Contribution Of Postmortem Computed Tomography in evaluation of fatal work accidents: A Case Study During The Covid-19 Pandemic State.

Q2 Medicine
V Cianci, C Mondello, C Pitrone, D Iannello, A Messina, A Cianci, A Cracò, A Bottari, P Gualniera, A Asmundo, C Giorgianni, D Sapienza
{"title":"Contribution Of Postmortem Computed Tomography in evaluation of fatal work accidents: A Case Study During The Covid-19 Pandemic State.","authors":"V Cianci, C Mondello, C Pitrone, D Iannello, A Messina, A Cianci, A Cracò, A Bottari, P Gualniera, A Asmundo, C Giorgianni, D Sapienza","doi":"10.7417/CT.2025.5235","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Workplace safety is continually improving in many developed countries, but, despite this, work-related injuries, including fatal ones, are on the rise. Furthermore, in all cases of serious non-fatal accidents, a high morbidity rate for workers has been documented, burdened by an equally large expense that the State will have to sustain as damage compensation. Often, in case of fatal accidents, it is necessary to reconstruct the dynamics that caused the death, which makes it necessary to analyze all the lesions detectable on corpses. In this perspective, postmortem computed tomography (PMCT) has become essential to increase the speed and diagnostic accuracy, especially in case of lesions affecting the bone structures.</p><p><strong>Methods: </strong>A retrospective analysis aimed at evaluating the data collected from judicial autopsies performed between January 2019 and the recent month of March 2023 was carried out, focusing on those related to fatal accidents occurred at work.</p><p><strong>Results: </strong>According to the inclusion criteria, 18 out of the 204 autopsies carried out during the pre-established time frame were included, as certainly classifiable as \"occupational deaths\". Among the 18 enrolled corpses, 16 were male and 2 female subjects. The traumatic events responsible of the death were analysed: 40% were related to falls from heights greater than 2 meters, 28% to explosion, 22% to accidental crush, 5% to electrocution and 5% to semi-truncation.</p><p><strong>Discussion and conclusions: </strong>Among fatal accidents, those related to falls from great heights and crushing are described as the most common, while among the least common are deaths due to electrocution. With reference to the location of injuries, those involving the head are considered the most fatal, while rib fractures are considered as the most common. In this context, postmortem computed tomography can be very helpful, not only for the two- and three-dimensional reconstruction of fractures, but also for understanding the dynamics with which fatal accidents develop in the workplace. This can both ensure a better assessment of the responsibilities of workers and/or the employer, and lead to the evaluation of the suitability of protective devices, also allowing to make them safer.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"176 3","pages":"363-370"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinica Terapeutica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7417/CT.2025.5235","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Workplace safety is continually improving in many developed countries, but, despite this, work-related injuries, including fatal ones, are on the rise. Furthermore, in all cases of serious non-fatal accidents, a high morbidity rate for workers has been documented, burdened by an equally large expense that the State will have to sustain as damage compensation. Often, in case of fatal accidents, it is necessary to reconstruct the dynamics that caused the death, which makes it necessary to analyze all the lesions detectable on corpses. In this perspective, postmortem computed tomography (PMCT) has become essential to increase the speed and diagnostic accuracy, especially in case of lesions affecting the bone structures.

Methods: A retrospective analysis aimed at evaluating the data collected from judicial autopsies performed between January 2019 and the recent month of March 2023 was carried out, focusing on those related to fatal accidents occurred at work.

Results: According to the inclusion criteria, 18 out of the 204 autopsies carried out during the pre-established time frame were included, as certainly classifiable as "occupational deaths". Among the 18 enrolled corpses, 16 were male and 2 female subjects. The traumatic events responsible of the death were analysed: 40% were related to falls from heights greater than 2 meters, 28% to explosion, 22% to accidental crush, 5% to electrocution and 5% to semi-truncation.

Discussion and conclusions: Among fatal accidents, those related to falls from great heights and crushing are described as the most common, while among the least common are deaths due to electrocution. With reference to the location of injuries, those involving the head are considered the most fatal, while rib fractures are considered as the most common. In this context, postmortem computed tomography can be very helpful, not only for the two- and three-dimensional reconstruction of fractures, but also for understanding the dynamics with which fatal accidents develop in the workplace. This can both ensure a better assessment of the responsibilities of workers and/or the employer, and lead to the evaluation of the suitability of protective devices, also allowing to make them safer.

死亡后计算机断层扫描在致命工作事故评估中的贡献:以Covid-19大流行状态为例
导言:在许多发达国家,工作场所的安全状况正在不断改善,但是,尽管如此,与工作有关的伤害,包括致命的伤害,正在上升。此外,在所有严重的非致命事故中,工人的发病率很高,国家必须支付同样大的费用作为损害赔偿。通常,在致命事故的情况下,有必要重建导致死亡的动力学,这使得有必要分析尸体上可检测到的所有病变。从这个角度来看,死后计算机断层扫描(PMCT)已经成为提高速度和诊断准确性的关键,特别是在影响骨结构的病变的情况下。方法:回顾性分析2019年1月至2023年3月期间进行的司法尸检数据,重点分析与工作中发生的致命事故有关的数据。结果:根据纳入标准,在预先确定的时间框架内进行的204例尸检中,有18例被纳入,可以肯定地归类为“职业死亡”。在登记的18具尸体中,男性16具,女性2具。对造成死亡的创伤性事件进行了分析:40%与从超过2米的高度坠落有关,28%与爆炸有关,22%与意外挤压有关,5%与触电有关,5%与半截肢有关。讨论和结论:在致命事故中,与从高处坠落和压伤有关的事故被描述为最常见的,而最不常见的是因触电而死亡。根据损伤的位置,涉及头部的损伤被认为是最致命的,而肋骨骨折被认为是最常见的。在这种情况下,死后计算机断层扫描可以非常有帮助,不仅对骨折的二维和三维重建,而且对了解致命事故在工作场所发展的动力学。这既可以确保更好地评估工人和/或雇主的责任,也可以对防护装置的适用性进行评估,从而使其更安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Clinica Terapeutica
Clinica Terapeutica PHARMACOLOGY & PHARMACY-
CiteScore
2.50
自引率
0.00%
发文量
124
审稿时长
6-12 weeks
期刊介绍: La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信