doiSerbia

Causes of death in patients with long outliving period injured in traffic accidents

Micić Jelena (Institut za sudsku medicinu Medicinskog fakulteta Univerziteta Beograd)
Nikolić Slobodan (Institut za sudsku medicinu Medicinskog fakulteta Univerziteta Beograd)
Mihailović Zoran (Institut za sudsku medicinu Medicinskog fakulteta Univerziteta Beograd)

As long as a direct chain of events can be traced from the injury to the death, then the initial injury must be considered to be the basic cause of death, and this fact may have profound legal implications for both civil compensation and criminal responsibility. Some of the most difficult problems in forensic pathology concern deaths from which posttraumatic complications are disputed as being fatal causative factors. The agony and dying are irreversible dynamic patho-physiological processes. By autopsy only the morphological consequences of these processes could be noted by dissector. The dynamics of dying, direct correlation between initial injury and death, as well as appearance and development of complications provoked by trauma could be established only by clinical medical data. Therefore medical clinical data are critical for forensic pathologists and for solving the problems about the mode and manner of death in cases with long outliving period. Microscopical findings have only academic and scientific importance and are less useful in daily practice. The authors suggest that all complications of injury must be generally involved in autopsy reports, and all severe injuries should separately be registrated both in medical data and autopsy reports. The finding of cause of death must include all observed severe injuries and not only one of the most severe injuries and its complications.

Keywords: complications of injury, outliving period, traffic injury, ISS, autopsy