scholarly journals Fatal road traffic collisions-An autopsy based study

2021 ◽  
Vol 6 (3) ◽  
pp. 113-117
Author(s):  
Dinesh Rao
Keyword(s):  
Traffic Accidents ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Traumatic Shock ◽  
Public Health Issue ◽  
Age Group ◽  
Craniocerebral Injuries ◽  
Road Traffic Collision ◽  
Major Region ◽  
Traffic Collision

The Deaths due to Road Traffic Collision has become a Major Public Health issue, hence Understanding the Deaths and the Factors involved is important to prevent Fatalities and at the same time Prevent Road Traffic Collision in General. The present Study is a Retrospective Study conducted during the period 2013 to November 2020. Road Traffic Accidents constituted 39.35%[n-1168] of the Cases. Males formed the Majority of the Victims contributing to 83.04% of the cases. Majority of the Victims were I the age group 31-40 years, consisting of 422 victims. The least Age Group affected were those below the age 10years and those individuals above the age 70years. Light Motor Vehicle were the Major Contributor to the Accidents, contributing to 46.40%[n-542] of the cases. Head and Neck was the Major region affected in 795 cases. The Maximum Fatality reported were due to Head or Craniocerebral Injuries in 87% of the cases. Abrasions were Present in all the Victims. Majority of the Deaths were due to Traumatic Shock reported in on the Spot Deaths or Brought Dead Victims in 35.45% [n-414] cases. The commonest Cause of Death reported after 07days of Treatment, were Septicemia, Lung infections, Peritonitis, Coma. Craniocerebral Injuries were the Main Contributors to Fatality in 87% of Accidents. Majority of Deaths were due to Traumatic Shocks due to Multiple injuries involved. Importance of Emergency Care is well understood in this study.

scholarly journals Pattern of head injury in central India population

2017 ◽  
Vol 5 (8) ◽  
pp. 3515
Author(s):  
Rajeshwar S. Pate ◽  
Rohan C. Hire ◽  
Mohit V. Rojekar
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Public Health Problem ◽  
Central India ◽  
Detailed Examination ◽  
Strong Impact ◽  
Age Group ◽  
Road Traffic Accidents

Background: In India, the developing economy and growing population simultaneously made a strong impact on increase in motor vehicle population. This increase in motorization has some adverse effects such as increase in road accidents with economic and functional loss. Head injury is the most common cause of mortality in road traffic accidents. The aim of this study was to know the incidence, pattern, mechanism, mode of head injury along with its distribution in relation to site of vault fracture and intracranial hemorrhage.Methods: Total 391 post-mortem cases of head injury were enrolled during study period. The information regarding age, sex, residence, marital status, date and time of time of accident and of death was gathered from police inquest report, relatives, dead body challan and clinical details from hospital records. During autopsy, detailed examination was carried out and data regarding both external and internal injuries were carefully recorded and analyzed.Results: The peak incidence of head injury was observed in the age group of 21-30 years. Most of deceased were from early age group and the male deceased were more than females. Majority victims of head injury were from road Traffic Accidents followed by fall from height, railway accidents and assault. Fissured fracture of vault was found in almost half cases. Subdural and subarachnoid hemorrhage were the most common one we encountered.Conclusions: Head injury due to RTA is well known public health problem causing death and disability. It is required from concerned government authority to take appropriate and immediate measures for reducing the incidence of head injury.

Prospective Study of Coroner's Autopsies in Benin City, Nigeria

2002 ◽  
Vol 42 (4) ◽  
pp. 318-324 ◽  
Author(s):  
J U Aligbe ◽  
W O Akhiwu ◽  
S O Nwosu
Keyword(s):  
Prospective Study ◽  
Traffic Accidents ◽  
Causes Of Death ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Haemorrhagic Shock ◽  
Western World ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Craniocerebral Injuries

