Description

Kohli and Bannerjee reported injuries seen in fatal falls from buildings in India. The authors are from University College of Medical Sciences and Guru Teg Bahadur Hospital in Dehli.


Factors to consider in the pattern of injuries:

(1) distance of fall

(2) contact point of body

(3) landing surface

 

Most of the falls involved a distance of 10 to 30 feet or from 1 to 3 stories, with many of the deaths accidental and involving people sleeping on the roof of the home. Only about 3% involved a fall more than 40 feet.

 

Another group consisted of construction workers lacking proper safety measures.

 

External injuries usually consisted of abrasions and/or lacerations with bruising uncommon.

 

Skull fractures were present in about 60% of victims. Intracranial injuries included subdural, extradural, subarachnoid and intracerebral hemorrhage.

 

Other sites of fracture include:

(1) cervical or thoracic vertebrae

(2) ribs

(3) pelvis

(4) extremities

 

Sites of internal organ damage included:

(1) liver

(2) spleen

(3) lung

 

Causes of death:

(1) head injury

(2) hemorrhagic shock

(3) respiratory failure (including damage to cervical spinal cord)


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