[Medline]. Refaely Y, Koyfman L, Friger M, Ruderman L, Saleh MA, Sahar G, et al. Edmonton homicide detectives are investigating the suspicious death of a young girl after an assault in northeast Edmonton Friday. Am Heart J. [SEE articles: Tutankhamun's death The Saga of Tutankhamen's Skull X-rays King Tut Not Murdered Violently, CT Scans Show. Some injuries, such as cardiac chamber rupture, thoracic aortic rupture, injuries of the intrathoracic IVC and SVC, and delayed recognition of esophageal rupture, are associated with high morbidity and mortality. The dates on which fractures occur can be determined somewhat more specifically but should not be dated to the minute, hour, or even day. Brain injury; Cause of death; Exsanguination; Trauma. Further, 2 time periods (2007-2012 and 2013-2016) were selected representing periods before and after implementation of haemostatic resuscitation and damage control procedures in our hospital to analyse cause of death into detail. That is, a description of a laceration on the scalp should be followed by that of any deeper scalp hemorrhage, then associated skull fractures, then associated intracranial hemorrhages and any traumatic injuries to the brain. Fourteen of these cases were recognized to have multiple causes of death, where blunt force trauma was the most common additional cause, and the sex distribution weighed heavily toward the female (approximately 79%). [Full Text]. 2015 Jul. For example, individuals may die of infections, thromboemboli, or organ failure that occurs as a delayed result of previous blunt force trauma. 2007 May. After blunt chest trauma, several blood-borne mediators are released, including interleukin (IL)-6, tumor necrosis factor (TNF), and prostanoids. [Guideline] Galvagno SM Jr, Smith CE, Varon AJ, Hasenboehler EA, Sultan S, Shaefer G, et al. Causes of death appearing to be blunt trauma. 2001 May. Brush-burn abrasions are broad, dried abrasions that often have a yellow-orange or orange-red coloration. 2020 Aug 4. If a compressive, crushing force was thought to impact the neck, it may be advisable to perform a layer-by-layer anterior neck dissection, by which hemorrhage may be identified in the individual strap muscles (as seen in the image below). Depending on how sharp the weapon is, these may resemble either gaping lacerations or large cuts with marginal abrasion and are often associated with underlying fractures. Karmy-Jones R, Jurkovich GJ, Nathens AB, Shatz DV, Brundage S, Wall MJ Jr, et al. The most common cause of death was neurologic injury (27%), followed by sepsis (17%) and hemorrhage (15%). 1996 Mar. Histology and Microscopic Examination and Findings, http://emedicine.medscape.com/article/1068732-overview, National Association of Medical Examiners. Future directions for improving the diagnosis and management of blunt thoracic trauma involve diagnostic testing, endovascular techniques, and patient selection, as follows: For patient education resources, see the Skin Conditions and Beauty Center, as well as Bruises and Bronchoscopy. Share cases and questions with Physicians on Medscape consult. Deshpande A, Mossop P, Gurry J, Frydman G, Matalanis G, Walker P, et al. Available at https://www.aast.org/resources-detail/injury-scoring-scale. Nicholas I Batalis, MD Professor of Pathology and Laboratory Medicine, Medical University of South Carolina Besides on-going prevention of brain injury future studies should focus on treatment strategies preventing secondary damage of the brain once the injury has occurred. 2001 Apr;41(2):135-40. doi: 10.1177/002580240104100209. Patterned abrasion on the head due to impact by a motor vehicle. 2018 Nov. 66 (8):686-692. Blunt force trauma: Injuries resulting from an impact with a dull, firm surface or object. Police do not have a suspect in custody at this time and are looking to speak with any witnesses to the assault. 2009 Mar. A special concern is tension pneumothorax, in which pressure continues to build in the affected hemithorax as air leaks from the pulmonary parenchyma into the pleural space. The trachea enters through the thoracic inlet and descends to the carina at thoracic vertebral level 4, where it divides into the right and left mainstem bronchi. Robertson I, Hodge PR. Ligature strangulation deaths in the province of Konya (Turkey).
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