Victims Of Traffic Accidents Research Articles

Predictive factors of malunion and nonunion at the Aristide le Dantec hospital

Background: Malunion and nonunion are late complications that can occur during the fracture healing process. The aim of this study was to determine the predictive factors for malunion and nonunion Methods: This was a retrospective study over a period of 43 months. Predictive factors were sought from patient, fracture and initial management data Results: We recorded 72 consolidation disorders in 69 patients. malunion accounted for 54.1% and nonunion for 45.9%. The study population was divided as follows: 53 men and 16 women. The average age was 37.8 years. The patients lived in urban areas in 81.2% of cases. Comorbidities were present in 14.5%. The circumstances of fracture occurrence were dominated by traffic accidents, especially for 39 patients. The initial fracture was closed in 91.3%. Long bones were involved in 97.2% of cases, with a diaphyseal location in 52.8%. The fracture was simple in 79.1%, with 84.7% of the fractures being transverse. The tibia was the bone most affected by malunion (53.8%). Nonunion occurred in the humerus, femur and tibia in 27.3% each. Initial treatment was undertaken in 91.3% of patients. Conclusions: Malunion and nonunion are a reality in our daily practice. These consolidation problems occur in young patients who are victims of road traffic accidents. Diaphyseal fractures of long bones with a transverse line have been the most frequently incriminated. conservative treatment and traditional practice have favoured the development of these complications.

24 h mortality and its predictors among road traffic accident victims in a resource limited setting; a multicenter cohort study

IntroductionThe incidence of road traffic accidents (RTAs) is on the rise contributing to the global burden of mortality as a major global health threat. It has been estimated that 93% of RTAs and more than 90% of the resulting deaths occur in low and middle income countries. Though death due to RTAs has been occurring at an alarming rate, there is paucity of data relating to incidence and predictors of early mortality. This study was aimed at determining the 24 h mortality and its predictors among RTA patients attending selected hospitals in western Uganda.MethodsThis was a prospective cohort that consecutively enrolled 211 RTA victims admitted and managed in emergency units of 6 hospitals in western Uganda. All patients who presented with a history of trauma were managed according to the advanced trauma life support protocol (ATLS). The outcome regarding death was documented at 24 h from injury. Data was analyzed using SPSS version 22 for windows.ResultsMajority of the participants were male (85.8%) aged 15–45 years (76.3%). The most common road user category was motorcyclists (48.8%). The 24 h mortality was 14.69%. At multivariate analysis, it was observed that a motorcyclist was 5.917 times more likely to die compared to a pedestrian (P = 0.016). It was also observed that a patient with severe injury was 15.625 times more likely to die compared to one with a moderate injury (P < 0.001).ConclusionThe incidence of 24 h mortality among road traffic accident victims was high. Being motorcycle rider and severity of injury according to Kampala trauma score II predicted mortality. Motorcyclists should be reminded to be more careful while using the road. Trauma patients should be assessed for severity, and the findings used to guide management since severity predicted mortality.

Comparison of Conventional Versus Right Angled Fixation Technique in Management of Mandibular Angle Fractures – A Prospective Randomized Clinical Study

The treatment of mandibular angle fractures ranges from observation to closed reduction with maxillomandibular fixation to open reduction and internal fixation. The study aims to compare the effectiveness of three different techniques (transoral, transbuccal, and right-angled fixation technique) for single adaptational monocortical upper border plating in mandibular angle fracture. The study conducted at our center was a prospective randomized study. The study duration was from November 2019 to August 2021. The three groups included in our study were transoral, transbuccal, and transoral approach using the right-angled drill. Patients who required open reduction and internal fixation of mandibular angle fracture were included in the study. Computer-generated randomization method was used to assign the participants among the 3 groups, ie, transoral, transbuccal, or right-angled fixation technique. The primary outcome clinical variables were mouth opening (MO), occlusion stability, scar or laceration, facial nerve weakness, infection, and the radiological variables were gap between the fracture segments and displacement of the fracture segment. The secondary outcome of our study is a comparison of the perioperative complications including plate exposure during the entire fracture healing period. The covariates of the study were age, sex, etiology, and tooth in line of fracture. Statistical analysis was done using ANOVA, post hoc Tukey test, and Pearson χ2 test. A P value less than 0.05 was considered statistically significant. A total of 48 patients were included in our study. According to randomization, each group was allotted 16 patients. In the study, 66.7% of the study population were male and 33.3% were female; 75% of the study population were victims of road traffic accidents, and 25% were injured due to assault. The mean and standard deviation for MO at 1month were 31.3±2.9 for the transoral group, 35.8±1.7 for the transbuccal group, and 35.5±1.3 for the right-angled fixation group. On intergroup comparison, statistically significant results were seen at the 1-month postoperative MO clinical parameter. The P value here was 0.02 which was statistically significant. The comparison of the right-angled fixation technique to transoral and transbuccal fixation methods have not been documented. Our study is the first of its kind to compare the right-angled fixation technique to various other approaches. Our study showed that the MO was better postoperatively with the transbuccal approach. The other variables showed no difference among the three techniques.

