CLINICAL EVALUATION OF THE PATTERN OF DIFFERENT TYPES OF NECK INJURIES IN CASES UNDERGONE AUTOPSY

Author(s):  
Dr. N. B. Gawande ◽  
Dr. Ashok Tank

It is learnt from literature that neck injuries are encountered with different manner (suicide, homicide, accident). Sometimes homicidal neck injuries are pleaded or disguised as suicide e.g. murdered victims placed on railway track and even accidental neck injuries are disguised as homicidal to bring false charge of offence on enemies. Meticulous examination of neck injuries can give clues to settle these challenges (Suicidal, homicidal or accidental). Over all, suicide is the major cause of neck injury because of social, economic, work pressure, love failure; failure in exams, unemployment, marital disharmony and depression etc. Accidental deaths are an unplanned event occurring suddenly unexpectedly as unforeseen circumstance. The exponentially increasing number of automobile vehicles, poor adherence to traffic rules and regulations, abuse of alcohol and drug are the cause of accidents. Accidents tragically are not often due to ignorance, but are also due to carelessness, thoughtlessness and due to over confidence. Incidence of road traffic accidents has been increasing at the alarming rate throughout the world. Hence based on these reported data the present study was planned for the clinical evaluation of the pattern of different types of neck injuries in cases undergone autopsy. The present study was planned in Department of Forensic Medicine, Dr. Panjabrao Alias Bhausaheb Deshmukh Memorial Medical College, Shivaji Nagar, Amravati. Total 50 cases of the neck injuries undergone autopsy were evaluated in the present study. The data generated from the present study concludes that Neck injuries constitute a potential factor in increasing the amount of morbidity and mortality; therefore proper attention should be paid towards their accurate diagnosis and satisfactory management. Death in young due to neck injuries causes heavy loss of valuable work force and human resources. Keywords: Manner, Agents and Cause of death, Neck, etc.

Author(s):  
Neeraj Singh ◽  
Bhavesh Bohra

Background: In the present study analysis of changes in level of sodium in cadaveric synovial fluid is done, which is correlated with increasing post-mortem interval and this study have not been done in south east region of Rajasthan so far. Methods: This study was carried out in department of Forensic Medicine and Toxicology, Jhalawar Medical College, Jhalawar. This study was done on 50 cases with known time of death who was brought in the mortuary of department of Forensic medicine and Toxicology for autopsy. The information regarding time of death were collected from hospital records. Ethical permission has been taken from college ethical committee. Results: Deaths due to road traffic accidents & its complications constituted majority of cases 44.00% followed by poisoning 40.00% Conclusion: This study helps to interpret different types of medico-legal autopsy cases, thereby providing an insight to the policy-makers, law custodians, and the community to look into the specific aspects of the cases and then to take proper measures to reduce mortality. Keywords: Death, Post mortem, Age


Author(s):  
Smitha S. G. ◽  
Suhasini Hanumaiah ◽  
Arunima Sheeja

<p class="abstract"><strong>Background:</strong> The government of India imposed a nationwide lockdown from 24 March to 14 April 2020, to contain the highly contagious corona virus. The aim of the study was to reflect upon the psychosocial impact of lockdown 1.0 on the population in terms of assaults, self-inflicted injuries and road traffic accidents during the 21 days of lockdown.</p><p class="abstract"><strong>Methods:</strong> This was a prospective observational study done in KIMS hospital and research centre during nation-wide lockdown 1.0 i.e. from 24 March to 14 April 2020. Patients who visited emergency medicine department with history of assault, self-inflicted injuries, road traffic accidents sustaining injuries to ear, nose, neck and other regions of the face were included in the study.</p><p class="abstract"><strong>Results:</strong> A total of 32 patients who sustained injuries in the head and neck region during the 21-day lockdown period and came to our institution were included. Out of the 32 injuries, 6 injuries were to the ear, 12 to nose,5 to the neck region and 9 to other facial regions. There were 18 assault cases causing head and neck injuries,3 were self-inflicted wounds and rest were injuries due to road traffic accidents.</p><p class="abstract"><strong>Conclusions:</strong> Several problems emerged following the forced quarantine to combat COVID-19. These inexorable circumstances which are beyond normal experience, lead to stress, anxiety and a feeling of helplessness in all. There is a need to ameliorate people’s access to mental health support services geared towards providing measures for developing healthy coping mechanisms during such crisis.</p>