A prospective study of 726 cases of coroner's autopsies carried out over a period of two years (1st January, 1996 − 31st December, 1997) was reviewed. The causes and circumstances of death are defined and classified into natural and unnatural deaths. Fifty cases (6.3%) were children while the remaining 676 cases (93.1%) were adults in a male to female ratio of 2.6 to 1. The most common indications for coroner's autopsies were sudden unnatural deaths (SUDs) accounting for 485 cases (66.8%) and also sudden unexpected natural deaths (SUNDs) (241 cases) accounting for 33.2%. In the first category, road traffic accidents accounted for 86.7% of cases with deaths involving motor vehicle drivers and their passengers (41.8%); pedestrians (37.1%); and motorcyclists and their passengers (18.6%). The commonest causes of death in all road traffic accidents were craniocerebral injuries and haemorrhagic shock. In the second category the most common causes of sudden unexpected natural death were cardiovascular diseases resulting from complications of hypertension (54.7%) occurring in apparently healthy individuals. Other causes of death were pneumonia, pulmonary tuberculosis, typhoid fever and neoplastic diseases. This study showed that in Nigeria, with an increasing acquisition of dietary and life style habits of the developed western world, there is becoming a concomitant risk of deaths from road traffic accidents and sudden unexpected natural deaths from hypertensive cardiovascular disease.

scholarly journals Impact of the COVID-19 Pandemic on Road Traffic Collision Injury Patterns and Severity in Al-Ain City, United Arab Emirates

2021 ◽  
Author(s):  
Yasin J Yasin ◽  
David O Alao ◽  
Michal Grivna ◽  
Fikri Abu-Zidan
Keyword(s):  
United Arab Emirates ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Trauma Patients ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Al Ain ◽  
Fisher’S Exact Test ◽  
Road Traffic Collision ◽  
Motorcycle Injuries

Abstract Background: The COVID-19 pandemic lockdowns restricted human and traffic mobility impacting the patterns and severity of road traffic collisions (RTCs). We aimed to study the effects of the COVID-19 Pandemic on incidence, patterns, severity of the injury, and outcomes of hospitalized RTCs trauma patients in Al-Ain City, United Arab Emirates. Methods: We compared the data of two cohorts of patients which were collected over two periods; the pandemic period (28 March 2020 to 27 March 202) and the pre-pandemic period (28 March 2019 to 27 March 2020). All RTCs trauma patients who were hospitalized in the two major trauma centers (Al-Ain and Tawam Hospitals) of Al-Ain City were studied. Results: Overall, the incidence of hospitalized RTC trauma patients significantly reduced by 33.5% during the Pandemic compared with the pre-pandemic period. The mechanism of injury was significantly different between the two periods (p< 0.0001, Fisher’s Exact test). MVCs were less during the Pandemic (60.5% compared with 72%), while motorcycle injuries were more (23.3 % compared with 11.2 %). The mortality of hospitalized RTC patients was significantly higher during the Pandemic (4.4 % compared with 2.3 %, p=0.045, Fisher’s Exact test). Conclusions: Our study has shown that the numbers of hospitalized RTC trauma patients reduced by 33.5% during the COVID-19 Pandemic compared with the pre-pandemic period in our setting. This was attributed to the reduced motor vehicle, pedestrian and bicycle injuries while motorcycle injuries increased. Mortality was significantly higher during the Pandemic, which was attributed to increased ISS and reduced GCS.

scholarly journals Epidemiology of Fatal Injuries reported in the mortuary of a tertiary care hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 633
Author(s):  
Subrat Kumar Pradhan ◽  
Himansu Prasad Acharya ◽  
Rudra Prasanna Mishra ◽  
Jay Kumar Panda ◽  
Durga Madhab Satapathy ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Adult Population ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Care Hospital ◽  
Age Group ◽  
Microsoft Excel ◽  
Mortality And Morbidity ◽  
Fatal Injuries

Background: Injuries are an increasingly recognized global, preventable public health problem and are an important cause of mortality and morbidity in adult population. The major causes of injury related deaths may be intentional and unintentional. The major unintentional or “accidental” causes are road traffic accidents (RTAs), falls and drowning whereas the leading intentional causes are suicide and homicide. A robust Surveillance System for Injury Mortality is almost non-existent in our country due to which the data for the same is not available and haphazard. Keeping these factors in mind, the following study was under taken to identify the various epidemiological factors related to fatal injury cases.Methods: A record based retrospective study was conducted in the Department of Community Medicine, VSSIMAR, Burla, Odisha. The data were collected from the autopsy reports preserved at the Dept of FM & T, VSSIMSAR. Variables like age, sex, number of injury cause of death, place of death etc. were collected. Data were entered in Microsoft Excel and analysed using proportions and percentages.Results: The age group 25-44 years recorded the maximum number of deaths (37.49%). Males suffered the highest casualty accounting for 61.85% of deaths. Unintentional fatal injuries constituted 63.58% of deaths. The most number of fatal injuries resulting in deaths were RTAs (36.41%).Conclusions: The age group 25-44 years recorded maximum deaths. Males were the major death victims. RTAs constituted maximum of deaths among unintentional fatal injuries. Homicidal injuries constituted maximum of deaths due to intentional fatal injuries.

