Lethal Traumatic Injuries due to Traffic Accidents

Zerbo, Stefania; Piazza, Ambra Di; Procaccianti, Salvatore; Spagnolo, Elvira Ventura; Re, Giuseppe Lo

doi:10.1007/978-3-319-96737-0_10

Cited by 1 publication

(1 citation statement)

References 34 publications

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“…Ring fractures at the skull base are the most common skull fractures in case of high energy MVC [ 9 , 10 ]; they can be complete or incomplete. The incomplete ring fractures extend along the middle cranial fossa and behind the petrous pyramid of the temporal bone, bilaterally [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Preventable fatal injury during rally race: a multidisciplinary approach

et al. 2020

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Introduction The motor vehicle crash (MVC) constitutes an important challenge for forensic pathology in order to identify the manner and cause of death. Our study focuses on a fatal accident during a rally race corresponding to MVC sub-category. Materials and method Postmortem computed tomography (PMCT) was performed before the conventional autopsy. Autoptic and PMCT data were compared. Data collection allowed analyzing biomechanical dynamics of the incident and post-traumatic injuries through qualitative-statistics and solicitation quantitative indices. Results Photo and circumstantial evidence analysis showed a wrong installation of double shoulder belt system of head and neck support (HANS) collar. PMTC clearly highlighted multiple and bilateral fractures involving roof and base of skull; a displaced fracture of the right acetabulum was also encountered. Autopsy confirmed PMCT data and revealed a brainstem laceration. AIS (Abbreviated Injury Scale) achieved a maximum score in consideration of fatal injuries. Discussion The injuries analysis resulting from photographic surveys examination, conventional autopsy, and PMCT has led us to confirm a fatal front collision with a tree trunk. Head trauma represents a major injury in the present case. In this case, head injuries, related to whiplash trauma, are a consequence of a double shoulder belt system (HANS collar component) wrong installation. Conclusion MVC and especially high-speed motor racing represent an important death cause. There was, for this reason, a marked development of cars and occupants’ safety systems, such as HANS collar. PMCT improves the diagnostic performance of conventional autopsy and increases forensic medical knowledge related to traumatic injuries.

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Section: Discussionmentioning

confidence: 99%