FORENSIC MEDICAL ASPECTS OF THE SEVERITY OF CHEST INJURIES ACCORDING TO THE RESULTS OF THE EXAMINATION OF PATIENTS IN A SPECIALIZED HOSPITAL

Gubin M. V., Malykhina O. I., Voitov E. O., Serbinenko I. Yu., Gaynanova V. O.

FORENSIC MEDICAL ASPECTS OF THE SEVERITY OF CHEST INJURIES ACCORDING TO THE RESULTS OF THE EXAMINATION OF PATIENTS IN A SPECIALIZED HOSPITAL


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About the author:

Gubin M. V., Malykhina O. I., Voitov E. O., Serbinenko I. Yu., Gaynanova V. O.

Heading:

FORENSIC MEDICINE

Type of article:

Scientific article

Annotation:

Closed chest trauma can cause impaired functioning of the respiratory system. Victims with closed chest trauma may be subject to forensic medical examination. The purpose of the study is to determine the severity of closed blunt chest trauma from a forensic perspective based on the results of an examination of patients in a specialised hospital to identify additional diagnostic criteria. The material for the study was the medical records of 103 inpatients of the Zaycev V.T. Institute of General and Emergency Surgery. Considering the diagnostic examination of the victims in the observation groups, the severity of the injuries was determined. Severe bodily injuries were diagnosed in 19 (18.4%) cases of closed chest injuries with acute respiratory failure and loss of part or all of an organ (lung). Injuries of moderate severity were diagnosed in 70 (67.9%) cases of closed chest trauma, mostly with rib fractures, in the absence of life-threatening injuries. Minor injuries were diagnosed in 14 (13.6%) cases of chest trauma without rib fractures with intrapleural injuries and complications or without any complications. It has been established that in the forensic assessment of closed chest injuries, additional diagnostic criteria should be considered: the presence of acute respiratory failure, the dynamics and duration of recovery of post-traumatic morphological and functional changes in injured organs, and the loss of part or all of an organ (lung).

Tags:

chest injury, diagnostic criteria, forensic medical examination, severity of injuries

Bibliography:

  1. Sokol VK, Khyzhniak VV. Sudovo-medychna diahnostyka posttravmatychnykh zmin miakykh tkanyn vnaslidok mekhanichnykh ushkodzhen. Monohraf. Kharkiv: FOP Brovin OV; 2014. 224 s. [in Ukrainian].
  2. Bacha ЕА, Mathisen DJ, Grillo НС. Airway trauma. London: Arnold; 2018. Chapter, Cardiothoracic trauma; p. 265-79.
  3. Newbury A, Dorfman JD, Lo HS. Imaging and management of thoracic trauma. Semin Ultrasound CT MR. 2018;39(4):347-54.
  4. Ciftci F. The evaluation of 250 patients with thoracoabdominal injuries. Ulus. Trauma Acil. Cerrahi Derg. 2008;3:231-238.
  5. Lisowska H, Marciniak M, Pawełczyk K. Left main bronchus separation after blunt trauma. Kardiochir Torakochirurgia Pol. 2017;14(1):71- 75.
  6. Stewart RM, Corneille MG. Common complications following thoracic trauma: their prevention and treatment. Semin Thorac Cardiovasc Surg. 2008;1(20):69-71.
  7. Hryhus IM, Samorokov VO, Tsymbaliuk BI, Tsymbaliuk OV. Sudova medytsyna ta sudovo-medychni ekspertyzy. Lviv: «Novyi Svit-2000»; 2018. 208 s. [in Ukrainian].
  8. Nedostup MF. Sudova medytsyna ta psykhiatriia. Sievierodonetsk: LDUVS imeni E.O. Didorenka; 2021. 305 s. [in Ukrainian].
  9. Tamilmani K. Practical Guide for Forensic Medicine and Toxicology. 2nd ed. Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2021. 260 p.
  10. Dhattarwal SK, Jakhar JK, Yadav N. Practical aspects of Forensic Medicine For MBBS and MD Students Paperback. Bhilai: OrangeBooks Publication; 2021. 240 p.
  11. Mahanta P. Modern Textbook of Forensic Medicine and Toxicology. 1st ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2023. 898 p.
  12. Payne-James J, Jones Simpson’s Forensic Medicine R.M., 14th Edition. USA, Boca Raton: CRC Press; 2019. 353 p.
  13. Mykhailychenko BV, Kikinchuk VV, Peshenko OM. Sudova ekspertolohiia (sudova medytsyna): navchalnyi posibnyk. Kyiv, Kharkiv: «Vydavnytstvo Liudmyla»; 2020. 396 s. [in Ukrainian].
  14. MOZ Ukrainy. Pravyla sudovo-medychnoho vyznachennia stupenia tiazhkosti tilesnykh ushkodzhen. Nakaz MOZ Ukrainy №6 vid 17.01.1995 r. «Pro rozvytok ta vdoskonalennia sudovo-medychnoi sluzhby Ukrainy». Kyiv: MOZ Ukrainy; 1995. 220 s. [in Ukrainian].

Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 2, 173, 464-472 pages, index UDC 355.48:616.712/.713.9-001:614.21

DOI:

10.29254/2077-4214-2024-2-173-464-472

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