Analysis of Fatal Blunt Force Head Injuries in cases of Road Traffic Accidents- A study from Civil Hospital, Ahmedabad

Authors

  • Prabhakaran Selvam Trichy SRM Medical College Hospital and Research Centre, Irungalur, Trichy
  • Dominic Infant Raj Trichy SRM Medical College
  • Joshiyara Rajeshkumar Vithtalbhai B.J Medical College, Ahmedabad, Gujarat.
  • Vijayaragavan Murugesan Trichy SRM Medical College Hospital and Research Centre, Irungalur, Trichy.
  • Rathva Vanraj Kesaribhai GMERS, Rajpipla, Gujarat.
  • Patel Maulik Shaileshkumar B.J Medical College, Ahmedabad, Gujarat.

DOI:

https://doi.org/10.37506/hbrqd689

Keywords:

Road traffic accident, Fatal head injury, Survival period, Head on collision, blunt force injury, Skull fracture

Abstract

Road traffic accidents are a leading cause of death and disability worldwide, with significant implications in India due to its vast and diverse population. Post-mortem studies provide crucial insights into the epidemiology, causes and characteristics of fatal head injuries, informing prevention and management strategies in case of road traffic accidents. This study aims to analyse the epidemiological profile of head injury cases subjected to post mortem, identifying patterns in demographic factors, causes of injury and anatomical characteristics of blunt force head trauma. In this study, analysis was done for blunt force head injury in road traffic accident cases brought to the mortuary of Civil Hospital, B.J Medical College, Ahmedabad, over a one year period from January to December (2019). Among 1138 cases of road traffic accidents, 847 cases with head injury were selected. Data on age, gender, cause of injury, type and location of blunt force head trauma and associated injuries were collected, analysed and compared with other similar studies. Of 847 head injury cases, majority were males and age group of  21 – 40 Years. 43 % of study population died within 1 hour. Predominantly two wheeler’s were involved in RTA and without safety measures. 43.5% of cases showed laceration as external injury and 53.4% of study population showed linear fracture of skull. This study on blunt head injury cases reveals critical epidemiological trends, emphasizing the need for enhanced road safety measures and public awareness. The findings underscore the importance of targeted prevention strategies and improved trauma care to reduce fatalities from head injuries in India.

Author Biographies

  • Prabhakaran Selvam, Trichy SRM Medical College Hospital and Research Centre, Irungalur, Trichy

    Assistant Professor, Department of Forensic Medicine & Toxicology, Trichy SRM Medical College, Tiruchirappalli, Tamilnadu

  • Dominic Infant Raj, Trichy SRM Medical College

    Associate Professor, Department of Forensic Medicine & Toxicology, Trichy SRM Medical College, Tiruchirappalli, Tamilnadu

  • Joshiyara Rajeshkumar Vithtalbhai, B.J Medical College, Ahmedabad, Gujarat.

     Assistant Professor, Department of Forensic Medicine & Toxicology, B.J Medical College, Ahmedabad, Gujarat

  • Vijayaragavan Murugesan, Trichy SRM Medical College Hospital and Research Centre, Irungalur, Trichy.

    Assistant Professor Department of Forensic Medicine, Trichy SRM Medical College Hospital and Research Centre, Irungalur, Trichy

  • Rathva Vanraj Kesaribhai, GMERS, Rajpipla, Gujarat.

     Assistant Professor, Department of Forensic Medicine &Toxicology, GMERS Medical College, Rajpipla, Gujarat

  • Patel Maulik Shaileshkumar, B.J Medical College, Ahmedabad, Gujarat.

     3rd Year Post graduate Student, B.J Medical College, Ahmedabad, Gujarat.

References

REFERENCES:

Ministry of Road Transport and Highways, Road Accidents in India 2022: 1-3 Available from: https://morth.nic.in/sites/default/files/RA_2022_30_Oct.pdf.

Knight B, Saukko P. Knight’s Forensic pathology. Head and spine injuries, 4th Ed. 2016: 167-214.

Kamdar BA, Arden GP. Road traffic accident fatalities. Review of 142 Postmortem Reports. Postgraduate medical journal. March 1974; 50: 131-134.

