Overall, blunt thoracic injuries are directly responsible for 20-25% of all deaths, and chest trauma is a major contributor in another 50% of deaths. Telemedicine for Surgical Consultations -- Pandemic Response or Here to Stay? Forensic Sci Med Pathol. 1(1):17-25. [Medline]. Chung MH, Hsiao CY, Nian NS, Chen YC, Wang CY, Wen YS, et al. Parker MS, Matheson TL, Rao AV, Sherbourne CD, Jordan KG, Landay MJ, et al. J Trauma. 2020 Jul 23. JBJS Essent Surg Tech. The ageing of bruises: a review and study of the colour changes with time. [Medline]. The left heart receives small amounts of nonoxygenated blood via the thebesian veins, which drain the heart, and the bronchial veins. 15 (3):323. https://www.foxnews.com/entertainment/steve-bing-cause-of-death-revealed Blast injuries can also result in significant blunt thoracic trauma.

At a minimum, orientation and close-up, scaled photographs should be taken of pertinent injuries in cases of suspected homicides.

Mechanism of injury (MOI) was blunt in 98% of cases. 2007 Jan;62(1):142-6. doi: 10.1097/01.ta.0000251558.38388.47. 2009 Mar. Get the latest research from NIH: https://www.nih.gov/coronavirus. Brush-burn abrasions are broad, dried abrasions that often have a yellow-orange or orange-red coloration. 2015 Jan. 78 (1):136-46. (b) Data cells with small values have been randomly assigned to …

2020 Aug 4. Each is divided into lobes. 2017 Mar. Despite improvements in haemorrhage control in recent years exsanguination is still a major cause of death. 2001 Jun. [Medline]. Epub 2019 Nov 26.

Adams JE 3rd, Dávila-Román VG, Bessey PQ, Blake DP, Ladenson JH, Jaffe AS. 2019 homicides. Sternal fractures are rarely of any consequence, except when they result in blunt cardiac injuries. [Medline]. Thorac Cardiovasc Surg. 2019 Oct. 26 (5):557-566. Among such cases are those involving blunt force injuries of the neck. Kumagai H, Hamanaka Y, Hirai S, Mitsui N, Kobayashi T. Mitral valve plasty for mitral regurgitation after blunt chest trauma. Keywords: Timing of urgent thoracotomy for hemorrhage after trauma: a multicenter study. By far the most important cause of significant blunt chest trauma is motor vehicle accidents (MVAs). Shreekanth V Karwande, MBBS is a member of the following medical societies: American Association for Thoracic Surgery, American College of Chest Physicians, American College of Surgeons, American Heart Association, Society of Critical Care Medicine, Society of Thoracic Surgeons, Western Thoracic Surgical AssociationDisclosure: Nothing to disclose. The presence of significant extravasation of blood into the tissues suggests some degree of blood pressure and, by extension, confirms that a contusion is antemortem. Suicidal ligature strangulation: a systematic review of the published literature.

N Engl J Med. Am Heart J. J Scott Denton, MD Clinical Assistant Professor of Pathology, University of Illinois College of Medicine at Peoria; Forensic Pathologist and Illinois Coroners’ Physician DiMaio VJ, DiMaio D. Blunt trauma wounds and blunt trauma injuries of the trunk and extremities. The Wayne County Medical Examiner's Office conducted a retrospective study of strangulation cases that came into the office from mid-2007 to the end of 2016. Blunt force trauma is routinely involved in cases classified as accidents, as well as in cases of suicide and homicide.
Mongolian Spot. [Medline]. January, May and September each recorded two killings, and there were three in February. For purposes of death certification, it should be noted that blunt force trauma may be the underlying (proximate) cause of death in cases in which the immediate cause of death is a natural disease process. J Clin Pathol. 1995 Oct. 197 (1):125-33. Great care should be taken, however, in blindly accepting a claim that a hepatic laceration with massive internal bleeding was the result of CPR; many, if not all, of these cases are likely to be inflicted, intentional injuries. [Medline]. Examples include blood spatter evaluation and DNA analysis in homicide cases involving multiple blows with a blunt object, such as a baseball bat, and scene reconstruction following motor vehicle collisions. [Medline]. ASIRT is investigating his death. The pain associated with these injuries can make breathing difficult, and this may compromise ventilation. J Endovasc Surg. J Trauma. When generating the autopsy report, it is often best to divide the description of injuries into subsections for the head and neck, trunk, and extremities.