2019 ◽  
Vol 24 (9) ◽  
pp. 480-487 ◽  
Author(s):  
Neus Elias ◽  
Ana-Maria Rotariu ◽  
Tobias Grave

Traumatic brain injury is common in companion animals and can occur from many different types of trauma such as road traffic accidents or bites. Following the primary injury, which is beyond control of the clinician, secondary injury occurs minutes to days following the trauma. The secondary injury will lead to neuronal death, and is the focus of treatment strategies for the emergency veterinary surgeon. Treatment of traumatic brain injury includes nursing strategies, intravenous fluid therapy, hyperosmolar therapy and diuretics, pain management, maintenance of oxygenation and ventilation, temperature regulation, anticonvulsant therapy and glycaemic control. All of these are discussed in this clinical review.


2016 ◽  
Vol 85 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Praveen Athani ◽  
Basappa S Hugar ◽  
S Harish ◽  
YP Girishchandra

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.


2012 ◽  
Vol 7 (1) ◽  
pp. 6-9
Author(s):  
ASMJ Chowdhury ◽  
MS Alam ◽  
SK Biswas ◽  
RK Saha ◽  
AR Mondal ◽  
...  

Road traffic accidents in Bangladesh have been rapidly increasing with huge mortality through road accidents each year. There are many causes of road accidents in recent years; one important cause is running of locally made improvised three wheelers (flat bed tricycle) in the urban areas and also on the highways, popularly known as 'Nasimon' and 'Karimon'. This prospective study was carried out in Faridpur Medical College Hospital from January through June 2011, to study the accident patients caused by 'Nasimon' and 'Karimon'. Fifty six (12%) patients were of RTA by 'Nasimon' and 'Karimon' out of a total of 468 patients admitted into our hospital during this period. Most patients (41, 73.21%) were male, highest accidents (24, 42.86%) were observed among 21-30 years age group and most victims (33, 58.93%) were belonged to low socioeconomic status. Commonest (31, 55.36%) victims were passengers of 'Nasimon' and 'Karimon' while maximum number of accidents (46, 82.14%) took place in the urban areas and on the highways. Injury pattern of victims were similar to that found in any other road accident patients. These three wheelers 'Nasimon' and 'Karimon' are run in violating of Bangladesh Motor Vehicles Act (1983) as they are totally unfit for plying on the highways. Strict surveillance against these illegal and risky vehicles on the highways and in the urban areas by law enforcing agencies is required as a measure to reduce the burden of road accidents in our country.DOI: http://dx.doi.org/10.3329/fmcj.v7i1.10289Faridpur Med. Coll. J. 2012;7(1): 06-09


2020 ◽  
Vol 7 (12) ◽  
pp. 4003
Author(s):  
Manish Munjal ◽  
Sonika Kanotra ◽  
Shubham Munjal ◽  
Parth Chopra ◽  
Tullika Saggar ◽  
...  

Background: Road traffic accidents, under the influence of alcohol constitute a majority of patients in the emergency trauma services in tertiary health care facilities. The incidence of the same and the region predominantly involved was analysed.Methods: 61 subjects in the Otorhinolaryngology and Maxillofacial trauma services were studied, during a period of 2 years, at Dayanand medical college, Ludhiana, Punjab. In this prospective study the admission records were analysed in context to alcohol intake prior to the trauma.Results: The incidence of facial fractures, attributed to road-side accidents was the highest i.e. 72%. Other antecedent events were, assaults in 15%, fall from heights in 8% and due to sport injuries in 3.2%. 34% of our patients were under the influence of alcohol at the time of injury. Incidence of facial fracture in our series were fracture mandible, 39.3%, zygomatic 23.5%, Le Fort II 17.9% and nasoethmoid 12.3%. One case of Le Fort I, orbital and alveolar fracture was seen.Conclusions: Drunken driving in Punjab was behind one third i.e. 34% of the trauma patients in our casualty services.


