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1.
Medicine (Baltimore) ; 98(38): e17123, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31567950

RESUMO

To investigate the age, gender, time, and etiology differences of traumatic lower limb fractures (TLLFs) in a population of children (≤18 years old), we retrospectively reviewed 936 children who had TLLFs and who came to our university-affiliated hospitals from 2001 to 2010. This study enrolled 657 males (70.2%) and 279 females (29.8%) aged (11.6 ±â€Š4.9) years old. The most common etiologies and fracture sites were motor vehicle collisions (MVCs, 440, 47.0%) and tibias (376, 40.2%). A total of 126 (13.5%) patients suffered neurological deficits (NDs), 127 (13.6%) patients sustained associated injuries (ASOIs), and 78 (8.3%) patients sustained complications. During all periods the occurrence increased with increasing age group and a male preponderance was observed in all age groups. With increasing age, the proportion of injuries due to different etiologies increased and the proportion of femur fracture decreased from 65.2% to 34.5%. With increasing year of admission, the proportion of injuries due to MVCs decreased. The most common fracture sites were tibias in MVCs, femurs in low fall, high fall, and struck by object, feet in sprain. Male patients presented with significantly higher proportions of injuries due to struck by object and sprain, significantly lower proportions of pelvis fracture than the female patients. MVCs and tibias were the most common etiologies and fracture sites. Prevention and treatment should be taken according to the pattern of TLLFs which have specific annual, gender, and age characteristics.


Assuntos
Fraturas do Fêmur/epidemiologia , Fraturas da Tíbia/epidemiologia , Acidentes por Quedas/estatística & dados numéricos , Acidentes de Trânsito/estatística & dados numéricos , Adolescente , Fatores Etários , Criança , Serviços de Saúde da Criança , Pré-Escolar , China/epidemiologia , Feminino , Fraturas do Fêmur/etiologia , Humanos , Lactente , Extremidade Inferior/lesões , Masculino , Fatores Sexuais , Fraturas da Tíbia/etiologia
2.
Rev Saude Publica ; 53: 83, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31576943

RESUMO

OBJECTIVE: Assess the magnitude and trend of hospitalization rates due to traumatic injuries in intensive care units (ICU) in Brazil from 1998 to 2015. METHODS: This is an ecological time-series study that analyzed data from the Hospital Information System. A trend analysis of hospitalization rates was performed according to diagnosis, sex and age using generalized linear regression models and Prais-Winsten estimation. RESULTS: Rates were higher among male patients, but increased hospitalization due to trauma among female patients influenced the ratio between both sexes. Falls and transport accidents were the most frequent causes of trauma. The average annual growth was 3.6% in ICU trauma hospitalization rates in Brazil, the highest growth was reported in the North region (8%; 95%CI 6.4-9.6), among women (5.4%; 95%CI 4.5-6.3), and among people aged 60 years and older (5.5%; 95%CI, 4.7-6.3). The most frequent causes of trauma are falls (4.5%; 95%CI 3.5-5.5) and care complications (5.4%; 95%CI 4.5-6.3). On the other hand, the annual hospital mortality rate due to trauma in ICU is 1.7% lower, on average (95%CI 2.1-1.3). CONCLUSION: An increase in ICU hospitalization rate due to trauma in Brazil may be the result of some factors, such as an increasing number of accidents and cases of violence, the implementation of pre-hospital care, and improved access to care, with more beds in ICU. In addition, population aging is another factor, as a greater increase in hospitalization was observed among people aged 60 years and older.


Assuntos
Hospitalização/estatística & dados numéricos , Hospitalização/tendências , Unidades de Terapia Intensiva/estatística & dados numéricos , Unidades de Terapia Intensiva/tendências , Ferimentos e Lesões/epidemiologia , Acidentes por Quedas/estatística & dados numéricos , Acidentes de Trânsito/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , Brasil/epidemiologia , Feminino , Mortalidade Hospitalar/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Distribuição por Sexo , Fatores de Tempo , Adulto Jovem
6.
Fa Yi Xue Za Zhi ; 35(4): 437-439, 2019 Aug.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-31532153

