Pre-hospital and hospital traumatic deaths in the former homeland of Transkei, South Africa
This retrospective descriptive study on 274 medicolegal cases was to determine the issues related to pre-hospital and hospital deaths in injured patients and to determine whether any of the deaths were preventable in the area. Interviews of the family members were conducted individually before carry...
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| Published in: | Journal of clinical forensic medicine Vol. 11; no. 1; pp. 6 - 11 |
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| Format: | Journal Article |
| Language: | English |
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Elsevier Ltd
01.02.2004
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| ISSN: | 1353-1131 |
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| Abstract | This retrospective descriptive study on 274 medicolegal cases was to determine the issues related to pre-hospital and hospital deaths in injured patients and to determine whether any of the deaths were preventable in the area. Interviews of the family members were conducted individually before carrying out autopsies. Time of survival after trauma, place of death, and the cause of death were recorded along with the demographic information – age, sex, occupation, and personal habits. Umtata General Hospital in the Eastern Cape Province is the referral hospital for a surrounding population of about 400,000.
Seventy four percent (74%) of the victims had been declared, ‘presumably dead’ at the scene by the community or police, and taken to mortuary without any death certification by a physician. The rest (26%) were taken to hospital where later they succumbed to trauma. Out of these only 4% underwent surgery. The majority (68%) of the victims were young (<40 years). The causes of deaths were: motor vehicle accidents (MVA) 32%, gunshot 24%, stab injury 17%, blunt trauma 9% and miscellaneous (fall from height, burns, etc.) 17%. Head and chest injuries were the commonest 50%. Only 17% survived from days to weeks. About 75% subjects died within 6 h of the trauma.
There is a very high pre-hospital (74%) mortality of trauma patients in the Transkei region. The fact that members of the community or police and not a medical practitioner confirmed deaths raises the ethical issue of right to life. Some may actually be alive when they are considered dead. As it appears that 12% of pre-hospital deaths are preventable, employing more medical personnel in the rural areas along with an effective ambulance service would seem to be required. |
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| AbstractList | This retrospective descriptive study on 274 medicolegal cases was to determine the issues related to pre-hospital and hospital deaths in injured patients and to determine whether any of the deaths were preventable in the area. Interviews of the family members were conducted individually before carrying out autopsies. Time of survival after trauma, place of death, and the cause of death were recorded along with the demographic information -- age, sex, occupation, and personal habits. Umtata General Hospital in the Eastern Cape Province is the referral hospital for a surrounding population of about 400,000. Seventy four percent (74%) of the victims had been declared, 'presumably dead' at the scene by the community or police, and taken to mortuary without any death certification by a physician. The rest (26%) were taken to hospital where later they succumbed to trauma. Out of these only 