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ACİL SERVİSE BAŞVURAN ADLİ NİTELİKTEKİ TRAVMA VAKALARININ GERİYE DÖNÜK ANALİZİ

  • Zeynep Çakır
  • Şahin Aslan
  • Özlem Bilir
  • Hayati Kandiş
  • Mustafa Uzkeser
  • Tarık Ocak
  • Ayhan Aköz

Eurasian J Emerg Med 2006;5(2):32-37

Objective:

To define the characteristics of forensic trauma patients presenting to the Emergency Department (ED) of our hospital.

Methods:

The records of forensic trauma patients presenting to our ED during 2004 were found through computer and manual search of medical records, and examined retrospectively. The following data were extracted: age, gender, type and mechanism, time of day, type of the transportation, and treatments done during the transportation, Glasgow Coma Scale (GCS),Trauma Score (TS), tests and interventions in the ED, and diagnoses.

Results:

During the study period, 1363 forensic cases (286 women and 1077 men, average age=28 years) of the following types were analyzed: 42% traffic accidents, 10% assault, 9.8% sharp instrument wounds, 9.4% burns, 9.3% falls from a height, 7.1% occupational accidents, 7% firearm injuries, and 3.1% miscellaneous. The 112 ambulance service transported 28.6% of the patients, and no treatment was done in 55.5% of cases. Forty-seven percent of patients were hospitalized, the reset were treated in the ED and released. Twenty-nine patients died in the ED, and another 24 patients after admission.

Conclusion:

We analyzed that the traumatic forensic cases were frequently seen in men and the young adults. Among the traumatic forensic cases, the most application reasons to the Emergency Service are the traffic accidents, and the numbers of the accidental events are more than the deliberate injuries. For the transportation of these patients, not enough advantages of the 112 ambulance service were taken; and it was seen that, to more than half of these patients, no intervention was done during the transportation.

Keywords: forensic case, trauma, emergency department