RESUMO

Abstract: Objective To provide a reference for the assessment of the disability grade of Kümmell's disease cases, through the analysis of the basic situation, the disability grade and the causality of Kümmell's disease cases. Methods Data of appraised individuals in 8 cases of Kümmell's disease from traffic accident spinal injury cases accepted by the Institute from 2015 to 2017 were collected, and the basic situation, vertebral fracture sites and disability grades of the appraised individuals were analyzed. Results Among 8 cases of appraised individuals, there were 2 males and 6 females, the oldest 75 years and the youngest 50 years, with an average age of 62.5 years, all of whom suffered from single vertebral fracture. Among them, 1 patient had thoracic 11 vertebra fracture, 3 thoracic 12 vertebra fracture, 2 lumbar 1 vertebra fracture, 1 lumbar 2 vertebra fracture, and 1 lumbar 4 vertebra fracture, all of whom were assessed as grade 10 disability. Conclusion In the assessment of disability grade of vertebral fracture, dynamic observation of the vertebral fracture and its recovery should be made based on imaging data. If it is suspected that there is Kümmell's disease, it should be differentiated from other diseases. Also, the disability grade will be assessed according to the corresponding standards when the morphology of the injured vertebral body is relatively stable.


Assuntos
Acidentes de Trânsito , Avaliação da Deficiência , Doenças da Coluna Vertebral/patologia , Fraturas da Coluna Vertebral/patologia , Idoso , Feminino , Medicina Legal , Humanos , Vértebras Lombares , Masculino , Pessoa de Meia-Idade , Doenças da Coluna Vertebral/diagnóstico , Doenças da Coluna Vertebral/etiologia , Fraturas da Coluna Vertebral/diagnóstico , Vértebras Torácicas
7.
Fa Yi Xue Za Zhi ; 35(4): 440-443, 2019 Aug.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-31532154

RESUMO

Abstract: Objective To discuss the application value of vehicle-pedestrian collision road traffic accidents reconstruction based on PC-Crash software in forensic identification. Methods A case of vehicle-pedestrian collision was chosen based on a tachograph, then PC-Crash software was applied to construct a vehicle-pedestrian collision model, and reconstruct the vehicle-pedestrian collision road traffic accident. Finally, the process of vehicle-pedestrian collision was reproduced. Results In accident reconstruction, when the car speed was lower than 50km/h, the landing point of the pedestrian after collision was in the front of the car. When the car speed was higher than 50 km/h, after collision, the pedestrian flipped towards the car roof and landed behind the car. With the increase of vehicle speed, throwing distance of the pedestrian increased continuously. When the vehicle collision speed reached 60 km/h, the experimental results in this case were basically consistent with the actual situation of the case. Head acceleration of the pedestrian was at the maximum (1 655.70 m/s2) at 0.080 s. Chest acceleration of the pedestrian increased from 597.63 m/s2 to the peak 675.52 m/s2 at 0.055-0.060 s. Tibia acceleration of the pedestrian increased from 759.26 m/s2 to the first peak 1 367.06 m/s2, then reached the maximum speed (1 718.19 m/s2) at 1.225 s. Conclusion The process of vehicle-pedestrian collision road traffic accidents can be reconstructed based on PC-Crash software under a situation of limited conditions, and can further clarify the speed of the vehicle, the location and degree of human body injury as well as the mechanism of damage of the pedestrian in the accident. Therefore, PC-Crash software has a certain practical value in forensic identification of road traffic accidents.


Assuntos
Acidentes de Trânsito , Pedestres , Software , Aceleração , Ciências Forenses , Cabeça , Humanos
8.
Am Surg ; 85(8): 923-926, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31560313

RESUMO

The extended focused assessment with sonography for trauma (eFAST) ultrasound examination is an essential step in the initial assessment of trauma patients. Its accuracy depends on the ability to acquire high-quality ultrasound images, and we hypothesized that increasing BMI was associated with increased odds for incorrect eFAST. All adult blunt trauma activations at a high-volume urban trauma center in 2016 that underwent eFAST and CT chest, abdomen, and pelvis were included (n = 446). Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the eFAST were calculated with CT results as reference. The association of BMI and eFAST accuracy was determined using univariate analyses. Sensitivity and specificity of the eFAST examination were 27.1 per cent and 91.7 per cent, respectively, with an overall 76.2 per cent accuracy. At BMI 36 kg/m², the odds of having incorrect eFAST results increased to odds ratio (OR) = 1.85 (95% confidence interval, 1.03-3.32; P = 0.05). For those with BMI > 40 kg/m², the OR increased to OR = 3.12 (95% confidence interval, 1.45-6.69; P = 0.01). One-third of patients in this study were obese or morbidly obese. The latter was associated with increased odds for incorrect eFAST results, particularly the abdominal examination component.