Tirpude BH, Naik RS, Anjankar AJ, Khajuria BK. A study of the pattern of cranio-cerebral injuries in road traffic accidents. Journal of Indian Academy of Forensic Medicine. 1998; 20 (1): 9-12.

Khubchandani HT et al. Study of pattern in death due to vehicular accident cases brought at Civil Hospital mortuary Ahmedabad in last 3 years. Medical journal of Integrated Research in Medicine,2013;4(3).

Vaidehi Singh, Siddesh Revpla Channabasappa. A retrospective study of pattern of Cranio-cerebral Injuries due to road traffic accident in a Tertiary care hospital. Indian Journal of Forensic Medicine & Toxicology, April-June 2021,15 (2)

Chavli KH, Sharma BR, Harish D. A head injury: the principle killer in road traffic accidents. Journal of Indian Academy of Forensic Medicine. 2006; 28 (4): 121-124.

Gupta S, Deb PK, Moitra R, Chhetri D. Demographic study of fatal cranio-cerebral road traffic injuries in north Bengal region. Journal of Indian Academy of Forensic Medicine 2007; 29 (1): 25-27.

Vaghela AC et al. Study of profile of fatal head injuries cases brought to Civil Hospital Mortuary, Ahmedabad. Journal of Forensic Medicine and Toxicology 33(1 ):8-11.

Tandel RM, Keoliya AN. Patterns of head injuries in fatal road traffic accidents in rural district of Maharashtra- Autopsy based study. Journal of Indian Academy of Forensic Medicine 2011; 33 (3): 228-231.

Behera C, Rautji R, Lalwani S, Dogra TD. A comprehensive study of motorcycle fatalities in South Delhi. Journal of Indian Academy of Forensic Medicine. 2009; 31 (1): 6-10.

Shivkumar BC, Srivastava PC, Shantakumar HP. Pattern of head injuries in mortality due to road traffic accidents involving two-wheelers. Journal of Indian Academy of Forensic Medicine; 2010; 32 (3): 239-242.

Pathak A, Desania NL, Verma R. Profile of road traffic accidents & head injury in Jaipur (Rajasthan) . Journal of Indian Academy of Forensic Medicine. 2008; 30 (1): 6-9.

Chandra J, Dogra TD, Dikshit PC. Pattern of cranio-cerebral injuries in fatal Vehicular Accidents in Delhi. Med. Sci. Law. 1979; 19(3): 186-194.

Salgado MSL, Colombage SM. Analysis of Fatalities in Road Accidents. Forensic Science International. 1988; 36: 91-96.

Menon A, Pai VK, Rajeev A. Pattern of fatal head injuries due to vehicular accidents in Mangalore. Journal of Forensic and Legal Medicine. Feb 2008; 15 (2): 75-77.

Pruthi N, Ashok M, Shivakumar V, Jhavar k, Sampath S, Devi BI. Magnitude of pedestrian head injuries & fatalities in Bangalore, South India: A retrospective study from an apex neurotrauma center. Indian Journal Medical Research. 2012; 136: 1039-1043.

Oberoi SS, Sandhu HS, Aggrawal KK, Bhullar DS. Pattern and distribution of injuries in fatal two-wheeler accidental cases. Journal of Punjab Academy of Forensic Medicine and Toxicology; 2011; 11 (1): 31-33.

Surendar J, Siva Ranjan D. A comprehensive study of fatal head injuries among motorcyclist: one year prospective study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2013; 10 (4): 98-101.

Ravikumar R. Patterns of head injuries in road traffic accidents involving two wheelers - an autopsy study. Journal of Indian Academy of Forensic Medicine. 2013; 35 (4): 349-352.

Traffic crash injuries and disabilities: The burden on Indian Society. The World Bank 2021; 1-9. Availablefrom:https://documents1.worldbank.org/curated/en/761181612392067411/pdf/Traffic-Crash-Injuries-and-Disabilities-The-Burden-on-Indian-Society.pdf.

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Published

2024-12-03

How to Cite

Analysis of Fatal Blunt Force Head Injuries in cases of Road Traffic Accidents- A study from Civil Hospital, Ahmedabad. (2024). Indian Journal of Forensic Medicine & Toxicology, 19(1), 114-119. https://doi.org/10.37506/hbrqd689