AN AUTOPSY STUDY OF THORACO-ABDOMINAL INJURIES IN ROAD TRAFFIC ACCIDENTS
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i6.47921Keywords:
RTA-road traffic accidents, Thoraco-abdominal injuries, Spot death, Brought dead, Survival periodAbstract
Objectives: More than 1.3 lacks people died on Indian roads, giving India the dubious honor of topping the list of road deaths across the world. With just 1% of the world’s vehicles, India manages to account for 10% of its road fatalities. Since the thoraco-abdominal cavity contains the vital organs such as heart, lungs, liver, spleen, stomach, kidney, major blood vessels, and ribs, trauma to this region challenges the integrity and even the viability of the individual.
Methods: The present study was conducted in the department of forensic medicine and toxicology of a tertiary care center. The study was carried out during the period of 2 years from 1st October 2012 to 30th September 2014.
Results: Males between the age group of 21 and 30 years, i.e., 26 victims (26.53%), more vulnerable. Females were more vulnerable in the age group of 51–60 years, i.e., 5 victims (31.25%). Out of total 114 cases, total 48 victims were died on the spot or brought death to the hospital. Lungs were injured in maximum number of victims, i.e., 87 cases (76.31%), followed by the heart, i.e., in 24 cases (20.17%). Liver was the most commonly injured abdominal organ, in 67 cases (58.77%).
Conclusion: Maximum cases were spot death. It confirms the urgency to establish the good pre-hospital care and provision of efficient and prompt trauma services at site.
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References
Johnson RM, McCarthy MC, Miller SF, Peoples JB. Craniofacial trauma in injured motorcyclists: The impact of helmet usage. J Trauma 1995;38:876-8.
Mohan D, Varghese M. Injuries in South-east Asia Region Priorities for Policy and Action. Delhi: SEARO, WHO; 2002. p. 1-19.
Shackford SR. Blunt chest trauma: The intensivists’s perspective. J Intensive Care Med 1986;1:125-36.
Reddy NB, Hanumantha, Madithati P, Reddy NN, Reddy CS. An epidemiological study on pattern of thoraco-abdominal injuries sustained in fatal road traffic accidents of Bangalore: Autopsy-based study. J Emerg Trauma Shock. 2014:116-20.
Khajuria B, Sharma R, Verma A. A profile of the autopsies of road traffic accident victims in Jammu. J Clin Diagn Res 2008;2:639-42.
Lamb MR, Shindhe JR, Tandle RM, Verma NM. A study of thoraco-abdominal trauma in fatal road traffic accidents in Aurangabad. Indian J Forensic Med Toxicol 2012;6:47-50.
Kachare RV, Kachre VH, Asawa SS. Pattern of vehicular accidents in Pravera region: A rural region of Ahmadnagar district of Maharashtra. J Forensic Med Toxicol 2003;20:29-32.
Murkey P, Nagrale N, Tirpude B, Wankhade P, Patond S. Pattern of chest injuries in fatal vehicular accidents in Central India. J Forensic Med Sci Law 2012;21:1-8.
Kumar NB, Ghormade PS, Tingne CV, Keoliya AN. Trends of fatal road traffic accidents in Central India. J Forensic Med Sci Law 2013;22:1-8.
Meera TH, Nabachandra H. A postmortem study of blunt cardiac injuries. J Indian Acad Forensic Med 2005;27:82-4.
Khichi Z, Afridi HK, Mateen A, Kehiri GQ. Audit of thoraco-abdominal injuries in road traffic accidents in Larkana autopsy study. Pak J Med Health Sci 2013;7:1109-12.
Singh H, Dhattarwal SK. Pattern and distribution of injuries in fatal road traffic accidents in Rohtak (Haryana). J Indian Acad Forensic Med 2004;26:20-3.
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Copyright (c) 2023 Dr. Sonal Govindwar
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