Assuntos
Traumatismos Abdominais/diagnóstico por imagem , Avaliação Focada com Ecografia para Trauma , Obesidade Mórbida/complicações , Traumatismos Torácicos/diagnóstico por imagem , Ferimentos não Penetrantes/diagnóstico por imagem , Acidentes por Quedas , Acidentes de Trânsito , Adulto , Índice de Massa Corporal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sistema de Registros , Sensibilidade e Especificidade , Centros de Traumatologia
9.
Am J Occup Ther ; 73(5): 7305345010p1-7305345010p6, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31484033

RESUMO

IMPORTANCE: Occupational therapists frequently assess the fitness to drive of people with visual field impairment, but the relationship between these assessments and driving performance over time is not well understood. OBJECTIVE: To determine traffic violation and crash incidence over a 1-yr period for drivers with visual field impairment. DESIGN: Retrospective review of medical and driving records. SETTING: British Columbia, Canada. PARTICIPANTS: Participants (N = 445) were ages 26-74 yr with binocular, corrected visual acuity of ≥20/50. Goldmann visual field tests were reviewed to stratify participants on the basis of visual field impairment and whether impairments exceeded licensing standards. OUTCOME AND MEASURES: Traffic records were reviewed to determine group-specific traffic violations and crash incidence during the year after the visual field test. RESULTS: Of 445 participants, 292 held a valid driver's license during the designated period. Participants not meeting the licensing standards were less likely to become licensed than participants who met the standards. The results indicate that drivers with visual field impairment did not have a higher probability of crashes or violations than drivers without visual field impairment. CONCLUSION: Drivers with visual field impairment who retained a driver's license did not have an increased probability of crashes in the following year. A larger, prospective, mixed methods study of long-term driving behaviors among people with visual field impairment is recommended. WHAT THIS ARTICLE ADDS: This study provides preliminary data on the 1-yr incidence of traffic violations and crashes among people with visual field impairment.


Assuntos
Acidentes de Trânsito , Condução de Veículo , Canadá , Estudos Prospectivos , Estudos Retrospectivos , Campos Visuais
10.
11.
Accid Anal Prev ; 131: 327-335, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31377496

RESUMO

Freight truck-involved crashes result in a high mortality rate and significantly impact logistic costs; therefore, many researchers have analyzed the causes of truck-involved traffic crashes. In the existing literature, it was found that truck-involved crashes are affected by factors such as road geometry, weather, driver and vehicle characteristics, and traffic volume based on a variety of statistical methodologies; however, the endogenous impact resulting from driver traffic violation has not been considered. The goal of the study is to discover the factors influencing freight vehicle crashes and develop more accurate crash probability estimation by explaining the endogenous driver traffic violations. To achieve the purpose of this study, we applied the two-stage residual inclusion (2SRI) approach, a methodology used in the nonlinear regression analysis model for capturing the endogeneity issue. This method improves the accuracy of the model by capturing the unobserved effects of driver traffic violations. From the results, traffic violations were identified to be influenced by the driver's physical condition, as well as driver and vehicle characteristics. Furthermore, variables of driver traffic violations such as improper passing, speeding, and safe distance violation were found to be endogenous in the probability model of freight truck crashes on expressway mainlines.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Condução de Veículo/estatística & dados numéricos , Veículos Automotores/estatística & dados numéricos , Condução de Veículo/legislação & jurisprudência , Humanos , Análise de Regressão , Fatores de Risco
12.
Accid Anal Prev ; 131: 336-349, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31377497

