Resumen

FERRANTI DANIEL, H. et al. Death caused by non ranked injuries in politraumatism with prevailing skull injuries. Cuad. med. forense [online]. 2004, n.36, pp.29-34. ISSN 1988-611X.

Around 20 % of the cranioencephalic traumas were accompanied by various different traumatisms (chest, neck). The early detection of these injuries and a reductiva in the time between the traumatism and possible treatment in a qualified center, with adequate means of transport and assistance, make it easier to deal with traumatism and enable better prognosis. We reported the case of a patient who suffered a politraumatism in which the most important injuries were to the skull due to the fact that the car in which she was travelling was hit by a train, with the patient dying as a consequence of a hipovolemic shock which was not detected. We illustrate for forensic Physicians the signs that must be found in the autopsy, to distinguish the real cause of death; and for emergentology doctors and anesthesists what symptoms and signs must be ranked for correct diagnosis and treatment.

Palabras clave : Trauma cranioencephalic; Death; Hemorrhage; Autopsy; Bad practise.

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