Farm tractors are large, heavy, powerful vehicles with a high center of gravity. When driven carelessly on sloping, irregular, or slippery ground, tractors can overturn sideways and cause the death by crush asphyxia of the driver or passengers, especially if appropriate safety equipment is not fitted or used. The aim of this review is to focus on the diagnostic difficulties with which coroners and forensic pathologists have to cope when a confirmation of crush asphyxia after tractor side rollover is required by judicial authorities. Forensic investigations in such cases must involve the meticulous analysis of the death scene and the mechanical characteristics of the vehicle together with accurate postmortem and toxicological examination.
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http://dx.doi.org/10.1097/PAF.0000000000000334 | DOI Listing |
Forensic Sci Med Pathol
November 2024
School of Biomedicine, The University of Adelaide, Level 2, Room N237, Helen Mayo North, Frome Road, Adelaide, SA, 5005, Australia.
Deaths at high altitudes may arise from a range of quite disparate entities including trauma (e.g. falls), environmental factors (e.
View Article and Find Full Text PDFTrauma Case Rep
August 2024
Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54636, Greece.
We present three cases of traumatic asphyxia after thoracic compression. All victims were Caucasian males aged 22-50 years. One man was crushed by a truck trailer, another was crushed by an overturned vehicle, and the last was crushed by a large heavy stone slab.
View Article and Find Full Text PDFCureus
March 2024
Department of Emergency Medicine, Seirei Mikatahara General Hospital, Hamamatsu, JPN.
Traumatic asphyxia (TA) is a rare condition due to severe crush injury to the upper abdomen or chest region. Elevated intrathoracic pressure causes impaired venous return, which damages the small vessels. Consciousness is reportedly lost in many TA cases.
View Article and Find Full Text PDFAm J Emerg Med
July 2023
Ultrasound Director, Assistant Professor, Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, USA.
Introduction: Primary disasters may result in mass casualty events with serious injuries, including crush injury and crush syndrome.
Objective: This narrative review provides a focused overview of crush injury and crush syndrome for emergency clinicians.
Discussion: Millions of people worldwide annually face natural or human-made disasters, which may lead to mass casualty events and severe medical issues including crush injury and syndrome.
J Forensic Leg Med
April 2023
Institute of Forensic Medicine, University of Belgrade - School of Medicine, Belgrade, Serbia. Electronic address:
This case represents a 27-year-old man, who was found dead in a truckload, trapped between several coils of steel wire, each weighing 500 kg. The autopsy was remarkable for subendocardial hemorrhages in addition to Perthes' syndrome and florid internal findings: congestion/cyanosis of the cervical organs, intrathyroidal and submucosal bleedings. All this implies that compression significantly raised intrathoracic pressure.
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