TITLE

Study of Pattern of Injuries in Victims of Fatal Road Trafic Accidents in Nepal

AUTHOR(S)
Mandal, Birendra Kumar; Karn, Abhishek; Pradhan, Amshu; Jha, Shivendra
PUB. DATE
July 2012
SOURCE
Indian Journal of Forensic Medicine & Toxicology;Jul-Dec2012, Vol. 6 Issue 2, p29
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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%).
ACCESSION #
92001425

 

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