Raptor y la importancia de accidentes de tránsito

Mr. Editor of the Revista de la Facultad de Medicina Humana, Lima, Peru I am writing to you, in relation to the review article "Association between the time of pre-hospital care and hospital mortality in victims of traffic accidents" published in 2020 Volume 20, number 01. In the aforementioned work, by M.J.G. Fernandez Sandoval et al., highlight the existence of a significant association between the time of prehospital care and mortality, with which I agree and express that it is of vital importance, even a good level of prehospital education can be applied in the specific topic of traffic accidents, since it represents an important health problem and is a priority in research.

Legal Practices Beyond the Law That Eliminate the Rights of Traffic Accident Victims in the Implementation of Special Lease Transportation

The present study identifies legal practices that violate legal entity requirements for operating Special Lease Transportation (SRT), extending beyond the boundaries of established laws. This transgression takes the form of vertical inconsistencies in the hierarchy of laws and regulations, where higher regulatory norms mandate SRT administrators to be legal entities, while lower regulatory norms allow them to operate without such status. Such inconsistencies have profound implications for the loss of corporate criminal charges and the right to compensation for victims of traffic accidents caused by SRT organizers who lack a legal entity. The absence of adequate legal norms to protect and guarantee corporate criminal charges and the right to compensation for victims of traffic accidents arising from SRT operators without legal entity status constitutes a legal practice that goes beyond established law. Such practices disregard the protection of guarantees for legal certainty and community justice, as stipulated in legislation. Keywords: Road Transportation Law, Regulatory Inconsistency, Right to Compensate Traffic Accident Victims. DOI: 10.7176/JLPG/131-08 Publication date: April 30 th 2023

Irreducible Tibial Pilon Fracture Treated with Single-Stage Closed Ilizarov Fixation and Gradual Correction: A Case Report.

A young polytrauma victim of a road traffic accident was diagnosed with comminuted articular fracture of the left distal tibial pilon and open segmental fracture of the fibula. The comminuted distal tibial metaphysis was translocated into the interosseous space and, hence, was irreducible. He underwent single-stage closed Ilizarov device stabilization and gradual postoperative closed reduction to obtain good functional outcome at 9 months. The lung and scapular injuries were treated conservatively. Acute complex irreducible tibial pilon fracture can be treated according to principles of deformity correction with the Ilizarov device.

Совершенствование обучения оказанию первой помощи пострадавшим в дорожно-транспортных происшествиях на федеральной автодороге в регионе России с низкой плотностью населения

Summary. Investigation purpose – to make science reasonable and to develope a complex of measures for improvement of first aid provision for traffic accidents (TA) victims on the federal highways in Russian regions with low population density. Materials and methods of the investigation. Materials of investigation – a register of cadets who learned the skills of first aid provision in territorial centre of disaster medicine (TCDM) of Arkhangelsk region in a period from 1st January of 2012 till 31st December of 2018. For statistic analysis a categorial variables were used which were presented as percentages; Chi-square Peterson test was used for determination of presence of links between categorial variables. Investigation results and their analysis. Investigation results analysis showed an increasing of absolute number of learners, including EMERCOM of Russia and Russian Interior Ministry staff, of first aid provision skills; additional professional education program of qualification improvement for medical specialists “Provision of primary medical-sanitary help in extremal form in Arctic conditions” and additional professional education program “Provision of first aid for victims in conditions of North and Arctic” were developed and added to the study process. These programs show an aspects of medical treatment provision and first aid provision in specific conditions of Russian North and Arctic; the program of regular tactic-specialized exercises conducting for stuff of services which are attracted to elimination of traffic accidents medical-sanitary consequences was developed.

