Description of clinical forensic profile‘visum et repertum’ quality in Yogyakarta 2011-2016

2017 ◽  
Vol 3 (02) ◽  
Author(s):  
Ida BagusGede Surya Putra Pidada ◽  
Martiana Suciningtyas Tri Artanti ◽  
Idha Arfianti Wiraagni ◽  
Dewanto Yusuf Priyambodo
Keyword(s):  
Blunt Trauma ◽  
Forensic Medicine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Living Condition ◽  
Public Hospitals ◽  
Clinical Forensic Medicine ◽  
Road Traffic Accidents ◽  
Scoring Method ◽  
Photo Documentation

Background. Clinical forensic medicine is the practice of assessing the living condition of someone, either as victims of an assault or the alleged perpetrator of the offense. This publication shows the profile of clinical forensic medicine quality were reported on Visum et Repertum in Yogyakarta. Objective. The purpose of our study was to provide descriptive data on clinical forensic profile and Visum et Repertum quality in Yogyakarta 2011-2016. Method. Retrospective data were collected on all clinical forensic victims of five Regional Public Hospital in Yogyakarta, for asix-year period. Visum et Repertum quality was assessed by Herkutanto’s scoring method. Result. There were 2902 cases with male victims 50.7% and female 49.3%. Most cases were from Yogyakarta Regional Public Hospitals (72.6%). The most victims from18 to 30 years old (38.4%). The data from road traffic accidents (RTA), persecution, sexual violence, domestic violence, and poisoning cases were, 66.1%, 13.3%, 8.9%, 6.7%, and 5% respectively. The were no photo documentation in all hospitals. Blunt trauma was the highest number of trauma. While Almost hospitals have moderate quality in writing Visum et Repertum. Conclusion. Women victims in four Regional Public Hospitals (Sleman, Wonosari, Bantul, and Wates) were higher than men. The largest age group of the victims was a group of 18 to 30 years old. The most cases happened was road traffic accidents (RTA). For the type of trauma, blunt trauma was the highest proportion of trauma. All clinical forensic cases obtained were no photo documentation. Overall, Visum et Repertum scores for clinical forensic cases throughout Regional Public Hospitals in Yogyakarta province were in moderate category (range 50% - 75%).

scholarly journals Delayed presentation of a patient with a ruptured diaphragm complicated by gastric incarceration and perforation after apparently minor blunt trauma

CJEM ◽  
2004 ◽  
Vol 6 (04) ◽  
pp. 277-280 ◽  
Author(s):  
Brian K.P. Goh ◽  
Andrew S.Y. Wong ◽  
Khoon-Hean Tay ◽  
Michael N.Y. Hoe
Keyword(s):  
Blunt Trauma ◽  
Nasogastric Tube ◽  
Traffic Accidents ◽  
Major Trauma ◽  
Road Traffic ◽  
Delayed Presentation ◽  
Road Traffic Accidents ◽  
Gastric Incarceration ◽  
Repeat Imaging ◽  
Ruptured Diaphragm

ABSTRACTRupture of the diaphragm is almost always due to major trauma and is most commonly associated with road-traffic accidents. We report a case of delayed presentation of a 35-year-old woman with a ruptured diaphragm, 11 days following apparent minor blunt trauma. This case illustrates how the diagnosis of ruptured diaphragm can be missed and demonstrates the importance of considering this diagnosis in all cases of blunt trauma to the trunk. It also demonstrates the potential pitfall of misinterpreting the chest radiograph, and the value of repeat imaging after insertion of a nasogastric tube.

scholarly journals Solid organ injury in blunt trauma abdomen: an etiological evaluation and success rate of non-operative management

2018 ◽  
Vol 5 (4) ◽  
pp. 1350
Author(s):  
Ramachandra M. L. ◽  
Krishna S. R.
Keyword(s):  
Blunt Trauma ◽  
Surgical Management ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Operative Management ◽  
Abdominal Injury ◽  
Organ Injury ◽  
Free Fluid ◽  
Road Traffic Accidents ◽  
Non Operative Management

