Evaluation of fatal trauma cases presented to the emergency room
Objective: The aim of this study was to investigate the demographic and clinical characteristics of fatal trauma cases presenting to the Emergency Department of XXX Training and Research Hospital in Turkey.
Methods: In this retrospective study, the forensic cases of fatal trauma patients admitted to the emergency department between 15.06.2017 and 15.06.2019 were obtained from the hospital`s automation system, and the patient files and hospital police records were evaluated.
Results: The most common cause of forensic trauma cases was pedestrian accidents (n=18; 25%), and the least common cause was crush injuries by a heavy object (n=2; 2.8%). The most common site of trauma was the cranial region (n=45; 62.5%). Forty-six patients died (63.9%) in the emergency room and 26 (36.1%) at various clinics. The average duration of active dying was 3.7 ± 17.9 hours. Fifty-four cases (75%) were found to be ethanol-negative and 18 (25%) were ethanol-positive.
Conclusion: The most common forensic trauma cases are pedestrian accidents and seen in male patients. Most of these patients die in the emergency room, where they are first admitted. The most important factor in reducing mortality is preventing the occurrence of trauma. In addition to giving the person adequate and appropriate treatment, physicians also have the responsibility of writing clear and intelligible forensic reports in accordance with the laws and hospital rules.
Keywords: emergency, forensic case, death
Eurasian J Critical Care 2020; 1 (2):161-166 Original Article