4% underwent surgery. The majority (68%) of the victims were young ( < 40 years). The causes of deaths were: motor vehicle accidents (MVA) 32%, gunshot 24%, stab injury 17%, blunt trauma 9% and miscellaneous (fall from height, burns, etc.) 17%. Head and chest injuries were the commonest 50%. Only 17% survived from days to weeks. About 75% subjects died within 6 h of the trauma. There is a very high pre-hospital (74%) mortality of trauma patients in the Transkei region. The fact that members of the community or police and not a medical practitioner confirmed deaths raises the ethical issue of right to life. Some may actually be alive when they are considered dead. As it appears that 12% of pre-hospital deaths are preventable, employing more medical personnel in the rural areas along with an effective ambulance service would seem to be required.This retrospective descriptive study on 274 medicolegal cases was to determine the issues related to pre-hospital and hospital deaths in injured patients and to determine whether any of the deaths were preventable in the area. Interviews of the family members were conducted individually before carrying out autopsies. Time of survival after trauma, place of death, and the cause of death were recorded along with the demographic information -- age, sex, occupation, and personal habits. Umtata General Hospital in the Eastern Cape Province is the referral hospital for a surrounding population of about 400,000. Seventy four percent (74%) of the victims had been declared, 'presumably dead' at the scene by the community or police, and taken to mortuary without any death certification by a physician. The rest (26%) were taken to hospital where later they succumbed to trauma. Out of these only 4% underwent surgery. The majority (68%) of the victims were young ( < 40 years). The causes of deaths were: motor vehicle accidents (MVA) 32%, gunshot 24%, stab injury 17%, blunt trauma 9% and miscellaneous (fall from height, burns, etc.) 17%. Head and chest injuries were the commonest 50%. Only 17% survived from days to weeks. About 75% subjects died within 6 h of the trauma. There is a very high pre-hospital (74%) mortality of trauma patients in the Transkei region. The fact that members of the community or police and not a medical practitioner confirmed deaths raises the ethical issue of right to life. Some may actually be alive when they are considered dead. As it appears that 12% of pre-hospital deaths are preventable, employing more medical personnel in the rural areas along with an effective ambulance service would seem to be required. This retrospective descriptive study on 274 medicolegal cases was to determine the issues related to pre-hospital and hospital deaths in injured patients and to determine whether any of the deaths were preventable in the area. Interviews of the family members were conducted individually before carrying out autopsies. Time of survival after trauma, place of death, and the cause of death were recorded along with the demographic information – age, sex, occupation, and personal habits. Umtata General Hospital in the Eastern Cape Province is the referral hospital for a surrounding population of about 400,000. Seventy four percent (74%) of the victims had been declared, ‘presumably dead’ at the scene by the community or police, and taken to mortuary without any death certification by a physician. The rest (26%) were taken to hospital where later they succumbed to trauma. Out of these only 4% underwent surgery. The majority (68%) of the victims were young (<40 