Position and Traumatic Lesion Localization in Cases of Motor Vehicle Accidents
DOI:
https://doi.org/10.17986/blm.199831287Keywords:
traffic accident, drivers-passengers, trauma, autopsyAbstract
The present study was designed with the aim to evaluate the role of the localization of traumatic lesions in assessing the position in the motor vehicle as well as the relationship between position and traumatic lesion localization in cases of motor vehicle accidents with fatal and nonfatal outcome. In this framework 150 cases submitted to the Commissions and Traffic Department of the Council of Forensic Medicine in 1994 was evaluated. A considerable number of fatal outcomes in traffic accidents (31.2 %) were constituted of passengers followed by pedestrians with 21.3 % and drivers in 18 % of the cases. With regard to the distribution of severity and location of traumatic lesions in drivers and passengers of motor vehicles, the head (47.7 %) occupied the first place among cases with limited injuries, whereas this ratio dropped to 17 % in severe traumas. Minor injuries in drivers and passengers of open motor vehicles leading to nonfatal outcome were most frequently met in the head (35 %); severe injuries, on the other hand, involved preferentially (28.1 %) the lower extremities. No security belt was applied in 42 % of drivers and in 62 % of passengers. In cases of traffic accident related trauma and fatal outcomes, meticulous investigations for the assessment of location and severity of traumatic lesions and medico legal autopsies are inevitable. Mode of accident, extent of damages, as well as the question whether a security belt was used or not should be elucidated an identification of remnants found in the vehicle should be also undertaken.
Key words: Traffic accident, Drivers-Passengers, Trauma, Autopsy
Downloads
References
Yarsuvat D. Trafik suçlan, İstanbul Üniversitesi Hukuk Fakültesi Yayını, Sermet Matbaası, İstanbul,1972; 398, 3-20.
Ege R. Türkiye1 de trafik kazaları ve sorunları ( Acil Yardım ve Kazalar, Gazi Üniversitesi Kazaları Araştırma ve Önleme Enstitüsü Yayını No.2), Emel Matbaacılık Sanayii, Ankara, 1984; 30-6.
Mootoo L. Road traffic deaths in Guyana fifteen years of age and under. A review of seven years from 1979 to 1985 with a note on reduction and prevention, Forensic Science International, 1988; 36: 237-40.
TC. Başbakanlık Devlet İstatistik Enstitüsü, Karayolu Trafik Kaza İstatistikleri, 1991
TC. Başbakanlık Devlet İstatistik Enstitüsü, Ulaştırma ve Trafik Kazaları İstatistikleri Özeti, 1990
Fatteh A. Handbook of Forensic Pathology, J.B. Lippincott Company, Philadelphia, 1973; 209-23.
Eckeıt WG. Crash injuries on the road in Forensic Medicine ( Ed: C.G. Tedeschi et all), W.B. Saunders Company, Philadelphia, London, Toronto, 1977; 853- 64.
Knight B. Simpson's Forensic Medicine, A division of Hodder and Stoughton, Tenth edition, London, Melbourne, Auckland, 1991; 128-37.
Akane A et all; Identification of the driver in an automobile collision, The American Journal of Forensic Medicine and Pathology, 1990; 11(3): 246-51. DOI: https://doi.org/10.1097/00000433-199009000-00015
Yates DW. Action for accident victims, BMJ, December 1988; 297: 1419-20. DOI: https://doi.org/10.1136/bmj.297.6661.1419
Pekcan H. Kazaların epidemiyolojisi ve demografisi ( Acil Yardım ve Kazalar, Gazi Üniversitesi Kazaları Araştırma ve Önleme Enstitüsü Yayını No.2), Emel Matbaacılık Sanayii, Ankara, 1984; 21-4.
Fincancı ŞK. Trafik kazalarında ortaya çıkan adli tıp sorunları. Adli Tıp Bülteni. 1996; 1(1): 26-8.
Knight B. Transportation Injuries, in Forensic Pathology. Edward Arnold. London. 1991:252-61.
Salgado MSL, Colombage SM. Analysis of fatalities in road accidents, Forensic Science International, 1988; 36: 91-6. DOI: https://doi.org/10.1016/0379-0738(88)90219-8
TC. Başbakanlık Devlet İstatistik Enstitüsü, Karayolu Trafik Kaza İstatistikleri, 1990.
Gürbüz N. 1.5.1991-7.7.1991 tarihleri arasında Sağlık Bakanlığı Dr. Muhittin Ülker Acil Yardım ve Travmatoloji Hastanesine trafik kazası nedeni ile başvuranların incelenmesi, Yüksek Lisans Tezi, Gazı Üniversitesi Kazaları Araştırma ve Önleme Enstitüsü, Ankara, 1991.
Corfitsen MT. Fatigue in multiple-car fatal accidents, Forensic Science International, 1989; 40: 161-9. DOI: https://doi.org/10.1016/0379-0738(89)90143-6
T.C Başbakanlık Devlet İstatistik Enstitüsü, Türkiye İstatistik Yıllığı, 1993-
Davis JH. Automobile death investigation and prevention programs in Modern Legal Medicine, Psychiatry and Forensic Science ( Ed: W.J. Curran et all ), F.A. Davis Company, Philadelphia, 1980; 307-37.
Mason JK. The Pathology of Violent Injury, Edward Arnold Ltd, London, 1978; 1-55.
Daffner RH et all. Patterns of high-speed impact injuries in motor vehicle occupants, The Journal of Trauma, 1988; 28(4): 498-501. DOI: https://doi.org/10.1097/00005373-198804000-00013
Kulowski J. Fractures of the shaft of the femur resulting from automobile accidents, Journal of the International College of Surgeons, October 1964; 42(4): 412-20.
Rastogi S, Wild BR, Duthie RB. Biomechanical aspects of femoral fractures in automobile accidents, The Journal of Bone and Joint Surgery, November 1986; 68-B(5): 760-6. DOI: https://doi.org/10.1302/0301-620X.68B5.3782240
Hancı İH, Aktaş EÖ, Oyar O, Aktuğlu K, Bir olgu nedeniyle emniyet kemeri yaralanmalarının incelenmesi. 8. Ulusal Adli Tıp Günleri, 16-20 Ekim 1995 Antalya. Poster Sunuları Kitabı. 265-9.
Hutchinson TP. Statistical modelling of injury severity, with special reference to driver and front seat passenger in single-vehicle crashes, Accid. Anal, and Prev. 1986; 18(2): 157-67. DOI: https://doi.org/10.1016/0001-4575(86)90060-6
Dalton TV. Davis JH, Blackbourne BD. Natural disease as a cause of fatal vehicular accidents. Thesis sponsored by Universities Associated for Research and Education in Pathology. Rockville, Md. 1968.
Council on Scientific Affairs. Alcohol and the driver, JAMA, Jan. 1986; 255(4): 522-7. DOI: https://doi.org/10.1001/jama.255.4.522
Öström M, Eriksson A. Single-vehicle crashes and alcohol: A retrospektive study of passenger car fatalities in Northern Sweden, Accid. Anal, and Prev., 1993; 25(2): 171-6.
Downloads
Published
Issue
Section
License
Copyright (c) 1998 Berna Aydın- Ümit Biçer- Başar Çolak- Şebnem Korur Fincancı
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
