Audit of medico legal death in metropolitan city of Warri, Nigeria.

2017 ◽  
Vol 3 (1) ◽  
pp. 29
Author(s):  
Uchendu J O ◽  
Nwachokor N F ◽  
Ijomone A E
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Relevant Information ◽  
Age Group ◽  
Manner Of Death ◽  
Firearm Injuries ◽  
Unnatural Death

Aim: To describe the various medico legal autopsy cases with respect to sex, age, cause and manner of death. Material and Methods: This is a descriptive retrospective study of  972 medico-legal autopsy cases studied in Warri Metropolis from 1st Jan. 2003 to 31th December 2016. The relevant information was extracted and subsequently   analyzed statistically using SPSS version 22. Results: A total of 972 cases of medico legal autopsies of 843 males against 129 females were studied. Their ages of victims ranged from 0.4 years to 85 years, with a mean of   34.45 years and a peak age group in their 3rd decade. Homicidal, accidental, sudden natural, suicidal, and indeterminate cases accounted for 55.7% (541), 24.7% (240), 17.3% (168), 1.4% (14) and 0.9% (9) of the cases respectively. Firearm injuries, sharp weapon and blunt injuries, accounting for 374 (69.1%), 122(22.6%)  and 37(6.8%) of homicide cases. Road traffic accident, drowning,  burns injury and electrocution accounted for  119(49.6%), 34(14.2%), 26(10.8%) and 19(7.9%)  of accidental cases respectively. Cardiovascular, Central nervous system-related and infectious diseases are responsible for 79(47.0%), 21(12.5%) and 15(8.9%) of sudden natural deaths observed in this study.  Hanging and corrossive chemical ingestion accounted for 10(71.4%) and 4(28.6%) respectively of the suicide cases, and together representing a MFR of   3.7:1. Conclusion: Our study showed that firearm injuries, road traffic accident and sharp weapons injuries are the leading cause of unnatural death while cardiovascular diseases account for most cases of sudden natural deaths

scholarly journals Determination of the Incidence of Medicolegal Death in a Tertiary Health Institution in Abakaliki, Ebonyi State, South-East, Nigeria

2020 ◽  
Vol 12 (8) ◽  
pp. 58
Author(s):  
Felix O. Edegbe ◽  
Chukwuma J. Uzoigwe ◽  
Kenneth C. Ekwedigwe ◽  
Chukwudi O. Okani ◽  
Uzoma M. Agwu ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
University Teaching ◽  
Road Maintenance ◽  
Safe Driving ◽  
Unnatural Death ◽  
Age Range

BACKGROUND: Death is an inevitable end that comes when not expected. However, when death occurs as a result of violence or unclear and suspicious manner, a coroner inquest is instituted to determine the cause, manner and the mechanism of death. AIM: To determine the incidence and causes of medicolegal death in Ebonyi State. MATERIALS & METHOD: This is a 5-year retrospective study of medicolegal autopsies reports of subjects whose cause of death were subject of litigation. The study analysed data between January 1, 2013, and December 31, 2017, at Alex Ekwueme Federal University Teaching Hospital, Ebonyi, Southeast, Nigeria. Data analysis was with the SPSS version 20. RESULTS: During the study period. A total number of 202 autopsies were performed. The age range of the deceased was from 2 years to 90 years, with a mean age of 35.2 ± 16.1. The predominant age group was 30 - 39 years (30.2%) while the least (0.5%) were between the age of 90 and 99 years. Males accounted for 158 (78.2%), and females were 44 (21.8%). Farmers (31.2%) and students (15.3%) were mostly affected by unnatural death in this study. Accidental deaths constituted 54.5% of cases, followed by homicidal death (36.6%). Impalement by sharp objects (41.9%) was a significant cause of death due to homicide in this study. In contrast, accidental deaths were mainly as a result of a road traffic accident (95.5%). The majority (60.4%) of those who died as a result of an accident sustained an injury at multiple body sites. CONCLUSION: Road traffic accident and homicide were responsible for the majority of cause of death found in medicolegal autopsies in Ebonyi State. Proper road maintenance, safe driving culture, and making people adhere strictly to the rule of law are necessary to reduce the incidence of avoidable deaths in our environment.

scholarly journals The Effect of Age on Road Traffic Fatality Index in Ghana

2016 ◽  
Vol 5 (4) ◽  
pp. 111 ◽  
Author(s):  
Christian A. Hesse ◽  
John B. Ofosu ◽  
Samuel K. Darkwah
Keyword(s):  
Analysis Of Variance ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Age Groups ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Older Population ◽  
Traffic Fatality

