Forensic estimation of medical aid rendered to the patients died with traumatic brain injury (on evidences of forensic expertise).

Abstract

Traumatic brain injury is a general reason of death. The objective: to conduct a forensic analysis of the defects of medical care and clarify their causes in TBI’s victims. The research was done according to expert panel evidences (EPE) of several bureaus of forensic medical examination for ten years (2006-2016).The examinations related to the 6129 corpses of TBI victims. 30 EPE examinations were selected for the further analysis. the data were distributed on year, forensic bureau, date of death, time of death, the presence or absence of comorbidity, sex and age of the deceased, date and time of injury, date and time of ambulance arrival, type of medical establishment (municipal clinical, central district hospital, regional hospital, specialized, e. g. research institute of neurosurgery), the time of delivery to the hospital, time of the medical aid start, blood pressure systolic/diastolic, heart rate, patient's condition, consciousness, presence of described injuries, examination by experts, additional examinations, operation, its time, clinical diagnosis (basic), clinical diagnosis (secondary), defects of medical care, their number, type, cause, timeliness of medical care, presence/ absence of cause-effect relation of defect with adverse effects. The data obtained were subject to statistical analysis with standard methods of descriptive statistics. Gross defects of medical care which in some or other way influenced the result were found in 13 cases, i.e. almost half of cases. In 7.7% of cases took place improper provision (action); the failure to provide medical attention (inactivity) were observed in 92.7% (12 cases). A direct cause-and-effect relationship between defect of medical care and adverse outcome was found in 53.84% of cases.