scholarly journals Peno-scrotal degloving injury following motor vehicle accident—a case report

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Aabishkar Bhattarai ◽  
Niraj Thapa ◽  
Bijaya Karki ◽  
Alok Atreya
Keyword(s):  
Traffic Accidents ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Road Traffic ◽  
Sexual Assaults ◽  
Scrotal Skin ◽  
Voiding Function ◽  
Vehicle Accident ◽  
Degloving Injury ◽  
Male Genital

Abstract Male genital injuries in the form of avulsed laceration of penis and scrotum are less frequent injuries in urological practice. The cases that occur are mostly caused by road traffic accidents, animal attacks, machinery-related accidents and physical/sexual assaults. Here, we report a case of a 28-year-old male with avulsion and traumatic degloving of the penile and scrotal skin with the exposure of the cavernous and spongy penile body, bilateral testes and total amputation of scrotal skin secondary to motor vehicle accident from Nepal. The patient was managed by emergency surgical debridement and reconstruction of the avulsed penile skin and burial of testis in the medial thigh pockets with primary suturing and hemostasis of the amputated scrotal region, which healed with satisfactory esthetic results with normal voiding function and erection of penis.

Pattern of unnatural deaths among children: An autopsy study

2016 ◽  
Vol 85 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Praveen Athani ◽  
Basappa S Hugar ◽  
S Harish ◽  
YP Girishchandra
Keyword(s):  
Traffic Accidents ◽  
Sexually Abused ◽  
Road Traffic ◽  
Academic Failure ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Sex Distribution ◽  
Autopsy Study ◽  
Manner Of Death ◽  
Medical College

This study was conducted at the M. S. Ramaiah Medical College, Bangalore, between October 2007 and September 2009 to analyse the age and sex distribution of unnatural deaths in children, patterns and manner of death. Detailed information regarding the circumstances of death was sought from the relatives, friends and police. The scene of occurrence was visited, and photographs of the scene of occurrence were examined in relevant cases. Unnatural deaths in children constituted 6.62% of the total autopsies conducted. The majority of childhood deaths were in the age group of 15–18 years of both sexes constituting 46.88%. Males constituted 55.22% of cases. Suicide accounted for 40.63% of the cases. Most children committed suicide by hanging (82.05%). The main reason was academic failure and some of the cases were accidental (48.96%). Road traffic accidents accounted for 26.04% of the cases, where most children were pedestrians (56%). Drowning accounted for 15.63% of the cases. Most of the children drowned while playing near ponds (83.33%). Homicide accounted for 9.36% of the cases – either killed by their mother as part of a pedicide–suicide event or by the father, and in two cases the children were sexually abused before being killed.

Formal Model for Road Traffic Collision Risk Avoidance

1997 ◽  
Vol 30 (6) ◽  
pp. 641-645
Author(s):  
Kamel Bouchefra ◽  
Roger Reynaud ◽  
Thierry Maurin
Keyword(s):  
Road Traffic ◽  
Formal Model ◽  
Collision Risk ◽  
Risk Avoidance ◽  
Road Traffic Collision ◽  
Traffic Collision

scholarly journals A comparison of approaches for investigating the impact of ambient light on road traffic collisions

2020 ◽  
pp. 147715352092406 ◽  
Author(s):  
S Fotios ◽  
CJ Robbins ◽  
J Uttley
Keyword(s):  
Detrimental Effect ◽  
Road Traffic ◽  
Previous Analysis ◽  
Ambient Light ◽  
Collision Risk ◽  
Road Traffic Collision ◽  
Repeated Analysis ◽  
Traffic Collision ◽  
The Uk ◽  
The Impact

A recent paper proposed a more precise approach for investigating the impact of ambient light (daylight versus after dark) on road traffic collisions. The present paper first repeated that analysis of road traffic collisions in the UK to test reproducibility; it then extended the analysis to determine whether the greater precision affected the outcome of road traffic collision analyses. Results of the previous analysis were reproduced in terms of the direction of the effect, but the repeated analysis found greater differences between daylight and darkness. The odds ratio determined using the new method led to higher odds ratios than the analyses used in some past studies, suggesting that past studies may have underestimated the detrimental effect of darkness on road traffic collision risk.

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