In this paper, data on road traffic casualties by age groups, from 2009 to 2013, will be used. Using published road traffic casualty statistics from the National Road Safety Commission of Ghana, a 2 ´ 8 contingency table is used to determine whether road traffic casualty and age group are independent. A one factor analysis of variance tests shall be used to conduct a comparative analysis of the rate of road traffic fatalities per 100 casualties across the various age groups in Ghana. A multiple comparison test, using the Fisher least significance difference (LSD) method, shall be conducted to determine which pairs of age groups are significantly different.The study will show that road traffic casualty is not independent of age group. The analysis of variance will show that there are significant differences in road traffic fatality indices (fatality per 100 casualties) among various age groups in Ghana. The risks of dying in a road traffic accident among children under 6 years and older population who are over 65 years are both significantly higher than those of other age groups. This points to the fact that, although smaller number of children under 6 years and older population who are over 65 years die in road traffic accidents each year, more and more people as a proportion of the recorded number of casualties, are being killed through road traffic accidents among these two categories of age groups. Thus, the probability of being killed in a fatal road traffic accident is significantly high in each of these two age groups.

scholarly journals EPIDEMIOLOGY OF FRACTURES AND DISLOCATIONS IN CHILDREN

2017 ◽  
Vol 53 (1) ◽  
pp. 81
Author(s):  
Hans Kristian Nugraha ◽  
Agus Adiantono
Keyword(s):  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Single Fracture ◽  
Age Group ◽  
Major Health Problem ◽  
Major Health ◽  
Pediatric Fractures ◽  
The World

Fracture is quite a common occurrence in the age group of children, with a fairly wide variety of epidemiology throughout the world, hence it could be considered as a major health problem. A retrospective study of all pediatric fractures presenting to Dr. Soegiri General Hospital Lamongan, Indonesiain 2015 was undertaken. It showed that 79.5% of children’s fractures occurred in males and that 86.76% presented as a single fracture, whileelbow dislocation is the most prevalent dislocation in this study.Analysis of pediatric fractures shows that there is a trimodal distribution of single fracture with age, withdistal radius/ulna fracture as the most prevalent single fracture.The commonest cause of single fracture are road traffic accident, and the majority involve the upper limb. Those suggested that there should be more concern about road safety program in Indonesia.

scholarly journals A Study on the Socio-Demographic Profiles of Road Traffic Accident Cases Attending a Peripheral Tertiary Care Medical College Hospital of West Bengal

2021 ◽  
Vol 8 (15) ◽  
pp. 945-949
Author(s):  
Sirshak Dutta ◽  
Debasis Sarkar ◽  
Nazrul Mallick
Keyword(s):  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Age Group ◽  
Road Traffic Accidents ◽  
The Road ◽  
Safety Rules

BACKGROUND A road traffic accident (RTA) is any injury due to crashes originating from, terminating with or involving a vehicle partially or fully on a public road. Increased mechanisation and improved socio-economic condition of the people in developing countries like India leads to increased use of motor vehicles, disproportionate to the increase in the number of roads. We wanted to assess the socio-demographic profile of road traffic accident victims and study the antecedent factors influencing the road traffic accidents. METHODS This is an institution based descriptive, cross-sectional study, conducted among 114 patients. RESULTS Maximum numbers of the victims, 33.32 % (N = 38) were in the age group of 21-30 years followed by 26.31 % (N =30) in the age group of up to 20 years, mean age of the victims was 29.53 ± 13.85. Majority of the victims, 70.05 % (N = 80) were on motorcycles, and 26.32 % (N =30) of the victims were alcoholic at the time of accident. Majority of the victims, 92.86 % (78 out of 84), among the motor-cycle riders, four-wheeler drivers, and front seat passengers had not used any safety measures at the time of accident. CONCLUSIONS Road traffic accidents emerged as the major epidemic of non-communicable disease, holding a major share of mortality and morbidity data all over the world, majorly among the young productive portion of the population. It was evident from the study that the majority of victims were young adults, from lower socioeconomic background, and rural residents. So, lack of proper information and consciousness regarding road safety rules and measures are definitely the important aetiology behind this epidemic. Almost two third of the cases were among the bikers in the present study, which is pointing out the need of focusing on the road safety rules related to bikers by the road traffic authority. KEYWORDS Alcoholic Intoxication, Motor Vehicle, Road Traffic Accidents, Tertiary Care Centre

scholarly journals Evaluation of the Viscus injury in Abdominal Trauma

2020 ◽  
Vol 3 (1) ◽  
pp. 56-58
Author(s):  
Nishit R Santoki ◽  
Pranjal Sangole ◽  
Gyaneshwar Rao
Keyword(s):  
Abdominal Trauma ◽  
Trauma Care ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Age Group ◽  
Hollow Viscus ◽  
Stab Injury ◽  
Diagnosis And Management ◽  
Accident Site

Background: The diagnosis of hollow viscus injury with advanced diagnostic tools and management of trauma by conservative and surgically by laparotomy and correction of anatomy. Hence such injuries are frequently overlooked leading to increased morbidity and mortality. Thus, this study is intended to throw light upon the prompt diagnosis and management of hollow viscus injuries in trauma. Hence the aim of the present research was to study the diagnosis and management of hollow viscus injuries. Subjects and Methods: A total of 100 cases were included in the study. All the patients were above the age of 11 years and maximum age of 80 years. Most of the patients included were male with ration of 4:1. After recording of history clinical examination followed by radiological, serological and operative findings were recorded. Data was analyse to study the male: female ratio, etiologies of viscous injury, investigation done and possible management for the treatment. Results: On analysis of the data, most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. The maximum of the patients belong to the age group of 2 to 30 years. Most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. Conclusion: It is mostly seen in the age group of 21-30 years which form the young and reproductive group. These patients’ measures should be taken to prevent these accidents and care of victims at the accident site. Well established trauma care centers should be established at least at every taluk hospital. Measures for early transport of the patients from the accident site to the trauma care centres to be undertaken.