All total, there were 27 confirmed homicides in 2019. [Full Text]. 4(3):187-92. These abrasions are caused by dragging or scraping the surface of the skin against a rugged surface; they are most often encountered when a body slides on pavement. These abrasions are sometimes called "road rash." J Trauma Acute Care Surg. In such instances, there is superficial hemorrhage with little or no extravasation of blood in the underlying tissues (see the following image). Sign up to receive daily headline news from the Edmonton Journal, a division of Postmedia Network Inc. Tien HC, Spencer F, Tremblay LN, Rizoli SB, Brenneman FD. J Trauma Acute Care Surg. There are several pitfalls in the evaluation of blunt force trauma or supposed blunt force trauma. 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). There were no killings recorded in April and so far October has seen no confirmed homicides. J Forensic Med. Cordner S, Clay FJ, Bassed R, Thomsen AH. Did you think of your favorite crime and detective show?  | 

[Guideline] Fox N, Schwartz D, Salazar JH, Haut ER, Dahm P, Black JH, et al. Abrasions, lacerations, and contusions are often noted adjacent to fractures. [Medline]. Fabian TC, Davis KA, Gavant ML, Croce MA, Melton SM, Patton JH Jr, et al. [4]. Refaely et al analyzed clinical outcomes in patients with blunt and penetrating chest injuries who underwent urgent thoracotomy (ie, thoracotomy performed in the operating room within the first 48 hours of the patient's intensive care unit [ICU] stay) and found that mortality was higher in the blunt chest trauma group. World J Emerg Surg. Persistent Inflammation, Immunosuppression and Catabolism Syndrome (PICS) after Polytrauma: A Rare Syndrome with Major Consequences.

This website also contains material copyrighted by 3rd parties.  |  These injuries are often seen in combination with one another. COVID-19 is an emerging, rapidly evolving situation. This is due to immediate and devastating exsanguination or loss of cardiac pump function, which causes hypovolemic or cardiogenic shock and death.

Periorbital ecchymoses are another finding that one may misinterpret as an inflicted contusion.

The thoracic outlets form the superolateral borders of the thorax and transmit branches of the thoracic great vessels that supply blood to the upper extremities. 2001 Jun. Four victims died of “sharp-force injuries,” according to the medical examiner, and two died of blunt-force trauma. Spagnoli L, Amadasi A, Frustaci M, Mazzarelli D, Porta D, Cattaneo C. Characteristics and time-dependence of cut marks and blunt force fractures on costal cartilages: an experimental study. 2001 Jul. [Medline]. [Medline]. For example, individuals may die of infections, thromboemboli, or organ failure that occurs as a delayed result of previous blunt force trauma. A systematic review. Commotio cordis, a sudden cardiac arrhythmia caused by blunt impact to the chest -- often by a ball, steering wheel, or some other object -- is another type of blunt force injury. Baraich’s death was deemed suspicious, but his cause of death has not been released. Available at https://acsearch.acr.org/docs/3082590/Narrative/.

Dolinak D. Rib fractures in infants due to cardiopulmonary resuscitation efforts. Chin J Traumatol. 2001 May. Usefulness of transthoracic and transoesophageal echocardiography in recognition and management of cardiovascular injuries after blunt chest trauma. Right atrial blood passes through the tricuspid valve into the right ventricle. 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 … Powder’s death was the second recorded in September, after Troy Boone was killed on Sept. 2. The thoracic duct arises primarily from the cisterna chyli in the abdomen. Appropriate photographs vary according to the individual case and the individual pathologist. 75 (3):301-6. A total of 43 strangulation cases were found, of which there were equal numbers of ligature and manual strangulations (19 each) and 5 cases in which the method was not specified, and decedents were divided: 63% female and 37% male.

Mean ISS was 28 with head injury the most predominant injury (mean AIS head 3.4). [Medline].

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