Background: Trauma remains the most common cause of death for all individuals between the ages of 1 and 44 years. 10% of these fatalities are attributable to abdominal injury. The Indian fatality rates for trauma are 20 times that for developed countries. The management of patients with blunt abdominal injury has evolved greatly over the last few decades from complete surgical management historically to present non operative management in most of the cases. In view of increasing number of road traffic accidents, rampant increase in construction work, accidental fall from height, this study is conducted to look into the causes of such incidents and also to strengthen the already established rules of non operative management in cases of blunt trauma abdomen.Methods: This is a prospective study of 53 patients who presented to K. R. Hospital, Mysuru, Karnataka, for management of blunt trauma abdomen over the period of January 2016 to June 2017. Unstable patients with initial resuscitation underwent Focused Assessment Sonography for Trauma. Failed resuscitation with free fluid in abdomen confirmed by FAST immediately shifted to operation theatre for laparotomy and proceed. Hemodynamically stable patients underwent computerized tomography of abdomen. Organ injuries were scaled according to the American Association for the Surgery of Trauma and these patients were managed conservatively after ruling out hollow viscus perforation.Results: Majority of the patients belonged to male sex (85%) and of the age group 21-40 years constituting 58.3% of patients. Road traffic accident was the most common mode of injury which included 35 patients (66%). A total of 19 cases had splenic injury out of which 13 (68.5%) underwent non operative management and 6 (31%) underwent emergency Splenectomy. liver injury was present in 15 patients and all were managed conservatively. In total non operative management was done in 73.5% of cases and surgical management was done in 26.5% of cases.Conclusions: The presence of free fluid with organ injury always does not mandate laparotomy. Patient selection, early diagnosis and repeated clinical examination and use of appropriate investigations forms the key in non operative management of blunt trauma abdomen. RTA being the most common mode of injury, adequate measures should be taken to prevent road traffic accidents by strict action and traffic norms and citizen education.

scholarly journals PREVALENCE OF ROAD TRAFFIC ACCIDENTS

2016 ◽  
Vol 23 (04) ◽  
pp. 378-382
Author(s):  
Tajammal Abbas Shah
Keyword(s):  
Blunt Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Surgical Units ◽  
Number Of Patients ◽  
Study Results ◽  
One Year ◽  
Surgical Unit

To see the percentage, the different groups affected and pattern of injury by roadtraffic accidents among patients attending a unit of surgery in a teaching hospital. Objectives: Tosee the percentage of trauma among patients admitted in one surgical unit of a tertiary hospitalin one year and to compare this with the patients admitted in all surgical units of same tertiaryunit. To evaluate the pattern of trauma, male to female ratio, affected age groups, mechanismof injury, the organs affected, and the mortality rate in one surgical unit of a tertiary hospital of3rd most populated city of Pakistan during one year. Study Design: Prospective study. Setting:Surgical Unit II at Allied Hospital Faisalabad. Period: January 2009 to February 2010. Materialsand Methods: Patients admitted during this period for road traffic accidents in surgical unit IIof Allied Hospital Faisalabad were 94 (4.8 %) out of total 1956 patients presented and admittedin surgical unit II during this year. Total number of patients admitted in all surgical units of thishospital were 7388 while 21,400, patients received and admitted by all other specialties throughemergency units of Allied Hospital Faisalabad. Patients with road traffic accidents admitted insurgical unit II through emergency unit of this hospital were part of this study. Among these94 patients 78 patients (82.97%) were adults and 18 children (19.14%). Patients with all otheremergencies modalities and minor injuries treated and discharged from emergency wereexcluded from this study. Results: Out of 1956 patients admitted in Surgical Unit II from total 7388of all surgical admissions and 21400 all emergencies ward patients, 94 patients (4.8%, 1.27%,and 0.439% respectively) were injured by road traffic accidents. Out of these 94 patients, 78patients (82.97%) were adults and 18 children (19.14%) patients. 58 patients (61.70%) were malesand 36 patients (38.29%) were females. 43 patients (45.74%) were pedestrians, 10 patients were(10.63%) on bicycles, 26 patients were (27.65%) on motorcycle while 15 patients (15.95%) werein other vehicles. 52 patients (55.31%) developed head injuries, 10 patients (10.93%) blunt traumaabdomen, 5 patients (5.31%) blunt trauma chest and 26 patients (27.65%) skeletal injuries ( 10patients forearm bones fracture, 6 patients with fracture mid-shaft of tibia, another 5 patients withfracture lower 1/3rd of femur and 5 patients with hand bones fracture ). All patients were treated bycombined specialty trauma surgeons. 3 patients (3.19%) died out of which 2 patients (2.12%) withsevere head trauma and one pedestrian (1.06%) with blunt trauma abdomen and lower chest. Allother patients survived and recovered with some morbidity. Conclusion: Road traffic trauma isone of major dilemma of our society. 94 road traffic accidents causalities were admitted duringone year in one surgical unit of a tertiary care center and 3 patients died. It is an alarming signto properly protect people, educate general population, employ dedicated road safety staff andfollow rules and regulation of traffic authorities.