An Exploratory Study on Quality of Life among Road Traffic Accident Victims in India

Background: Road traffic accidents are India’s sixth leading cause of mortality, with a substantial share of physical, psychosocial and economic losses in the productive age group. Objectives: To explore the victims’ and stakeholders’ perceptions on quality of life among road traffic accident victims in India. Methods: A qualitative study incorporating in-depth interviews among road traffic accident victims and key informant interviews among stakeholders was conducted from June to August 2019 (3 months) in Puducherry. Participants were selected using purposive sampling. Data was collected till the point of saturation with a semi-structured interview guide through six in-depth interviews among accident victims and six key informant interviews among stakeholders. Content analysis of the data was performed, and a conceptual framework was developed. Written informed consent from each participant was sought. Ethical clearance was obtained from the Institute Ethics Committee. Results: Four themes were identified: reasons for road traffic accidents, problems faced by the victims, problems faced by the caretaker or family member, and preventive measures for road traffic injuries. Conclusion: Physical, psychological, and financial problems were encountered by the victims, caretakers, and family members after a major road traffic accident. Accident victims felt that support from family members was indispensable in returning to normal life.

Are There Any Differences in Road Traffic Injury Outcomes between Older and Younger Adults? Setting the Grounds for Posttraumatic Senior Personal Injury Assessment Guidelines

Injury outcomes seem to be more severe in older than younger persons. This may make personal injury assessment (PIA) particularly difficult, mainly because of seniors' previous health frailties. To set the grounds for seniors' PIA guidelines, we compared an older with a younger adult population of trauma victims and, secondarily, identified differences between the groups regarding three-dimensional and medico-legal damage parameters assessment. Using a retrospective study of victims of road traffic accidents, we compared the groups (n = 239 each), assuring similar acute injury severity (ISS standardised difference = 0.01): G1 (older adults); G2 (younger adults). Logistic regression was used to estimate the odds ratio. G1 revealed higher negative consequences when considering the three-dimensional damage assessment, with more frequent and severe outcomes, being a cause of further difficulties in daily living activities, with a loss of independence and autonomy. Nevertheless, regarding the medico-legal damage parameters, permanent functional disability did not show significant differences. This study generates evidence that reveals the need to rethink the traditional methodology of PIA in older persons, giving more relevance to the real-life contexts of each person. It is essential to: obtain complete information about previous physiologic and health states, begin the medico-legal assessment as early as possible, make regular follow-ups, and perform a multidisciplinary evaluation.

Current Data on Road Traffic Fatalities in Bouake Epidemiological and Medico-Legal Aspects

To describe the epidemiological profile and forensic aspects of road traffic accident victims and to determine the relationship between the site of fatal injuries and the quality of road traffic accident victims in the commune of Bouake. This was a retrospective study with descriptive, conducted in the Forensic Medicine Unit of the University Hospital Center (CHU) of Bouake, over a period of 53 months (May 1, 2019 to October 31, 2022). The majority of the deceased were male (83.8%) with a sex ratio of 5.1. The age groups most affected were 21 to 30 years old (26.7%), with an average age of 29 years. The victims were most often not in school (49.6%). Fatal traffic accidents occurred most often on Sundays (17.5%), between 6 p.m. and 11:59 p.m. (47.9%). The majority of victims died at the scene of the accident (72.5%). Motorcycles were the most involved motor vehicles in the occurrence of fatal road accidents (37.5%) and motorcycle users were the most affected (50.5%) without helmets in 90% of cases. The mechanism of occurrence of these fatal accidents was dominated by collisions (80%). The victims died most often from traumatic injuries to the head (37.1%) or chest (10%). Road accidents are a major public health problem in the city of Bouake with a high mortality rate among users of two-wheeled vehicles.

Road traffic accident clinical pattern and management outcomes at JUMC Emergency Department; Ethiopia