years). The causes of deaths were: motor vehicle accidents (MVA) 32%, gunshot 24%, stab injury 17%, blunt trauma 9% and miscellaneous (fall from height, burns, etc.) 17%. Head and chest injuries were the commonest 50%. Only 17% survived from days to weeks. About 75% subjects died within 6 h of the trauma. There is a very high pre-hospital (74%) mortality of trauma patients in the Transkei region. The fact that members of the community or police and not a medical practitioner confirmed deaths raises the ethical issue of right to life. Some may actually be alive when they are considered dead. As it appears that 12% of pre-hospital deaths are preventable, employing more medical personnel in the rural areas along with an effective ambulance service would seem to be required. This retrospective descriptive study on 274 medicolegal cases was to determine the issues related to pre-hospital and hospital deaths in injured patients and to determine whether any of the deaths were preventable in the area. Interviews of the family members were conducted individually before carrying out autopsies. Time of survival after trauma, place of death, and the cause of death were recorded along with the demographic information -- age, sex, occupation, and personal habits. Umtata General Hospital in the Eastern Cape Province is the referral hospital for a surrounding population of about 400,000. Seventy four percent (74%) of the victims had been declared, 'presumably dead' at the scene by the community or police, and taken to mortuary without any death certification by a physician. The rest (26%) were taken to hospital where later they succumbed to trauma. Out of these only 4% underwent surgery. The majority (68%) of the victims were young ( < 40 years). The causes of deaths were: motor vehicle accidents (MVA) 32%, gunshot 24%, stab injury 17%, blunt trauma 9% and miscellaneous (fall from height, burns, etc.) 17%. Head and chest injuries were the commonest 50%. Only 17% survived from days to weeks. About 75% subjects died within 6 h of the trauma. There is a very high pre-hospital (74%) mortality of trauma patients in the Transkei region. The fact that members of the community or police and not a medical practitioner confirmed deaths raises the ethical issue of right to life. Some may actually be alive when they are considered dead. As it appears that 12% of pre-hospital deaths are preventable, employing more medical personnel in the rural areas along with an effective ambulance service would seem to be required. |
| Author | Meel, B.L. |
| Author_xml | – sequence: 1 givenname: B.L. surname: Meel fullname: Meel, B.L. email: meel@getafix.utr.ac.za organization: Department of Forensic Medicine, Faculty of Health Sciences, University of Transkei, P/Bag X1 UNITRA, Umtata 5100, South Africa |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15261006$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1080/11024159950189294 10.1097/00005373-199106000-00012 10.1097/00005373-199511000-00022 10.1007/BF02960726 10.1111/j.1445-2197.1998.tb04695.x 10.1097/00005373-198906000-00004 10.1016/0020-1383(92)90015-K 10.1001/jama.1989.03420040104028 10.1136/bmj.308.6936.1077 10.1016/0379-0738(89)90206-5 10.1016/0020-1383(94)90073-6 10.1097/00005373-199611000-00018 10.1016/S0020-1383(02)00123-7 10.1177/002580240204200301 10.1067/mtn.2001.119052 10.1001/archsurg.1982.01380320025007 10.1097/00005373-200105000-00024 10.1016/0002-9610(82)90558-X 10.1136/emj.13.4.248 10.3928/0090-4481-19880201-05 |
