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Mandal, Birendra Kumar
- Study of Pattern of Injuries in Victims of Fatal Road Trafic Accidents in Nepal
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Authors
Affiliations
1 Department of Forensic Medicine & Toxicology Chitwan School of Medical Sciences, Bharatpur-10, Chitwan, NP
2 Department of Forensic Medicine & Toxicology, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, NP
3 Department of Forensic Medicine & Toxicology KIST Medical College and Teaching Hospital, Imadol, Lalitpur, NP
4 Department of Forensic Medicine & Toxicology, B. P. Koirala Institute of Health Sciences, Dharan, NP
1 Department of Forensic Medicine & Toxicology Chitwan School of Medical Sciences, Bharatpur-10, Chitwan, NP
2 Department of Forensic Medicine & Toxicology, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, NP
3 Department of Forensic Medicine & Toxicology KIST Medical College and Teaching Hospital, Imadol, Lalitpur, NP
4 Department of Forensic Medicine & Toxicology, B. P. Koirala Institute of Health Sciences, Dharan, NP
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 6, No 2 (2012), Pagination: 29-33Abstract
During one year study period medico-legal autopsies were conducted on 150 cases of fatal road traffic accident (RTA) victims at the mortuary of B.P.Koirala Institute of Health Sciences, Dharan, Nepal. Among age group 21-30 years, highest number (29.3%) of road traffic fatalities occurs. Male accounted for 76.7% of RTA deaths, with over three fourth that of female. About 3/4th of the fatal accidents took place on highways (74.7%) followed by on city road (12%). Nearly half of the victims (45.3%) came from rural areas. Majority of the victims were pedestrians (39.3%) followed by motorcyclists (26.7%). Among the victims in whom impact injuries could be identified at autopsy 61.3% of victims sustained secondary injuries followed by secondary impact injuries 58.7%. In majority of the cases, the site of initial impact of the responsible vehicle was frontal (31.3%) followed by rear (28%) and side (18.7%). Lower extremities were mostly crushed (17 or 11.3%) followed by head&neck (12 or 8%). 77.3% victims had sustained fractures followed by abrasions 73.3% and contusion 64%. In the majority of the cases, brain 32.7% was injured followed by liver and lungs, 28.7% and 27.3% respectively. Skull was found fractured in 44% of the cases followed by fractures of thoracic bones 40%. Considering areas or parts of body injured far over majority (62%) of the cases sustained head and neck injuries followed by injuries to the lower extremities (54.7%). Spot death occurred in maximum of the victims (53 or 35.5%).Keywords
Autopsy, Victim, Impact Injury, Head Injury
References
- Seay A, Downing A, Khayesi M, McGee K, Peden M. The global impact. In: Peden M, Scurfield R, Sleet D, Mohan D, Hyder AA, Jarawan E, et al, editors. World report on road traffic injury prevention. Geneva (Switzerland): World Health Organization; 2004.
- World’s first road death. London: Road Peace; 2003 [Online]. 2003 [cited 2008 Nov 21]; Available from: URL: http://www.roadpeace.org/articles/ WorldFirst-Death.html
- Murray CJL, Lopez AD, editorials. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Boston (MA): Harvard School of Public Health; 1996.
- Jacobs G, Aeron-Thomas A, Astrop A. Estimating global road fatalities. Crowthorne, Transport Research Laboratory; 2000 (TRL Report 445).
- Murray CJL, Lopez AD. Global health statistics: a compendium of incidence, prevalence and mortality estimates for 200 conditions. Boston (MA): Harvard School of Public Health; 1996.
- McGee K et al. Injury surveillance. Injury Control and Safety Promotion 2003; 10: 105–108.
- Kopits E, Cropper M. Traffic fatalities and economic growth. Washington, DC, The World Bank; 2003 (Policy Research Working Paper No. 3035).
- Breen J, Seay A. The fundamentals. In: Peden M, Scurfield R, Sleet D, Mohan D, Hyder AA, Jarawan E, et al, editors. World report on road traffic injury prevention. Jeneva (Switzerland): World Health Organization; 2004.
- Lewin. I. Driver training: A perpetual-motor skill approach. Ergonomics 1982; 25: 917-924.
- Farland RA and Moore RC. Human factors in highway safety: A review of evaluation. New Eng J Med 1957; 256: 792-798.
- Evan L. Anew traffic safety a public vision for the United States. Am J Public Health 2003; 9: 1384-1386.
- Traffic fatalities in Nepal [editorial]. JAMA 2004; 291:25.
- World Health Organization, 2004. Road safety is no accident: A brochure for World Health Day 7 April 2004. Geneva [Online]. 2004 [cited 2009 Jul 25]; Available from: URL: http:// www.who.int/mediacentre/news/release/ 2004/pr24/en/
- Singh YN, Bairagi KK, Das KC. An epidemiological study of road traffic accident victims in medico legal autopsies. Journal of Indian Academy of Forensic Medicine 2005; 27(3): 166-169.
- Sharma BR, Sharma AK, Sharma S, Singh H. Fatal road traffic injuries in Northen India: can they be prevented? Trends in Medical Research 2007; 2(3): 142-148.
- EKe N, Etebu En and Nwosu SO. Road traffic accident mortalities in Port Harcourt. Nigeria. Anil Agarwal’s Internet J Foren Med Toxicol 2000; 1: 1-5.
- Kochar A, Sharma GK, Murari A. Road traffic accidents and alcohol: A prospective study. International Journal of Medical Toxicology & Legal Medicine 2002; 5: 22-24.
- Singh H, Dhattarwal SK. Pattern and distribution of injuries in fatal road traffic accidents in Rohtak (Haryana). Journal of Indian Academy of Forensic Medicine 2004; 26(1): 20-23.
- Kaul A, Sinha US, Pathak YK, Singh A, Kapoor AK, Sharma S, et al. Fatal road traffic accidents, study of distribution, nature and type of injury. Journal of Indian Academy of Forensic Medicine 2005; 27(2): 71-76.
- Agrawal S, Agrawal SN. Fatal road accidents, an analysis of sixty four autopsied body. Journal of Indian Academy of Forensic Sciences 1967; 6: 26-32.
- Chandra J, Dogra TD, Dikshit PC. Pattern of Cranio-Intracranial injuries in Fatal Vehicular Accidents in Delhi, 1966-76. Med Sci Law 1979; 19(3): 186-194.
- Maheshwari J, Mohan D. Road traffic injuries in Delhi: A hospital based study. J Traffic Medicine 1989; 17(3-4): 23-27.
- Srivastav AK, Gupta RK. A study of fatal road accidents in Kanpur. J Ind Acad Foren Med 1989; 11(1): 24-28.
- Gissane W. The nature and causation of road injuries. Lancet 1963; 2: 695-698.
- Dhattarwal SK, Rathee SK, Singh H. Pattern and distribution of fatal injuries in road traffic accidents in Haryana. Medico-Legal Update 2004; 4(4): 111-114.
- Sathiyasekharan BWC. Study of the injured and injury pattern in Road traffic accident. Indian Journal of Forensic Sciences 1991;5:63-8.
- Wick M, Muller EJ, Ekkernkamp A, Muhr G. The motorcyclist: easy rider or easy victim? An analysis of motorcycle accidents in Germany. Am J Emerg Med 1998; 16(3): 320-323.