An Autopsy study of Fatal Blunt trauma of Chest with Emphasis on Two Wheelers Road Traffic Accidents

2017 ◽  
Vol 18 (1) ◽  
pp. 85
Author(s):  
G K RaviRaj ◽  
Fairoz Khan ◽  
R Lohith Kmar ◽  
Abhishek yadav
Keyword(s):  
Blunt Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Autopsy Study

Incidence of Death Due to Road Traffic Accidents over an eight year period at the Forensic Medicine Department of Dhaka Medical College

2014 ◽  
Vol 22 (Number 1) ◽  
pp. 23-30
Author(s):  
Md. H Kabir ◽  
A Mazid ◽  
Z K Ahmed ◽  
Md. N Hossain ◽  
K Nahar
Keyword(s):  
Metropolitan Area ◽  
Forensic Medicine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Social Groups ◽  
Road Traffic Accidents ◽  
Medicine Department ◽  
Medical College ◽  
The Future

This study was conducted at the Forensic Medicine Department of Dhaka Medical College covering an eight year period from 1st Jan 2002 to 31st Dec 2009. The objective of the study was to find out the number of deaths due to Road Traffic Accidents (RTA) over an eight year period. The autopsy reports of the year 2002 to 2009 were analyzed and the deaths due to road traffic accidents were counted and tabulated year wise. The study revealed that the number of deaths due to RTA were 1129 in 2002, 1056 in 2003, 952 in 2004, 945 in 2005, 1064 in 2006, 1083 in 2007, 813 in 2008 and 652 in 2009. The total number of autopsy reports from 2002 to 2009 was 23373 out of which the number of deaths due to RTA was 7496 (32.92%). Analysis of the above data showed a declining trend in the number of autopsies on cases of death due to RTA which were brought to the mortuary of the Forensic Medicine Department from Police Stations situated within the metropolitan area of Northern Dhaka during the study period of 2002 to 2009 with minor exception in 2006 and 2007. It is the observation of this study that this decline is significant and points towards certain measures and campaigns taken by the concerned authorities and social groups on mad safety. The objective of this study was to highlight the various reasons for this improvement and suggest further areas of possible improvement whereby the situation could improve significantly in the future.

scholarly journals EPIDEMIOLOGIC ASPECTS OF TRAUMA IN AL-JOUF REGION, SAUDI ARABIA: A RETROSPECTIVE STUDY

2019 ◽  
pp. 261-264
Author(s):  
DOAA M ABDEL-SALAM ◽  
RAWAN R ALRUWAILI ◽  
FARAH S ALHABLANI ◽  
NOUR H ALFAHEL ◽  
ANWAR A ALBLAWI
Keyword(s):  
Emergency Department ◽  
Saudi Arabia ◽  
Blunt Trauma ◽  
Urban Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Penetrating Trauma ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Road Traffic Accidents