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| References | Du Plessis HJC. In: Proceedings of World congress on Trauma Society of South Africa, Durban; 1999 Hussain, Redmond (BIB18) 1994; 308 Meel BL. Incidence and pattern of violent traumatic deaths during 1993 to 1997 in Umtata magisterial area, Eastern Cape, South Africa. In: Proceedings of 6th Indo Pacific Congress on Legal Medicine and Forensic Sciences, Japan; 1998. p. 347–364 Neuman, Bockman, Moody, Dunford, Griffith, Guber (BIB35) 1982; 144 Welman M. Violent Crime Costing economy ’80m a day. Daily dispatch, 17th March 2000 Chiara, Scott, Cimbanassi (BIB21) 2002; 33 Sidhu, Sodi, Banerjee (BIB25) 1993; 47 Nel JP, Mafungo V, Saayman A. Medico-legal policy document for South Africa; 1995 Kaplan, Sadock (BIB29) 1998 Mann, Russel, Williams (BIB17) 1998 Albrektsen, Thomsen (BIB23) 1989; 42 West (BIB12) 1982; 117 Paulson (BIB31) 1988; 17 Davies, Hoyt, McArdle, Mackersie, Shackford, Eastman (BIB10) 1991; 31 Esposito, Sanddal, Hansen, Reynolds (BIB19) 1995; 39 Dykes, Spence, Bohn, Wesson (BIB22) 1989; 29 Boman, Bjornstig, Hedelin, Eriksson (BIB27) 1999; 165 Van der Watt R. In: Proceedings of World congress on Trauma Society of South Africa, Durban; 1999 Alexander RH, Proctor HJ. Nebraska conception and inception. Advanced Trauma Life Support (ATLS) (5th ed.); 1993. p. 11–12 Butchart S. National Injury Mortality Surveillance System (NIMSS). A profile of fatal injuries in South Africa 1999. First Annual Report of the NIMSS; 2000 Daly, Thomas (BIB28) 1992; 23 McNicholl (BIB24) 1994; 25 Chao TC. Iatrogenic Injury-Causation, Prevention and legal Implications. In: Proceedings of 6th Indo Pacific Congress on Legal Medicine and Forensic Sciences. INPALMS, Japan; 1998. p. 5–12 Adamek, Hladik, Stefan, Vyhnanek (BIB30) 2001; 46 Smeeton, Judson, Synek, Sage, Koelmeyer, Cairns (BIB14) 1987; 100 Salmi, Williams, Waxweiler (BIB13) 1990; 43 Escoffery, Shirley (BIB9) 2002 Marson, Thomson (BIB20) 2001; 50 Iau, Ong, Chan (BIB15) 1998; 68 Gilbert, Walker (BIB1) 2002 Limb, McGowan, Fairfield, Pigott (BIB33) 1996; 13 Caldwell, McGovern (BIB32) 1993; 162 Madsen, Hartmann-Andersen (BIB16) 1996; 158 Adamek, Hladik, Stefan, Vyhnanek (BIB26) 2001; 46 Brysiewicz (BIB11) 2001; 7 Papadopolos, Bukis, Karalas (BIB34) 1996; 41 Rivara, Maier, Mueller, Luna, Dicker, Herman (BIB36) 1989; 261 Trevillyan, Abbott, Dixon, Southall (BIB37) 1998; 95 Neuman (10.1016/j.jcfm.2003.10.009_BIB35) 1982; 144 Brysiewicz (10.1016/j.jcfm.2003.10.009_BIB11) 2001; 7 Marson (10.1016/j.jcfm.2003.10.009_BIB20) 2001; 50 Smeeton (10.1016/j.jcfm.2003.10.009_BIB14) 1987; 100 Sidhu (10.1016/j.jcfm.2003.10.009_BIB25) 1993; 47 Papadopolos (10.1016/j.jcfm.2003.10.009_BIB34) 1996; 41 Mann (10.1016/j.jcfm.2003.10.009_BIB17) 1998 Gilbert (10.1016/j.jcfm.2003.10.009_BIB1) 2002 Rivara (10.1016/j.jcfm.2003.10.009_BIB36) 1989; 261 Escoffery (10.1016/j.jcfm.2003.10.009_BIB9) 2002 Adamek (10.1016/j.jcfm.2003.10.009_BIB30) 2001; 46 Hussain (10.1016/j.jcfm.2003.10.009_BIB18) 1994; 308 McNicholl (10.1016/j.jcfm.2003.10.009_BIB24) 1994; 25 10.1016/j.jcfm.2003.10.009_BIB3 10.1016/j.jcfm.2003.10.009_BIB4 Limb (10.1016/j.jcfm.2003.10.009_BIB33) 1996; 13 10.1016/j.jcfm.2003.10.009_BIB2 Esposito (10.1016/j.jcfm.2003.10.009_BIB19) 1995; 39 Paulson (10.1016/j.jcfm.2003.10.009_BIB31) 1988; 17 Kaplan (10.1016/j.jcfm.2003.10.009_BIB29) 1998 Caldwell (10.1016/j.jcfm.2003.10.009_BIB32) 1993; 162 Davies (10.1016/j.jcfm.2003.10.009_BIB10) 1991; 31 Albrektsen (10.1016/j.jcfm.2003.10.009_BIB23) 1989; 42 Trevillyan (10.1016/j.jcfm.2003.10.009_BIB37) 1998; 95 West (10.1016/j.jcfm.2003.10.009_BIB12) 1982; 117 Dykes (10.1016/j.jcfm.2003.10.009_BIB22) 1989; 29 Adamek (10.1016/j.jcfm.2003.10.009_BIB26) 2001; 46 10.1016/j.jcfm.2003.10.009_BIB38 Madsen (10.1016/j.jcfm.2003.10.009_BIB16) 1996; 158 Boman (10.1016/j.jcfm.2003.10.009_BIB27) 1999; 165 Chiara (10.1016/j.jcfm.2003.10.009_BIB21) 2002; 33 10.1016/j.jcfm.2003.10.009_BIB7 10.1016/j.jcfm.2003.10.009_BIB8 10.1016/j.jcfm.2003.10.009_BIB5 10.1016/j.jcfm.2003.10.009_BIB6 Iau (10.1016/j.jcfm.2003.10.009_BIB15) 1998; 68 Daly (10.1016/j.jcfm.2003.10.009_BIB28) 1992; 23 Salmi (10.1016/j.jcfm.2003.10.009_BIB13) 1990; 43 |
| References_xml | – volume: 33 start-page: 553 year: 2002 ident: BIB21 article-title: Trauma deaths in an Italian urban area: an audit of pre-hospital and in-hospital trauma care publication-title: Injury – year: 1998 ident: BIB29 publication-title: Additional conditions that may be a focus of clinical attention – reference: Du Plessis HJC. In: Proceedings of World congress on Trauma Society of South Africa, Durban; 1999 – reference: Nel JP, Mafungo V, Saayman A. Medico-legal policy document for South Africa; 1995 – volume: 68 start-page: 820 year: 1998 end-page: 825 ident: BIB15 article-title: Preventable trauma deaths in Singapore publication-title: Aust. N Z J. Surg. – start-page: 185 year: 2002 end-page: 191 ident: BIB9 article-title: Traumatic deaths in Jamaica: a coroner’s medico-legal autopsy study from the University Hospital of the West Indies publication-title: Med. Sci. Law – volume: 308 start-page: 1077 year: 1994 end-page: 1080 ident: BIB18 article-title: Are pre-hospital deaths from accidental injury preventable? publication-title: BMJ – volume: 95 start-page: 290 year: 1998 end-page: 293 ident: BIB37 article-title: Trauma deaths in a rural area publication-title: J. Ark. Med. Soc. – reference: Welman M. Violent Crime Costing economy ’80m a day. Daily dispatch, 17th March 2000 – volume: 23 start-page: 393 year: 1992 end-page: 396 ident: BIB28 article-title: Trauma deaths in the southwest Thames region publication-title: Injury – volume: 25 start-page: 251 year: 1994 end-page: 254 ident: BIB24 article-title: The golden hour and pre-hospital trauma care publication-title: Injury – volume: 144 start-page: 722 year: 1982 end-page: 727 ident: BIB35 article-title: An autopsy study of traumatic deaths; San Diego County, 1979 publication-title: Am. J. Surg. – volume: 17 start-page: 84 year: 1988 end-page: 86 ident: BIB31 article-title: The epidemiology of injuries in adolescents publication-title: Pediatric Ann. – volume: 46 start-page: 21 year: 2001 end-page: 23 ident: BIB26 article-title: Epidemiologic study of fatal injuries autopsied at the Institute of forensic medicine of the 3rd Medical School of Charles University Hospital in Vinohrady, Prague, from 1996 to 1999 publication-title: Soud Lek – volume: 261 start-page: 566 year: 1989 end-page: 570 ident: BIB36 article-title: Evaluation of potentially preventable deaths among pedestrian and bicyclist fatalities publication-title: JAMA – volume: 29 start-page: 724 year: 1989 end-page: 729 ident: BIB22 article-title: Evaluation of pediatric trauma care in Ontario publication-title: J. Trauma – volume: 13 start-page: 248 year: 1996 end-page: 250 ident: BIB33 article-title: Pre-hospital deaths in the Yorkshire Health Region publication-title: J. Accid. Emerg. Med. – volume: 41 start-page: 864 year: 1996 end-page: 869 ident: BIB34 article-title: Preventable pre-hospital trauma deaths in a Hellenic urban health region: an audit of pre-hospital trauma care publication-title: J. Trauma – volume: 43 start-page: 3990 year: 