The male/female ratio was 4:1, and the mean (SD) age was 30.76 (15.2) years. The cause of trauma was road traffic accidents in 82.5% of the cases. The median duration of survival was 2 hours. The mean (SD) ISS was 38.90 (14.89). Abbreviated Injury Scale scores of 5 and 4 were the most common in the region. With increase in the ISS, the survival period was decreased. There was a highly significant difference between the mean ISS of the victims who died prehospital and that of who died in the emergency department (P < 0.005). The mean ISS of the victims who died in the emergency department and of those who died in the ward, intensive care unit, or after discharge was also significantly different (P < 0.05).Although the cases with more severe injuries died sooner, there should be provision of treatment on the spot without delay. More time taken to start the treatment increases the fatalities.

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The forensic autopsy

Ely¹,

Gill²

2023

Principles of Forensic Pathology

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Forensic pathological evaluation of injury severity and fatal outcome in traffic accidents: five illustrative autopsy cases of clinically unexpected death

Cited by 8 publications

References 17 publications

Cardiac Abnormalities in People Living with HIV visiting ART Center of a Tertiary Hospital in Kaski, Nepal: A CrossSectional Study

Cardiac Abnormalities in People Living with HIV visiting ART Center of a Tertiary Hospital in Kaski, Nepal: A CrossSectional Study

Application of Abbreviated Injury Scale and Injury Severity Score in Fatal Cases With Abdominopelvic Injuries

The forensic autopsy

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