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Analysis of the nature of injuries in victims of fall from height

机译:高处跌倒受害者的伤害性质分析

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Aim of study: To assess the types and extent of injuries sustained by victims of fall from height depending on the height of fall. Material and methods: The study included 338 bodies of victims of fatal falls from different heights (from the 1st to 10th floors) who were subjected to medico-legal autopsy at the Department of Forensic Medicine, Jagiellonian University Medical College, between 1995 and 2014. For each individual, selected data were collected including gender, age, body height, injury types and presence of alcohol or other intoxicants in blood. The analysis comprised injuries to the brain, thoracic and abdominal organs, fractures of the skull, extremities, ribs and spine, and fractures of the scapula, clavicle and sternum (considered together). The study focused on determining the frequency of occurrence of different injuries in relation to one another and depending on the height of fall. Results : The number and extent of injuries was found to increase along with the height of fall. Three injury types, including injuries to the mesentery and both kidneys and fractures of upper extremity small bones, were shown to occur from the threshold heights of the 3rd, 4th and 6th floors. Eleven injuries demonstrated a statistically significant correlation with the height of fall. The study also revealed a number of correlations between the frequencies of occurrence of different injuries. Conclusions : Injuries found from the threshold value may suggest the minimal height of fall. The presence of injuries which correlate with increasing height, and the overall number of injuries observed in victims of fall from height, may be useful for inferring the height of the fall.
机译:研究目的:根据跌倒的高度来评估跌倒受害者从高处坠落的类型和程度。资料和方法:该研究包括1995年至2014年期间在Jagiellonian大学医学院法医学系接受法定法律尸体解剖的338例不同高度(从1楼到10楼)的致命跌倒受害者。对于每个人,都收集了选定的数据,包括性别,年龄,身高,伤害类型以及血液中酒精或其他毒物的存在。分析包括大脑,胸腔和腹部器官的损伤,颅骨,四肢,肋骨和脊柱的骨折,以及肩cap骨,锁骨和胸骨的骨折(一起考虑)。这项研究的重点是确定不同伤害的发生频率之间的关系,并取决于跌倒的高度。结果:发现受伤的数量和程度随着跌倒高度的增加而增加。从三层,四层和六层的阈值高度开始,发生了三种损伤类型,包括肠系膜损伤,肾脏损伤和上肢小骨头骨折。十一次受伤与跌倒高度具有统计学显着相关性。该研究还揭示了不同伤害发生频率之间的许多相关性。结论:从阈值发现的伤害可能表明跌倒的最小高度。与身高增加相关的伤害的存在,以及从高处跌倒的受害者中观察到的受伤总数,可能有助于推断跌倒的高度。

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