1990 end-page: 4003 ident: BIB13 article-title: Measuring the impact of trauma care on survival: rates of preventable death, effectiveness, and efficacy publication-title: J. Clin. Epidemiol. – year: 2002 ident: BIB1 article-title: Treading the path of least resistance: HIV/AIDS and social in equalities – A South African case study. Society, Health and Disease – reference: Alexander RH, Proctor HJ. Nebraska conception and inception. Advanced Trauma Life Support (ATLS) (5th ed.); 1993. p. 11–12 – volume: 117 start-page: 1033 year: 1982 end-page: 1035 ident: BIB12 article-title: Validation of autopsy method for evaluating trauma care publication-title: Arch. Surg. – volume: 165 start-page: 828 year: 1999 end-page: 833 ident: BIB27 article-title: Avoidable deaths in two areas of Sweden-analysis of deaths in hospital after injury publication-title: Eur. J. Surg. – reference: Meel BL. Incidence and pattern of violent traumatic deaths during 1993 to 1997 in Umtata magisterial area, Eastern Cape, South Africa. In: Proceedings of 6th Indo Pacific Congress on Legal Medicine and Forensic Sciences, Japan; 1998. p. 347–364 – volume: 100 start-page: 337 year: 1987 end-page: 340 ident: BIB14 article-title: Deaths from trauma in Auckland: a one-year study publication-title: N Z Med. J. – reference: Van der Watt R. In: Proceedings of World congress on Trauma Society of South Africa, Durban; 1999 – volume: 31 start-page: 813 year: 1991 end-page: 818 ident: BIB10 article-title: The significance of critical care errors in causing preventable death in trauma patients in a trauma system publication-title: J. Trauma – volume: 158 start-page: 5432 year: 1996 end-page: 5437 ident: BIB16 article-title: Fatal traffic accidents in Denmark. Survival time and factors of importance for the prehospital phase publication-title: Ugeskr. Laeger – volume: 50 start-page: 917 year: 2001 end-page: 920 ident: BIB20 article-title: The influence of prehospital trauma care on motor vehicle crashes mortality publication-title: J. Trauma – volume: 46 start-page: 21 year: 2001 end-page: 23 ident: BIB30 article-title: Epidemiologic study of fatal injuries autopsied at the Institute of Forensic Medicine of the 3rd Medical School of Charles University Hospital in Vinohrady, Prague, from 1996 to 1999 publication-title: Soud Lek – reference: Chao TC. Iatrogenic Injury-Causation, Prevention and legal Implications. In: Proceedings of 6th Indo Pacific Congress on Legal Medicine and Forensic Sciences. INPALMS, Japan; 1998. p. 5–12 – volume: 42 start-page: 135 year: 1989 end-page: 143 ident: BIB23 article-title: Detection of injuries in traumatic deaths. The significance of medico-legal autopsy publication-title: Forensic Sci. Int. – volume: 47 start-page: 80 year: 1993 ident: BIB25 article-title: Mortality profile in trauma victims publication-title: Indian J. Med. Sci. – year: 1998 ident: BIB17 publication-title: Accident and emergency surgery – volume: 7 start-page: 129 year: 2001 end-page: 132 ident: BIB11 article-title: Trauma in South Africa publication-title: Int. J. Trauma. Nurs. – volume: 162 start-page: 309 year: 1993 end-page: 312 ident: BIB32 article-title: Fatal trauma: a five-year review in a Dublin hospital publication-title: Ir. J. Med. Sci. – reference: Butchart S. National Injury Mortality Surveillance System (NIMSS). A profile of fatal injuries in South Africa 1999. First Annual Report of the NIMSS; 2000 – volume: 39 start-page: 955 year: 1995 end-page: 962 ident: BIB19 article-title: Analysis of preventable trauma deaths and inappropriate trauma