Road Traffic Accident is an incident on a way or street open to public traffic. It becomes one of the most significant public health problems in the world especially in developing countries. In Ethiopia, it represents a significant risk for morbidity and mortality. It is also the major public health problem even though studies done on this topic in the study area is limited. To assess clinical pattern, associated factors and management outcomes among road traffic accident Victims attending emergency department of Jimma University Medical Center. Hospital based cross sectional study design was employed to review patients' chart visited the hospital from March to April 2021. A systematic random sampling technique was applied. The data were collected using pretested checklist and analyzed using SPSS version 26. Descriptive statistics and multivariate logistic regression were computed. Variables with P<0.05 were considered statistically significant. About 49.6%) were pedestrians injured of which motorcycle accounted 42.9%. More than half of victims never got any type of prehospital care. On arrival, 38.7% were classified as Red of which 71.4% of them were managed surgically. About 84.9% of victims were discharged with improvement whereas12.6% were died. Victims with head injury (AOR= 16.61: 95% CI; 3.85, 71.71), time elapsed to reach nearby health facility (AOR= 3.30; 95 CI (1.13, 9.60), condition of patient at Emergency Department (AOR= 7.78; 95% CI: 2.33, 26.06), GCS at admission (AOR= 20.12; 95% CI: 7.23, 55.96) and days spent in hospital (AOR= 6.85; 95% CI 5.81, 8.06) were independent predictors of unfavorable outcome. Road Traffic Accident represents a significant risk for morbidity and mortality in Ethiopia, of which head injury and multiple sites injury increase injury severity. Targeted approaches to improving care of the injured victims may improve outcomes. Thus, the clinician should take into consideration the clinical presentation and give due attention to the identified contributing factors in its management.

Epidemiological characteristics of deaths from road traffic accidents in Addis Ababa, Ethiopia: a study based on traffic police records (2018–2020)

IntroductionRoad traffic accidents are a major cause of fatal and nonfatal injuries, causing permanent disabilities, and other indirect health complications. Each year, road traffic accidents (RTA) cause a lot of fatalities and injuries in Ethiopia, putting the country among the list of the most affected countries by RTA in the world. Despite the high rates of road traffic collisions in Ethiopia, very little is known about the factors that contribute to fatal RTA in the country.Objectivesthe objective of this study is to assess the epidemiological characteristics of deaths from road traffic accidents in Addis Ababa, Ethiopia: A study based on traffic police records (2018–2020).MethodA retrospective observational study design was conducted used in this study. All road traffic accident victims reported to Addis Ababa police station between 2018 and 2020 were study population and the collected data was evaluated with Statistical Package for the Social Sciences (SPSS) version 26 software. Binary logistic regression model was used to indicate the association between dependent and independent variables. Statistically, significant associations were declared at P < 0.05.ResultThere were 8458 recorded road traffic accidents in Addis Ababa during 2018–2020. Among these accidents, 1274 (15.1%) caused death while 7184 (84.1%) caused an injury. Males accounted for 77.1% of the decedents (sex ratio of almost 3.36:1). The majority 1020 (80%) of the fatality occurred on a straight road and 1106 (86.8%) of the fatality occurred in dry weather. Weekday 1.243 (AOR, 1.234, 95 CI, 1.071–1.443), driver educational status below grade twelve 0.326(AOR 0.326, CI, 0.285–0.374), and commercial truck vehicle 1.682 (OR, 1.696, CI, 1.410–2.040) were statistically associated with fatality after adjusting for potential confounding variables.ConclusionThe prevalence of RTA fatality in Addis Ababa is high. The accidents that occurred during the weekdays were more fatal. Driver’s educational status, weekdays, and vehicle type were factors associated with mortality. There is a need to introduce road safety interventions that targeted identified factors in this study to reduce fatalities attributed to RTIs.

Autonomous vehicles and Italian legal system

The historical period we are living is characterized by very rapid technological innovations, on many different fields. Our society and our legal system are not always ready to immediately embrace new technologies as they usually need a testing and adaptation period, but also adequate regulation. An important innovation already implemented has been the rides sharing (sharing mobility). It is very relevant in the market, especially in Italy, and has changed the way we perceive cars ownership and use. Self-driving cars are also a very important innovation, not only due to the fact that they significantly increase the number of users or the available mobility services, but also mainly for a significant increase in road safety concerns. Based on that, this paper will analyze how the Italian legal system regulates the protection for victims of traffic accidents caused by autonomous vehicles in terms of civil liability and motor insurance rules.

