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A study on medico legally significant blunt thoracic trauma.

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dc.contributor.author Gunathilaka, M.M.A.C.
dc.contributor.author Kitulwatte, I.D.G.
dc.contributor.author Wijewardena, H.
dc.contributor.author Gunathilaka, K.M.T.B
dc.contributor.author Dissanayake, C.
dc.contributor.author Jayathilake, R.
dc.contributor.author Wijeratne, P.
dc.date.accessioned 2022-12-28T05:24:32Z
dc.date.available 2022-12-28T05:24:32Z
dc.date.issued 2023
dc.identifier.citation Indian Journal of Forensic Medicine and Toxicology. 2023;17(1):112-119 en_US
dc.identifier.issn 0973-9122
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/25703
dc.description.abstract INTRODUCTION: Thoracic trauma (TT) accounts for significant mortality and morbidity. Blunt thoracic trauma is reported more frequently than sharp force trauma, where motor traffic collisions account for the majority. Addressing medico-legal issues is often a challenge in TT. The purpose of this study was to evaluate blunt chest trauma from a medico-legal point of view. METHODS: A retrospective descriptive study was conducted based on case records of the victims (living and dead) of TT over three years presented to a Teaching Hospital and a District General Hospital in Western Province. RESULTS: There were 248 living patients and 195 deceased. Road accidents accounted for TT in 236 (53.3%), followed by 166 (37.5%) assaults. Out of the deceased, 89% had a very short survival period. “Multiple chest injuries” was the cause of death in 83 (42.5%) dead, and 91 (46.7%) died due to TT. Road accidents accounted for N=71 (78% of deaths due to TT). Out of the live patients, 87 (35.8%) had grievous or above-category injuries to the chest, and victims of assault were commonly having non-grievous injuries with a significant association (p<0.001). A total of 175 (39.5%) had rib fractures, and 125 were following motor traffic accidents. CONCLUSIONS: Blunt TT accounts for significant mortality and morbidity, with the most common circumstances being road accidents. Most of them come under a severe category of hurt with a short survival period among the dead. en_US
dc.language.iso en en_US
dc.publisher Institute of Medico-legal Publications en_US
dc.subject Thoracic trauma en_US
dc.subject Blunt force en_US
dc.subject Medico-legal significance en_US
dc.title A study on medico legally significant blunt thoracic trauma. en_US
dc.type Article en_US


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