Features of complex forensic medical examinations (FME) of the lower extremities mechanical injury in non-fatal car trauma

Abstract

Background. Establishing of a mechanism of car trauma requires a number of FMEs in connection with a formation of various body segments injuries in different phases on different surfaces with different mechanisms of traumatic effects. The objective of this research is to study reasons for the appointment and the content of complex FMEs in case of car trauma with mechanical injury of the lower extremities. Methods. Material - 70 acts of complex FMEs, carried out on the fact of a non-fatal car trauma wit the lower extremities injury for the period February - June 2018. Methods - retrospective analysis, descriptive statistics. Results. Victims were mostly male (77.1%) pedestrians (97.1%). Main reasons for the appointment of complex FMEs are the establishment of a causal relationship between: a) the mechanism of injury, mechanical damage of a car and an outcome of the injury (48.6%) and b) the mechanism and the outcome of the injury (32.9%). At preliminary stage, 83 FMSs were carried out; more often than others were appointed: vehicle inspection (14.3%), automotive (14.3%), commission (12.9%), forensic (61.4%) expertises. Within the framework of complex FMEs, autotechnical (51.4%), transport and traceological (24.3%) expertises, vehicle inspection (38.6%) were carried out; total of 88 expertises. The main blocks of questions of complex SMEs: the mechanism and sequence of bodily injury formation; the position of a pedestrian at the time of initial contact with a vehicle; the nature and sequence of car mechanical damages; an ability to prevent road traffic accident by a driver. Conclusion. One of ways to optimize FMEs of car trauma is to standardize protocols for trauma patients examination, including with detailed display of specific stamp injuries of the integumentary system