Statistical Analysis of Toxicological Data of Victims of Traffic Accidents in Galicia (Spain)

Driving under the influence of alcohol or drugs is a very common behavior in our environment and a serious problem for public health. On the one hand, in 2016, 400,000 people died in the world in traffic accidents in which ethanol was involved. On the other hand, traffic accidents in which the use of drugs of abuse other than ethyl alcohol accounted for more than 160,000 deaths worldwide in 2017. The objective of this work is to carry out a review of the 710 cases of people who died in traffic accidents received at the forensic toxicology service of the Institute of Forensic Sciences of the University of Santiago de Compostela (Galicia-Spain) over a period of 10 years (2009–2019). We performed an observational study of period prevalence, in which the following data were collected: age, sex, year, and analytical results in plasma, in the case of being positive. The data collected was subjected to statistical treatment. Of the 710 cases analyzed, 123 correspond to pedestrians and 587 to occupants of vehicles or motorcycles. A total of 77.6% of the deceased were men. At least one psychotropic substance was found in the blood of almost 40% of the victims. The most frequently found substance was ethyl alcohol, which appeared in 231 cases, more frequently in males. The second place is occupied by benzodiazepines, which appeared in 43 cases, followed by cocaine, which was detected in 25 cases. Polydrug use was found in only 44 cases, with the association of ethanol and cocaine being the most commonly found, followed by that of ethanol and benzodiazepines. Only in 5 of the cases analyzed there were 3 or more substances present. With the data obtained in this study, it is shown that in traffic accidents, the finding of different toxic or medicinal substances is frequent. Ethyl alcohol continues to be very present in road accidents (most detected substance), with the great impact that this implies. Secondly, the presence of benzodiazepines stands out, and cocaine is the third most detected toxic in this study. These results allow to obtain a profile of the substances most frequently involved in traffic accidents. Despite the surveillance, control, and information campaigns that the Spanish Government regularly carries out, the results are far from satisfactory.

Factors Contributing to Traffic Accidents in Hospitalized Patients in Terms of Severity and Functionality.

Trauma-related injuries in traffic-accident victims can be quite serious. Evaluating the factors contributing to traffic accidents is critical for the effective design of programs aimed at reducing traffic accidents. Therefore, this study identified which factors related to traffic accidents are associated with injury severity in hospitalized victims. Factors related to traffic accidents, injury severity, disability and data collected from blood toxicology were evaluated, along with associated severity and disability indices with data collected from toxicology on victims of traffic accidents at the largest tertiary hospital in Latin America. One hundred and twenty-eight victims of traffic accidents were included, of whom the majority were young adult men, motorcyclists, and pedestrians. The most frequent injuries were traumatic brain injury and lower-limb fractures. Alcohol use, hit-and-run victims, and longer hospital stays were shown to lead to greater injury severity. Women, elderly individuals, and pedestrians tend to suffer greater disability post-injury. Therefore, traffic accidents occur more frequently among young male adults, motorcyclists, and those who are hit by a vehicle, with trauma to the head and lower limbs being the most common injury. Injury severity is greater in pedestrians, elderly individuals and inebriated individuals. Disability was higher in older individuals, in women, and in pedestrians.

An Autopsy Based Retrospective Study on Pattern of Thoraco-Abdominal Injuries in Fatal Road Traffic Accidents of Kolar, South India

Background: India is experiencing increasing road traffic accidents (RTA) amidst increasing motorization andinfrastructure growth in recent years. Every day, nearly 400 road deaths occur on Indian roads and severalthousands are hospitalized due to road crashes. WHO estimates the incidence of road deaths to be 16.6 per 100000population in India1. With the aim of studying pattern and exploring various epidemiological characteristics ofRTAs, this retrospective study of medico-legal autopsies was conducted.Aims &amp; Objectives: 1 To study the pattern of thoraco-abdominal injuries (TAI) in fatal road traffic accidents inKolar. 2. To describe demographic profile and create public awareness on road safety.Material &amp; Methods: A retrospective autopsy based study of pattern of thoraco-abdominal injuries in victims offatal road traffic accidents was conducted in Sri Devaraj Urs Medical College, Kolar (South India) from 1st January2014 to 31st December 2014. A total of 192 RTA victims were referred for autopsy during the period of which100 cases sustaining thoraco-abdominal injuries were studied.Results: A total of 192 medicolegal autopsies were conducted on victims of road traffic accidents (RTA) during thestudy period. Among them, 100 victims suffered thoraco-abdominal injuries, which accounted for 52.08% of thecases. The highest number of victims belonged to the age group of 20-40 years, accounting for 48% of the cases.In terms of gender distribution, males constituted 62.0% of the victims while females constituted 38.0%. The mostcommon injuries were to the liver, accounting for 37.75% of the total injuries. Other frequently affected body partsincluded the spleen, lungs, thorax, abdomen, pelvis, and spine.Conclusion: The analyzed data provides clear evidence that road accidents are foreseeable and avoidable. Tomake substantial improvements in road safety throughout India, it is essential to establish a robust and effectivenational and state-level road safety authority, foster intersectoral coordination, and secure regular funding. Ouraim in sharing this article is to increase public awareness of the significance of road traffic injuries from a publichealth perspective and to alleviate the weight of fatalities and injuries on our communities.

