Atique Mahmud1, Monowar Ahmad Tarafdar2, Md. Altafur Rahman3,
Md. Abdus Salam4, Mohammad Shamsul Alam5
1. Assistant Professor, Department of Forensic Medicine, Jalalabad Ragib-Rabeya Medical College, Sylhet
2. Professor and Head, Department of Community Medicine, Jalalabad Ragib-Rabeya Medical College, Sylhet
3. Associate Professor, Department of Forensic Medicine, Jalalabad Ragib-Rabeya Medical College, Sylhet
4. Associate Professor, Department of Forensic Medicine, Jalalabad Ragib-Rabeya Medical College, Sylhet
5. Assistant Professor, Department of Forensic Medicine, Northeast Medical College, Sylhet
Abstract
A retrospective autopsy based study conducted to analyze the pattern of fatal head Injury brought to the Department of Forensic Medicine, Sylhet MAG Osmani Medical College- a tertiary care center during the period of January 2010 to May 2014 for Post Mortem examination. A total of 2393 documents of post mortem cases were examined as kept in the department. Head Injury is the single most common cause of mortality as revealed from the documents. Young adults, age group ranging from 20 years to 50 years (both males and females) in their most productive years of life are especially prone to head injury, as revealed from the record with a male predominance (81%). During this period, it is revealed from the record that RTA is the most common cause (74.2%) for post mortem examination, followed by Suicide (11.8%). Homicide and fall from height account for almost same percentage of cases (07%). Fracture cranial vault (82%) is the most frequent finding of the post mortem examination of head injury cases followed by rupture meninges (59%), subdural haematoma (55%), subarachnoid haematoma (38%) and Laceration of the brain tissue (17%). Intracranial haematoma (5%) accounts the least number of post mortem findings. For prompt treatment of such cases immediate clinical evaluation of head injury cases, radiological evaluation, surgical Intervention and Intensive care is required. Establishment of trauma teams and proper infrastructure at the primary health care level is recommended.
Key words: Road Traffic Accident (RTA), Head injury, Fall from height.