Author(s):  
Satabdi Mitra ◽  
Saumabrata Panja

Background: Enquiry into unnatural deaths with all its manners being, suicidal, accidental or homicidal depends on circumstantial evidences for acceptable judgment in court of law. Objectives were to study socio-demographic characteristics of the study and to find out influencing factors, if any, behind these sudden, suspicious, undesirable deaths.Methods: A record-based, descriptive study with cross-sectional design was conducted for first six months of 2017 in NRS medical college hospital among 1603 unnatural deaths undergone police inquest. Besides the records obtained from medical record section, findings were corroborated from mortuary. Data were analyzed in SPSS 22.0 and Epi Info 7.0.Results: Mean age of the deceased was 37.18±17.42 years. Regarding cause of injury, more than 1/3rd (36.6%) was attributed to poisoning, followed by burn injury (24.8%), road traffic accidents (22.8%), fall from height (6.9%) and others the rest. Majority (68.3%) died within twenty hours of reaching the health care facility. More than half of the deceased committed suicide followed by accident and suicide the least. Binary logistic regression revealed, unnatural deaths inflicted by selves or others, i.e. suicide or homicide respectively, had statistically significant (p<0.05) association to productive age, urban residence, burn and RTA, longer survival and conservative nature of management.Conclusions: As suicide was found to comprise lion share of unnatural deaths, development and implementation of addressing the issue at all the levels, starting from individual to community is the need of the hour.


Author(s):  
Lakshmi R. Kalbandkeri ◽  
Boramma G. ◽  
Shreeshail Ghooli

Background: Road traffic injuries claim more than 1.25 million lives each year and have a huge impact on health and development. They are the leading cause of death among young people aged between 15 and 29 years globally. In the South East Asian region of the World Health Organization, India alone accounted for 73 percent of these Road traffic accidents (RTA) burden. The importance of road safety measures needs to be emphasized in the prevention of the road traffic accidents. The objectives of the study were to assess the knowledge and practice of road safety measures among undergraduate medical students.Methods: A cross-sectional study was conducted among 310 medical undergraduates of M.R. Medical College from 1st September to 1st October 2016. Data was collected using pre-tested, semi-structured, self-administered questionnaire. The data collected was analyzed using SPSS version 16. Statistical analysis was done using relevant statistical tests.Results: Out of the 310 students 54.19% were males and 45.81% were females. 90.9% of the participants had driving licence, 32.1% of the students had taken training for driving the car and 66% of the students did not wear helmet. Female students had high knowledge of the road safety measures when compared to male students.Conclusions: The overall knowledge of road safety measures was high among the study participants. Regarding practice behaviours they were not desirable like practice of wearing helmet and exceeding speed limit. Undertaking proper road safety measures are the best available interventions to curb the epidemic of RTA.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 337
Author(s):  
Alok Atreya ◽  
Suman Baral ◽  
Ritesh G Menezes ◽  
Samata Nepal

Background: Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention may lead to chances of loss of fertility due to infections and anatomical disruption of normalcy. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as lack of reporting by patients means cases are rare. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries.   Methods: A retrospective analysis of discharge summaries was carried out and the cases of male genital injuries were reviewed during June 2020. All the treated cases during the two-year period from April 2018 to April 2020 at Lumbini Medical College, Nepal were included in the study.  Results: There were eight cases of genital trauma admitted and treated during the study period. All the patients were males and age ranged from six to 71 years with a mean age of 33 ± 21.45 years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in the majority of cases.  Conclusion: Superficial injuries to the penis and scrotum do not require surgical exploration and could be managed conservatively. However, deeper and complicated injuries, testicular preservation, the functionality of the part and cosmetic issues are taken into consideration which might require a multi-disciplinary approach. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored.


2020 ◽  
Vol 28 (1) ◽  
pp. 10-16
Author(s):  
Satadal Mondal ◽  
Indranil Sen ◽  
Rabi Hembrom ◽  
Swagato Roy ◽  
Rupam Sinha ◽  
...  

Introduction The aetiology of maxillofacial fractures is greatly influenced by geographic location, socioeconomic status of the cohort, and the period of investigation. The aim of this study is to analyze and identify characteristics of maxillo-facial fractures that took place in and around Midnapore- Kharagpore city of West Bengal and who presented to a peripheral medical college hospital during a period of 1 year. Materials and Methods    A detailed database analysis was performed based on data collected from the patients of Road Traffic Accidents (RTA) with sustained facial trauma admitted to General Surgery and Otorhinolaryngology ward of a peripheral medical college hospital. Detailed clinical examination as well as radiological data was collected. Results The highest frequency of maxillo-facial injury due to RTA was among the young adults 18-40 years. Most common type of injury encountered is abrasion (44%) followed by bruise and closed fracture. Mandible is the most common bone to get fractured and most common type of Le fort type is Type II. Significant number of patients having RTA were young adults under the influence of alcohol riding in two-wheeler . ConclusionWith the increasing incidence of RTA awareness must be created concerning safety rules and more policies need to be addressed.


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