Journal of Punjab Academy of Forensic Medicine & Toxicology
SCOPUS
  • Year: 2021
  • Volume: 21
  • Issue: 2

Actual Problems In Forensic Medical Assessment of Trauma of The Respiratory Organs:

  • Author:
  • Vasil Olkhovsky1, Mykola Gubin2, Edgar Grygorian3*, Volodymyr Khyzhniak4, Oleksandr Knigavko5
  • Total Page Count: 6
  • Published Online: Apr 25, 2022
  • Page Number: 27 to 32

1Professor of the Department of Forensic Medicine, Medical Law, Kharkiv National Medical University, Kharkiv, Ukraine

2PhD, Associate Professor of the Department of Forensic Medicine, Medical Law, Kharkiv National Medical University, Kharkiv, Ukraine

3Postgraduate Student of the Department of Forensic Medicine, Medical Law, Kharkiv National Medical University, Kharkiv, Ukraine

4PhD, Associate Professor of the Department of Forensic Medicine, Medical Law, Kharkiv National Medical University, Kharkiv, Ukraine

5Professor of the Department of Urology, Nephrology and Andrology, Kharkiv National Medical University, Kharkiv, Ukraine

*Corresponding Author: Dr. Edgar Grygorian, Postgraduate Student of the Department of Forensic Medicine, Medical Law, Kharkiv National Medical University, Kharkiv, Ukraine. Contact: +380577551695, Email : 8520148@gmail.com

Online Published on 25 April, 2022.

Abstract

Victims with a closed blunt trauma of the respiratory organs are often the subject of forensic medical examination. The aim of the work was to analyze the features of the forensic medical examination to determine the severity of injuries in victims of closed trauma of the respiratory organs, depending on its morpho-clinical characteristics and the difficulty of finding ways to unify assessment which is made by forensic medical examiners.

154 conclusions of the forensic medical examination conducted in the Kharkiv Regional Bureau of Forensic Medical Examinations on the closed blunt trauma of the respiratory organs were analyzed.

Injuries occurred by the following mechanisms: in 145 (94.2%) cases there was a shock by blunt hard objects on the neck and chest, in 8 (5.2%) cases there was compression of the neck with hands or other blunt hard objects, in 1 (0.6%) case -compression of the neck with hands and loop. Modern approaches to forensic medical assessment of bodily injuries in this injury have been identified. Severe injuries were found in 17 (11%) cases of injuries with life-threatening phenomena, namely acuterespiratory failure, traumatic shock, mechanical asphyxia. Moderate injuries were found in 125 (81.2%) cases, mostly injuries with fractures of the ribs and cartilage of the larynx in the absence of danger to life. Mild injuries were found in 12 (7.8%) cases of mostly laryngeal injuries complicated by its post-traumatic inflammation.

There is a lack of a unified scientific and methodological approach to the objective assessment of injuries of the respiratory organs. During the forensic medical assessment of this injury, there are cases of both underestimation and overestimation of the severity of injuries. According to the results of the study, the ways of further unification of the morphoclinical approach in the forensic assessment of these injuries were identified.

Keywords

Forensic examination, Trauma of the respiratory organs, Diagnostic criteria, Severity of injuries