Objectives: This study aimed to determine the types, characteristics, and associated factors of trauma in Al-Jouf Region which is located in Northern part of Saudi Arabia. Methods: The present study was conducted in the Emergency Department of Prince Meteb Hospital in Al-Jouf Region. A total number of 382 patients were enrolled in the present study. A pre-organized data form were designed for each patient attended the Emergency Department of Prince Meteb Hospital from January 2017 to January 2018. It included data about sociodemographic characteristics, type of trauma, and trauma characteristics. Results: The mean age of the patients was 24.4±13.4 years. Most of the patients (75%) were <30 years old. Males (86.9%) were influenced by trauma more common than females. Most of the patients (84.8%) were from urban areas. Blunt trauma constituted 58.9% while, penetrating trauma 41.1%. The most common cause of trauma was road traffic accidents, which occurred among 40% of patients. The most frequent trauma site was head trauma (49%). Most of the patients (47.9%) reached the hospital within 30 min. Regarding the fate of patients, 46.1% discharged after management, 42.1% admitted to intensive care units, and only 11.8% died. Blunt trauma was significantly higher than penetrating trauma among the young age group. Patients with blunt trauma arrived hospital significantly earlier than patients with penetrating trauma. The fate of patients is significantly better in blunt trauma than penetrating trauma. Conclusion: Trauma is considered to be a major public health problem, particularly in the young population in Saudi Arabia. Blunt trauma is more common than penetrating trauma, with road traffic accidents representing the majority.

scholarly journals Road traffic accidents, the leading cause of death: A retrospective study

2021 ◽  
Vol 3 (Number 2) ◽  
pp. 26-29
Author(s):  
Farzana Islam ◽  
Nashid Tabassum Khan ◽  
Sohel Mahmud ◽  
Farhana Shahid ◽  
Mahbub Alam Mondal ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Forensic Medicine ◽  
Traffic Safety ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Public Awareness ◽  
Health Concern ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Medical College

Road traffic accidents (RTAs) has spiked over the past few years and has become a major public health concern in Bangladesh. Globally, RTA causes 1.35 million deaths annually. The consequences of road traffic accident not only affect the victim’s physical, psychological and financial hardship, but also has fatal impact on the functioning of the whole family. The objective of this study was to evaluate the present situation of RTA in Dhaka city, to find out the pattern of injuries, to identify the causes, frequency, socio- demographic characteristics of the victims and to identify the measures to minimize the incidence of RTAs. This retrospective study was conducted in the department of Forensic Medicine & Toxicology of Dhaka Medical College during January 2019 to December 2019. A total of 154 medico-legal cases of road traffic accidents were brought to the mortuary of Dhaka Medical College from 23 police stations and 1 railway Thana. Data was collected from inquest report, Challan and postmortem reports from the department of Forensic Medicine and Toxicology, Dhaka Medical College. This study shows that a total of 154 post mortems of RTA cases were conducted at DMC morgue during January 2019 to December 2019. Greater number of the accidents occurred during June 28 (18.18%) and August 25 (16.23%). Among the victims, 114 (74.03%) were male and 40 (25.97%)were female. Most of fatality was among the age group 22 to 27 years (48, 31.17%) followed by 28 to 33 years age group (32, 20.78%). By relidion, Muslims were 130 (84.41%), followed by Hindus (19, 12.34 %), and Christians (05, 3.25 %). Considering the injury patterns, all victims had multiple abrasion and bruise 154 (100%), fracture ribs 28 (18.18%), fracture hipbones 26(16.88 %), fracture skull bones 17 (11.04%), head injury 24 (15.58%) and intracranial haemorrhages 24 (15.58%). Road traffic accidents can be minimized by creating public awareness among all road users about traffic signals and traffic safety rules as far as private users of vehicles are concerned.

ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain
Keyword(s):  
Risk Factor ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Fatality Rate ◽  
Road Traffic Accidents ◽  
Road Crashes ◽  
Road Crash ◽  
Day By Day

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.

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