Profile of medico-legal cases registered at a tertiary care children’s hospital

2017 ◽  
Vol 4 (4) ◽  
pp. 1345
Author(s):  
Shyam Sundar Mina ◽  
Srikanta Basu ◽  
Virendra Kumar ◽  
Deepika Mina
Keyword(s):  
Social Factors ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Urban Slum ◽  
Care Hospital ◽  
Age Group ◽  
Legal Cases

Background: The aim of this study was to analyse the patterns, social factors and the clinical outcomes of medico legal cases in Delhi.Methods: In this study, 238 medico-legal cases were studied at tertiary care centre.Results: Out of 238 cases studied, 188(79%) were males and 58 (21%) were females and a majority of these cases were from the urban slum areas (53.78%). Majority of the medico-legal cases were due to routine medical examination for fitness of abandoned children’s (26.89%) followed by poisoning (23.10%), trauma (16%), road traffic accident (8%), assault (13.33%). Most of the MLC cases were reported in casualty within 1 hour through PCR police. In this majority of the MLC cases were discharged after treatment (78.99%) and 2 children (4.72%) expired.Conclusions: This study shows the prevalence of medico-legal cases in a tertiary care hospital. Majority of the cases were males and adolescents. There is an urgent need to focus more on this vulnerable age group. Moreover, there is a need of awareness on the part of treating pediatricians about these medico legal cases and to handle the victims empathetically and at the same time follow the legal procedures diligently as per the law of the land.  

scholarly journals Analysis And Clinical Study Of Surgical Management And Outcome Of Blunt Abdominal Trauma

2021 ◽  
Vol 23 (2) ◽  
pp. 12-21
Author(s):  
Ravi V. Satasia ◽  
Sanjay R. Chauhan ◽  
Aimanhusen M. Payala ◽  
Aarsh Panchal ◽  
Jaykumar Patel ◽  
...  
Keyword(s):  
Latent Period ◽  
Clinical Examination ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Age Group ◽  
Abdominal Injuries ◽  
The Impact

INTRODUCTION: Trauma during Road Traffic Accident is a major public health problem in all countries. It causes death, disability or both. 50% die immediately at the time of accident. 25% die in golden hour (4–6 hours) of trauma. 25% may die late during treatment period due to sepsis and complications. AIMS AND OBJECTIVES: 1)To study the impact of blunt abdominal trauma on abdominal solid organs like spleen, liver and hollow viscera like stomach and intestine along with various mode of injuries and their different type of management and their outcomes. MATERIALS AND METHODS: This is a prospective study of blunt abdominal injuries during the period from June 2019 to January 2021 in Sheth Lallubhai Gordhandas Municipal General Hospital, Ahmedabad. Number of cases studied is 60. Clinical Data of admitted patient were collected by their detail history after stabilizing the patient, clinical examination with appropriate investigations. RESULTS AND DISSCUSION: In our Study majority of the patients belonged to 21-30 years age group, followed by 31-40 years age group. 46 cases were males, with females accounting for only about 14 cases. 35 patients were operated and 25 patients were selected for non-operative management. Road traffic accident was responsible for 48% of blunt abdominal trauma cases, while fall from heights accounted for 18% of cases and blow with blunt object was responsible for 34% of injuries. Majority of the patients presented with abdominal pain (100%) and abdominal tenderness (76%). Average latent period was between 12-18 hours. Majority of patients (50%) were taken for surgery between 6-10 hours of latent period. Associated extra abdominal injuries were found in 27 cases. Apart from routine investigations, abdomen x ray was done in all patients. Ultrasound of abdomen was done in 53 cases. CT scan was done in 21 cases. CONCLUSION: Propper clinical examination and appropriate investigations helps in management of patient either operative or non-operative which leads successful treatment in these patients. Other associated injuries greatly influence the outcome in morbidity and mortality.

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

Epidemiological Study of Road Traffic Accident Cases Attending the Civil Hospital, Ahmedabad

2012 ◽  
Vol 3 (8) ◽  
pp. 282-283
Author(s):  
Dr. Chhaya Lakhani ◽  
◽  
Dr. Rachana Kapadia ◽  
Dr. Dhara Prajapati ◽  
Dr. A.Bhagyalaxmi Dr. A.Bhagyalaxmi
Keyword(s):  
Epidemiological Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Civil Hospital

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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