RESUMO

Under the Safe System framework, Road Authorities have a responsibility to deliver inherently safe roads and streets. Addressing this problem depends on knowledge of the road network safety conditions and the number of funds available for new road safety interventions. It also requires the prioritisation of the various interventions that may generate benefits, increasing safety, while ensuring that reasonable steps are taken to remedy the deficiencies detected within a reasonable timeframe. In this context, Road Safety Inspections (RSI) are a proactive tool for identifying safety issues, consisting of a regular, systematic, on-site inspection of existing roads, covering the whole road network, carried out by trained safety expert teams. This paper aims to describe how topic modelling can be effectively used to identify co-occurrence patterns of attributes related to the run-off-road crashes, as well as the corresponding patterns of road safety interventions, as described in the RSI reports. We apply latent Dirichlet allocation (LDA), a widespread method for fitting a topic model, to analyse the topics mentioned in RSI reports, divided into two groups: problems found; and proposed solutions. For this study, 54 RSI gathered over six years (2012-2017) were analysed, covering 4011 km of Irish roads. The results indicate that important keywords relating to the "forgiving roadside" and "clear zone" concepts, as well as the relevant European technical standards (CEN-EN1317 and EN 12,767), are absent from the extracted latent topics. We also found that the frequency of topics related to roadside safety is higher in the problems record set than in the solutions record set, meaning that problems are more easily identified and related to the roadside area than interventions may be. This paper presents methodological empirical evidence that the LDA is appropriate for identifying the co-occurrence patterns of attributes related to the ROR crashes in road safety inspections' reports, as well as the interventions' patterns associated with these crashes. Also, it provides valuable information aimed to determine the extent to which national road authorities in Europe and their contractors are currently capable of implementing and maintaining compliance with roadside standards and guidelines throughout the life cycle of roads.


Assuntos
Acidentes de Trânsito/prevenção & controle , Ambiente Construído/normas , Ambiente Construído/estatística & dados numéricos , Humanos , Irlanda , Probabilidade , Segurança
13.
Harefuah ; 158(8): 488-493, 2019 Aug.
Artigo em Hebraico | MEDLINE | ID: mdl-31407533

RESUMO

BACKGROUND: The aim of this study is to review motor-vehicle accident-related maxillofacial injuries (MVA-MFI) trauma cases and to investigate whether the growing population and traffic congestion, as well as differences in driving practice, vehicle safely devices and infrastructure facilities might differentially affect the pattern of MVA-MFI among Jewish and Arab populations. METHODS: This retrospective study reviews maxillofacial injuries (MFI) identified among all trauma patients who were admitted to Hadassah Ein Kerem hospital, Jerusalem, between the years 2000 to 2013. RESULTS: Out of 29,997 trauma patients, 1,720 presented with MFI, with motor-vehicle accident (MVA) being the major cause of injury (705 patients, 41%). Their mean age was 29.9±21.0 years with a prominent male and Jewish predominance (4.3:1 and 1.8:1, respectively). Most MVA-MFI casualties were car drivers (41%), followed by pedestrians (30%). Pedestrians with MVA-MFI were mainly children and aged persons, whereas drivers were mainly adults. Males and Arabs were more likely to present with higher injury severity score (ISS). Safety belts were not used in the majority of car MVA-MFI patients (54%). Yet, the ISS score did not correlate with the use of safety devices. Mandibular fractures were the most common (21%), followed by nasal bones (20%), zygoma (17%), orbit (16%), maxilla (15%) and teeth (11%). Age was significantly associated with increased maxillary and nasal fractures and with decreased incidence of mandibular and teeth fractures. DISCUSSION: Based on our review, young males and specifically Arab patients suffered from MFI and high ISS scores as a result of MVA. The findings and their interpretations are discussed.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Traumatismos Maxilofaciais/epidemiologia , Adolescente , Adulto , Idoso , Criança , Humanos , Escala de Gravidade do Ferimento , Israel/epidemiologia , Masculino , Pessoa de Meia-Idade , Veículos Automotores , Estudos Retrospectivos , Adulto Jovem
14.
Pan Afr Med J ; 33: 60, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31448022