Analysis of factors affecting the severity of car accidents in the Akmola region of Kazakhstan

The article presents the results of the analysis of statistical data on the number of victims of traffic accidents on the roads of Kazakhstan over the past five years, an analysis of the causes of road accidents is carried out, conclusions are drawn on the distribution of participants in road accidents depending on driving experience. An analysis of the condition of vehicles has been carried out, which makes it possible to predict a further increase in the number of victims. The purpose of the study was to identify the main factors that affect the number of dead participants in road accidents. As a result of research, it was determined that the main factor of severe consequences is the low level of training of drivers to make the right decision in stressful situations on the road. Additional factors are the unsatisfactory condition of roads in the Akmola region and a large number of vehicles that have a service life of more than twenty years and are not equipped with modern safety equipment.

Evaluation of the SEVERITY of FACIAL and GENERAL TRAUMA in child and adolescent victims of traffic accidents

•Evaluation of the FISS and TRISS SpO2 to obtain greater rigor in a standardized epidemiological profile of injury severity.•More accurate determination of trauma severity in child and adolescent victims of traffic accidents for improved urgency and emergency care.•Relation between the scales allows for better decisions on patient hospitalization, adequate treatment and the prevention of irreversible injuries.

Assessment of Post Traumatic Stress Disorder and the Associated Socio Demographic Parameters of Road Traffic Accident Victims

Background: Road traffic accident (RTA) is a global trauma which can produce a traumatic stress with tremendous physical, social and psychological impairments to the victims. Post traumatic stress disorder (PTSD) is the most common mental disorders among the RTA victims. Objectives : To assess the PTSD among the RTA victims and the relationship between the socio demographic parameters of RTA victims with PTSD. Methods: This cross sectional study conducted among 202 RTA patients attended in the inpatient dept. of a specialized hospital in Dhaka city for one year duration. Data collected from these patients using a semi structured interview administered questionnaire and PTSD assessed by using Diagnostic and Statistical Manual-IV DSM-IV(PCL-S). The collected data were analyzed by using SPSS software (Version 21) and p &lt; 0.05 considered as significant. Results: The mean age of RTA victims found 37.6 (±13.2) years, majority 57.4% belongs to 18-30 years age group. Out of 202 RTA patients 41.1% developed PTSD having e”51 score in Diagnostic and Statistical Manual-IV DSM-IV (PCL-S) checklist. Among the socio demographic parameters age and occupation were significantly associated with the PTSD; whereas education, family income, sex were not associated significantly with PTSD. Conclusion: This study found a high magnitude of PTSD among RTA victims. J Bangladesh Coll Phys Surg 2023; 41: 22-26

Lesion analysis of forensic autopsies of violent traffic deaths at HOGIP over a two-year period

The violence of road accidents leads to frequent and particularly complex deaths requiring the intervention of forensic medicine. The objective of this study is to determine, with the help of autopsies, the socio-demographic profile, the exact causes and modes of death of traffic accident victims. Materials and methods: This is a retrospective study based on data collected from court requisitions, autopsy reports and registers of the General Hospital Idrissa Pouye of Grand Yoff in Dakar from January 1, 2020 to December 31, 2021. Results: The gender distribution of the present study showed a higher proportion of males (74%) compared to females (26%). The distribution of traffic fatalities shows 2 peaks, between the age groups of 15-30 years and 31-45 years. Our study shows that the majority of fatal road traffic accidents occur in rural areas. In our study, we found varied monthly peaks with virtually the same rates in the months of February, May, June, September and October. In the present study, polytraumatic injuries were responsible for 35% of the deaths followed by head injuries at 25%, i.e. a total of 60% of deaths.Lesions with neurological complications (14%), infectious complications (11%), internal bleeding (11%) and external bleeding (4%) were responsible for the deaths. Conclusion: Traffic accidents, with their exponential number of deaths, constitute a real public health problem. The knowledge of the modes of these accidental deaths and fatal injuries, especially in young people, is possible thanks to the contribution of the medicolegal autopsy.