care in a rural state publication-title: J. Trauma – ident: 10.1016/j.jcfm.2003.10.009_BIB8 – volume: 165 start-page: 828 issue: 9 year: 1999 ident: 10.1016/j.jcfm.2003.10.009_BIB27 article-title: Avoidable deaths in two areas of Sweden-analysis of deaths in hospital after injury publication-title: Eur. J. Surg. doi: 10.1080/11024159950189294 – ident: 10.1016/j.jcfm.2003.10.009_BIB6 – ident: 10.1016/j.jcfm.2003.10.009_BIB4 – volume: 31 start-page: 813 issue: 6 year: 1991 ident: 10.1016/j.jcfm.2003.10.009_BIB10 article-title: The significance of critical care errors in causing preventable death in trauma patients in a trauma system publication-title: J. Trauma doi: 10.1097/00005373-199106000-00012 – volume: 39 start-page: 955 issue: 5 year: 1995 ident: 10.1016/j.jcfm.2003.10.009_BIB19 article-title: Analysis of preventable trauma deaths and inappropriate trauma care in a rural state publication-title: J. Trauma doi: 10.1097/00005373-199511000-00022 – volume: 162 start-page: 309 issue: 8 year: 1993 ident: 10.1016/j.jcfm.2003.10.009_BIB32 article-title: Fatal trauma: a five-year review in a Dublin hospital publication-title: Ir. J. Med. Sci. doi: 10.1007/BF02960726 – volume: 68 start-page: 820 issue: 12 year: 1998 ident: 10.1016/j.jcfm.2003.10.009_BIB15 article-title: Preventable trauma deaths in Singapore publication-title: Aust. N Z J. Surg. doi: 10.1111/j.1445-2197.1998.tb04695.x – volume: 29 start-page: 724 issue: 6 year: 1989 ident: 10.1016/j.jcfm.2003.10.009_BIB22 article-title: Evaluation of pediatric trauma care in Ontario publication-title: J. Trauma doi: 10.1097/00005373-198906000-00004 – volume: 23 start-page: 393 issue: 6 year: 1992 ident: 10.1016/j.jcfm.2003.10.009_BIB28 article-title: Trauma deaths in the southwest Thames region publication-title: Injury doi: 10.1016/0020-1383(92)90015-K – volume: 261 start-page: 566 issue: 4 year: 1989 ident: 10.1016/j.jcfm.2003.10.009_BIB36 article-title: Evaluation of potentially preventable deaths among pedestrian and bicyclist fatalities publication-title: JAMA doi: 10.1001/jama.1989.03420040104028 – ident: 10.1016/j.jcfm.2003.10.009_BIB38 – volume: 308 start-page: 1077 year: 1994 ident: 10.1016/j.jcfm.2003.10.009_BIB18 article-title: Are pre-hospital deaths from accidental injury preventable? publication-title: BMJ doi: 10.1136/bmj.308.6936.1077 – volume: 47 start-page: 80 issue: 3 year: 1993 ident: 10.1016/j.jcfm.2003.10.009_BIB25 article-title: Mortality profile in trauma victims publication-title: Indian J. Med. Sci. – volume: 95 start-page: 290 issue: 7 year: 1998 ident: 10.1016/j.jcfm.2003.10.009_BIB37 article-title: Trauma deaths in a rural area publication-title: J. Ark. Med. Soc. – volume: 46 start-page: 21 issue: 2 year: 2001 ident: 10.1016/j.jcfm.2003.10.009_BIB26 article-title: Epidemiologic study of fatal injuries autopsied at the Institute of forensic medicine of the 3rd Medical School of Charles University Hospital in Vinohrady, Prague, from 1996 to 1999 publication-title: Soud Lek – volume: 100 start-page: 337 issue: 825 year: 1987 ident: 10.1016/j.jcfm.2003.10.009_BIB14 article-title: Deaths from trauma in Auckland: a one-year study publication-title: N Z Med. J. – volume: 42 start-page: 135 issue: 1–2 year: 1989 ident: 10.1016/j.jcfm.2003.10.009_BIB23 article-title: Detection of injuries in traumatic deaths. The significance of medico-legal autopsy publication-title: Forensic Sci. Int. doi: 10.1016/0379-0738(89)90206-5 – volume: 25 start-page: 251 issue: 4 year: 1994 ident: 10.1016/j.jcfm.2003.10.009_BIB24 article-title: The golden hour and pre-hospital