RESUMO

Introduction: This study evaluates characteristics and risk factors of traumatic spinal injuries (TSIs) treated at a trauma center in Abuja, Nigeria. TSIs are a global concern. They are frequently disabling, leading to economic, workforce, and quality of life strain. Little is known of the epidemiology of TSIs in Nigeria. Methods: Data were collected from National Hospital Abuja's trauma registry on 3025 patients treated at the hospital between 2014 and 2017. Patient characteristics were compared between spinal and nonspinal injury groups. Multiple logistic regression was used to identify risk factors of TSIs. Results: 15% (452) of all injuries were spinal. Road traffic crashes were a significantly greater cause of spinal (77.4%) than nonspinal (59.4%) injuries (p<0.0001). Pedestrians were involved in 19% (356) of total crashes, occupying a significantly larger proportion of spinal (18.6%) than nonspinal (10.6%) injuries (p<0.0001). Three variables were modeled as risk factors of crash-related TSIs: mode of transportation, age, and gender. Only mode of transportation demonstrated statistical significance, with involvement as a pedestrian showing an adjusted odds ratio of 1.38 (95% confidence interval: 1.03-1.85, p=0.0329). Conclusion: Determining characteristics and risk factors of TSIs is an essential step in addressing this health concern in Nigeria. Crashes are a significant cause of TSIs, and a quarter of TSI patients involved in a crash are pedestrians. Involvement in a crash as a pedestrian is associated with high risk of TSI. These results can help guide both the development of spinal injury prevention policies and the allocation of resources.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Pedestres/estatística & dados numéricos , Qualidade de Vida , Traumatismos da Coluna Vertebral/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Estudos de Coortes , Feminino , Humanos , Lactente , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Estudos Retrospectivos , Fatores de Risco , Traumatismos da Coluna Vertebral/etiologia , Caminhada , Adulto Jovem
15.
Pan Afr Med J ; 33: 82, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31448044

RESUMO

Introduction: Surviving a traumatic cervical Spinal Cord Injury (SCI) has an immense effect on an individual's physical function and independence. It also predisposes them to financial, social, psychological and several medical complications throughout their life. In high-income countries, improved multidisciplinary care has led to better long term outcomes, however in low-income countries, the burden of the condition and its associated mortality remain high. The aim of this study was to illustrate the sociodemographic and clinical characteristics of cervical level Traumatic Spinal Cord Injuries (TSCIs) at Kilimanjaro Christian Medical Centre (KCMC) in northern Tanzania. Methods: This was a retrospective hospital-based study of 105 cervical TSCI cases admitted to KCMC from January 2012 to December 2016. Results: We included 105 patients in the study cohort, with a male preponderance of 86.7%, giving a male-to-female ratio of 6.5:1. The mean age at injury was 44.1 years. Overall, 65.7% were farmers and 69 patients were from within the Kilimanjaro region. Road Traffic Crashes (RTCs) accounted for 47.6% of the injuries, 17.9% had associated injuries, 38.1% sustained complete TSCIs and 45.7% developed secondary complications during the ward stay. The mortality rate before discharge from hospital care was 35.2%. Conclusion: The majority of patients were males from a low socioeconomic background and the most common cause of injury was RTCs. The secondary complication rates and mortality rates before discharge from hospital care are high.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Medula Cervical/lesões , Mortalidade Hospitalar , Traumatismos da Medula Espinal/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores Socioeconômicos , Traumatismos da Medula Espinal/etiologia , Traumatismos da Medula Espinal/mortalidade , Tanzânia/epidemiologia , Adulto Jovem
16.
BMC Public Health ; 19(1): 1070, 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31395038

