TITLE:
Autopsy-Based Study of Abdominal Traffic Trauma Death after Emergency Room Arrival
AUTHORS:
Satoshi Furukawa, Satomu Morita, Katsuji Nishi, Masahito Hitosugi
KEYWORDS:
Abdominal Traffic Trauma, Preventable Death, Autopsy
JOURNAL NAME:
Forensic Medicine and Anatomy Research,
Vol.3 No.3,
July
23,
2015
ABSTRACT: We experienced the autopsy cases that the deceased was alive in emergency room on arrival. Bleeding is the leading cause of preventable death after injury. This retrospective study aimed to characterize opportunities for performance improvements identified in patients who died from traffic trauma and were considered by the quality improvement of education system. We focused the abdominal traffic trauma injury. An autopsy-based cross-sectional study was conducted. A purposive sampling technique was applied to select the study sample of 41 post-mortems of road traffic accident. 16 patients (39.0%) were abdominal trauma injury. The mean period of survival after meeting with accident was 13.5 hours, and compared abdominal trauma death was 27.4 hours longer. In road traffic accidents, the most injured abdominal organs were the liver followed by mesentery. We thought that delayed treatment was associated with immediate diagnostic imaging, and so expected to expand trauma management examination.