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  • Title: Cardiac injuries in car occupants in fatal motor vehicle collisions--an autopsy-based study.
    Author: Turk EE, Tsang YW, Champaneri A, Pueschel K, Byard RW.
    Journal: J Forensic Leg Med; 2010 Aug; 17(6):339-43. PubMed ID: 20650425.
    Abstract:
    Motor vehicle accidents contribute widely to population morbidity and mortality around the world, and cardiac injuries are a major factor determining outcome. Autopsy reports from 380 motor vehicle occupants who died in motor vehicle crashes in Adelaide, Australia, and Hamburg, Germany, over a 6-year period were reviewed, analysing the presence and type of cardiac injuries and their correlation with factors such as crash type, presence of seatbelt/airbag and vehicle speed as well as with the presence of other injuries which might predict the presence of cardiac injuries in a clinical setting. 21.1% had cardiac injuries identified macroscopically autopsy or histology. Cardiac injuries were the only cause of death or contributed to a fatal outcome in 76% of these cases. Sternal fractures and left-sided serial rib fractures were predictive of cardiac injury.
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