RESUMO

BACKGROUND: A prospective study was conducted to investigate the effects of helmet nonuse and seating position on patterns and severity of motorcycle injuries among child passengers in Taiwan. METHODS: In total, 305 child passengers aged ≤14 years who visited the emergency departments of three teaching hospitals following a motorcycle crash were recruited. Children's injury data were collected from medical records, and their riding behaviors along with operators' demographics were sourced from telephone interviews. Parental responses over the telephone about children's riding behaviors were checked by roadside observations. RESULTS: Results of the multivariable logistic regression analysis revealed that compared to child passengers aged ≥7 years, those aged ≤3 (odds ratio (OR), 2.88; 95% confidence interval (CI), 1.37~6.06) and 4~6 years (OR, 2.93; 95% CI, 1.50~5.70) were significantly more likely to have sustained a head/face injury, while those aged 4~6 years (OR, 2.76; 95% CI, 1.01~7.55) were significantly more likely to have sustained a severe injury. Compared to child passengers who were wearing a full-coverage helmet, those who were not wearing a helmet were significantly more likely to have sustained a head/face injury (OR, 3.12; 95% CI, 1.02~9.52) and a severe injury (OR, 3.02; 95% CI, 1.19~7.62). Children seated in front of the operator were significantly more likely to have experienced a head/face injury (OR, 2.22; 95% CI, 1.25~3.94) than those seated behind the operator. For each increment in the riding speed of 1 km/h, the odds of a severe injury to child passengers increased by 5% (OR, 1.05; 95% CI, 1.01~1.09). CONCLUSIONS: For the safety of child motorcycle passengers, laws on a minimum age restriction, helmet use, an adequate seating position, and riding speed need to be enacted and comprehensively enforced.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Dispositivos de Proteção da Cabeça/estatística & dados numéricos , Motocicletas , Postura Sentada , Ferimentos e Lesões/epidemiologia , Adolescente , Criança , Pré-Escolar , Serviço Hospitalar de Emergência , Feminino , Hospitais de Ensino , Humanos , Masculino , Registros Médicos , Estudos Prospectivos , Taiwan/epidemiologia , Índices de Gravidade do Trauma
17.
Am Surg ; 85(7): 764-767, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31405425

RESUMO

Patient physiology and crash characteristics are essential components of field triage for motor vehicle crashes. We aimed to identify prehospital information that predicted high injury severity or critical patient condition on hospital arrival. The association of demographics, shock index (SI), Glasgow Coma Scale, and 10 crash characteristics of trauma activations for motor vehicle crashes with injury severity score (ISS) ≥ 16 and a composite of hypotension, need for blood transfusions, or immediate operation was determined using univariate and multivariate analyses. A total of 133 of 498 patients (27%) had ISS ≥ 16; SI ≥ 0.9, Glasgow Coma Scale ≤ 8, speed ≥ 55 mph, seatbelt use, airbag deployment, ambulatory patient, severe vehicle damage, ejection, and extrication were associated with ISS ≥ 16. Only abnormal SI and high speed remained independent predictors for ISS ≥ 16 with Odds Ratio (OR) = 10.76 (95% confidence interval (CI), 1.14-101, P = 0.04) and OR = 10.37 (95% CI, 1.48-72.93, P = 0.02), respectively. SI ≥ 0.9 predicted the composite outcome with OR = 5.92 (95% CI, 2.32-15.08, P < 0.01). Many commonly reported crash characteristics did not predict clinically important outcomes. Improvements in road and vehicle safety may be resulting in lower injury severity despite major crash mechanisms.


Assuntos
Acidentes de Trânsito , Triagem/métodos , Ferimentos e Lesões/diagnóstico , Acidentes de Trânsito/estatística & dados numéricos , Adulto , Feminino , Escala de Coma de Glasgow , Humanos , Hipotensão/diagnóstico , Escala de Gravidade do Ferimento , Masculino , Pessoa de Meia-Idade , Razão de Chances , Avaliação de Resultados (Cuidados de Saúde) , Cintos de Segurança , Choque/diagnóstico , Centros de Traumatologia/estatística & dados numéricos , Adulto Jovem
19.
Sud Med Ekspert ; 62(4): 61-62, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31407709

RESUMO

A forensic medical examination of a corpse, whose right leg was completely separated from the body in the pelvic region during a traffic accident, was conducted. At the time of the accident, the victim was a passenger in the rear seat of a passenger car. The examination failed to establish fault for the circumstances of the injury. From the materials of the criminal case it appears that the car hit a metal guard rail, which 'penetrated' the front of the car through a hole in the damaged part of the grille and crossed the interior of the car between the driver's and passenger's seats. It was concluded that to promptly address the issue of the cause of these kinds of peculiar injuries, the participation of a forensic expert in examining the scene of a traffic accident is necessary.


Assuntos
Acidentes de Trânsito , Amputação , Automóveis , Perna (Membro) , Cadáver , Humanos
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