Forensic determination of life danger in chest injuries in patients of a specialized hospital

Abstract

The cause of life-threatening phenomena can be a closed blunt chest injury. Victims with a closed non-fatal chest injury become the object of forensic medical examination of living persons. The purpose of the work is toforensically determine the danger to life in closed blunt chest injuries in patients of a specialized hospital. The material for the work was the medical records of 20 inpatients of the V.T. Zaitsev Kharkiv Institute of General and Emergency Surgery. An analysis of available observations with acute respiratory failure was conducted. Clinical data were analyzed and digital indicators were processed. In victims with acute respiratory failure, the average Sa02% (oxygen saturation) 88.6+0.8% were significantly (P<0.01) increased compared to the control and indicators at discharge. After the treatment, these indicators returned to normal and did not differ significantly Pt>0.05 from the control group. The average Sa02% indicators corresponded to a third-degree respiratory failure. At the same time, the lowest Sa02% indicator in our observations was 80%, corresponding to respiratory failure of the IV degree, while the highest was 93%, corresponding to respiratory failure of the I degree. Severe body injuries according to the criterion of "danger to life" were established in 20 patients with closed blunt chest trauma, who had signs of acute respiratoryfailure. It was established that the presence of pneumothorax, hemothorax or hemopneumothorax in the victim with closed chest injuries without clinical signs of life-threatening phenomena does not yet give the expert the right to attribute these injuries to severe bodily injuries as life-threatening.