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1.
Leg Med (Tokyo) ; 68: 102436, 2024 May.
Article in English | MEDLINE | ID: mdl-38492322

ABSTRACT

Discovering a body displaying signs of multiple head trauma requires a thorough examination by the forensic pathologist, and a multidisciplinary approach is recommended. However, determining the manner of death is not always possible. We present a case in which the body of a 60-year-old man was discovered lying face down on the floor of his apartment, partially unclothed, surrounded by blood and vomit, and presenting numerous head injuries. The autopsy concluded that the cause of death was a result of post-traumatic brain injury. Nevertheless, applying current criteria made it challenging to ascertain whether the trauma stemmed from an accidental event or an assault.


Subject(s)
Homicide , Humans , Male , Middle Aged , Autopsy , Forensic Pathology/methods , Brain Injuries, Traumatic/diagnosis , Accidental Injuries/diagnosis , Craniocerebral Trauma/diagnosis , Cause of Death , Accidents , Reproducibility of Results
2.
Int J Legal Med ; 138(4): 1329-1341, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38337078

ABSTRACT

Children involved in car crashes can experience either direct trauma or inertial injuries resulting from interactions with external objects, such as other vehicles, or with the restraint system. Furthermore, improper use of restraint systems can lead to additional severe injuries. Recent reports from international institutions underscored the persistent prevalence of inadequate restraint systems utilization and this widespread issue increases children's vulnerability and risk of injuries.The aim of this study is to provide a systematic review of the literature on injuries sustained in children involved in road accidents describing and analyzing elements useful for forensic assessment.The literature search was performed using PubMed, Scopus and Web of Science from January 1970 to March 2023. Eligible studies have investigated issues of interest to forensic medicine about traffic accidents involving pediatric passengers. A total of 69 studies satisfied the inclusion criteria and were categorized and analyzed according to the anatomical regions of the body affected (head, neck, thoraco-abdominal, and limb injuries), and the assessment of lesions in reconstruction of the accident was examined and discussed.The review highlights that in motor vehicle accidents involving children, the forensic evaluation of both the cause of death and accident dynamics needs to consider several factors, such as the child's age, the type of restraint system employed, and the specific passenger seat occupied. Considering the complexity of the factors that can be involved in this road accident, it is crucial that there is a comprehensive exchange of information between the judge and the medical expert.


Subject(s)
Accidents, Traffic , Wounds and Injuries , Adolescent , Child , Child, Preschool , Humans , Infant , Child Restraint Systems , Forensic Medicine
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