Comparison Of Hospital And Autopsy Findings In Three Cases With Multiple Traumas

Abstract

The aim of this study is to discuss clinical approach to multiple trauma patients by analyzing the hospital and autopsy findings of 3 cases died while receiving treatment in different hospitals of Kayseri. The autopsy of the first case revealed that there were a subarachnoid hemorrhage in the occipital lobe extending into the base of the cerebellum, a sternal fracture at the levels of 3rd and 4th ribs, bilateral hemothorax, a separated and ecchymotic fracture within C7 and T1, a laceration of the liver and a widespread intrabdominal hemorrhage which were not determined in the hospital. The autopsy of the second case showed an occult hemothorax, a widespread pulmonary contusion, diapraghmatic rupture, retroperitoneal and intraabdominal bleeding. The last autopsy revealed a retroperitoneal hematoma and a dislocation of C6 and C7 with ecchymosis. None of these findings were detected during the hospital stay. These findings show that a multidisciplinary and detailed approach is required in the care of multiple trauma patients.