trauma care publication-title: Injury doi: 10.1016/0020-1383(94)90073-6 – volume: 41 start-page: 864 issue: 5 year: 1996 ident: 10.1016/j.jcfm.2003.10.009_BIB34 article-title: Preventable pre-hospital trauma deaths in a Hellenic urban health region: an audit of pre-hospital trauma care publication-title: J. Trauma doi: 10.1097/00005373-199611000-00018 – ident: 10.1016/j.jcfm.2003.10.009_BIB7 – volume: 33 start-page: 553 issue: 7 year: 2002 ident: 10.1016/j.jcfm.2003.10.009_BIB21 article-title: Trauma deaths in an Italian urban area: an audit of pre-hospital and in-hospital trauma care publication-title: Injury doi: 10.1016/S0020-1383(02)00123-7 – ident: 10.1016/j.jcfm.2003.10.009_BIB5 – year: 2002 ident: 10.1016/j.jcfm.2003.10.009_BIB1 – ident: 10.1016/j.jcfm.2003.10.009_BIB3 – volume: 46 start-page: 21 issue: 2 year: 2001 ident: 10.1016/j.jcfm.2003.10.009_BIB30 article-title: Epidemiologic study of fatal injuries autopsied at the Institute of Forensic Medicine of the 3rd Medical School of Charles University Hospital in Vinohrady, Prague, from 1996 to 1999 publication-title: Soud Lek – start-page: 185 issue: 42 year: 2002 ident: 10.1016/j.jcfm.2003.10.009_BIB9 article-title: Traumatic deaths in Jamaica: a coroner’s medico-legal autopsy study from the University Hospital of the West Indies publication-title: Med. Sci. Law doi: 10.1177/002580240204200301 – volume: 7 start-page: 129 issue: 4 year: 2001 ident: 10.1016/j.jcfm.2003.10.009_BIB11 article-title: Trauma in South Africa publication-title: Int. J. Trauma. Nurs. doi: 10.1067/mtn.2001.119052 – volume: 158 start-page: 5432 issue: 39 year: 1996 ident: 10.1016/j.jcfm.2003.10.009_BIB16 article-title: Fatal traffic accidents in Denmark. Survival time and factors of importance for the prehospital phase publication-title: Ugeskr. Laeger – volume: 117 start-page: 1033 issue: 8 year: 1982 ident: 10.1016/j.jcfm.2003.10.009_BIB12 article-title: Validation of autopsy method for evaluating trauma care publication-title: Arch. Surg. doi: 10.1001/archsurg.1982.01380320025007 – volume: 50 start-page: 917 issue: 5 year: 2001 ident: 10.1016/j.jcfm.2003.10.009_BIB20 article-title: The influence of prehospital trauma care on motor vehicle crashes mortality publication-title: J. Trauma doi: 10.1097/00005373-200105000-00024 – ident: 10.1016/j.jcfm.2003.10.009_BIB2 – volume: 144 start-page: 722 issue: 6 year: 1982 ident: 10.1016/j.jcfm.2003.10.009_BIB35 article-title: An autopsy study of traumatic deaths; San Diego County, 1979 publication-title: Am. J. Surg. doi: 10.1016/0002-9610(82)90558-X – year: 1998 ident: 10.1016/j.jcfm.2003.10.009_BIB17 – volume: 13 start-page: 248 issue: 4 year: 1996 ident: 10.1016/j.jcfm.2003.10.009_BIB33 article-title: Pre-hospital deaths in the Yorkshire Health Region publication-title: J. Accid. Emerg. Med. doi: 10.1136/emj.13.4.248 – volume: 43 start-page: 3990 issue: 4 year: 1990 ident: 10.1016/j.jcfm.2003.10.009_BIB13 article-title: Measuring the impact of trauma care on survival: rates of preventable death, effectiveness, and efficacy publication-title: J. Clin. Epidemiol. – volume: 17 start-page: 84 issue: 2 year: 1988 ident: 10.1016/j.jcfm.2003.10.009_BIB31 article-title: The epidemiology of injuries in adolescents publication-title: Pediatric Ann. doi: 10.3928/0090-4481-19880201-05 – year: 1998 ident: 10.1016/j.jcfm.2003.10.009_BIB29 |
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| Title | Pre-hospital and hospital traumatic deaths in the former homeland of Transkei, South Africa |
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