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Post Mortem Report: Vehicular Accident

The post-mortem examination report details the examination of a 20-year-old male who died following a vehicular accident. The report notes multiple external and internal injuries, including abrasions, fractures, and hemorrhaging, leading to the conclusion that the cause of death was shock and hemorrhage due to these injuries. The examination was conducted on February 24, 2024, shortly after the body was received.
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0% found this document useful (0 votes)
39 views4 pages

Post Mortem Report: Vehicular Accident

The post-mortem examination report details the examination of a 20-year-old male who died following a vehicular accident. The report notes multiple external and internal injuries, including abrasions, fractures, and hemorrhaging, leading to the conclusion that the cause of death was shock and hemorrhage due to these injuries. The examination was conducted on February 24, 2024, shortly after the body was received.
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© All Rights Reserved
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Available Formats
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PM NO: [Abstract]

Date:
Post Mortem Examination Report
Dept. of Forensic Medicine & Toxicology
Zydus Medical College and Hospital, Dahod.

Memorandum of postmortem examination held at Zydus Hospital, Dahod


on the dead body of , Male / 20 yrs. of As per inquest
done by

GENERAL PARTICULARS:

1. (a) The dead body sent by: PSI PS


(b)Name of the place from which body As per inquest
sent:
(c) Distance of the place from which As per inquest
body sent:
2. The dead body brought by PSI PS
3. The dead body identified by PSI PS
4. (a) The date and time of body 12:30 hrs., 24/02/2024
received:
(b) The date and time of starting of 12:35 hrs., 24/02/2024
post-mortem examination (hour and
minute):
(c) The date and time of completion of 13:30 hrs., 24/02/2024
post-mortem examination (hour and
minute):
5. Substance of accompanying reports As per police papers – history of vehicular
from Police officer or Magistrate, accident before 1:30 hrs on 23/02/2024 and
together with the date of death, if taken to Shreeji Hospital and died at 16:00 hrs.
known. Supposed cause of death or on 23/02/2024 during treatment in Shreeji
reason for examination.: Hospital.
6. If not examined at dispensary or Not applicable.
hospital -
(a) Name of place where examined:
(b) Distance from dispensary or
hospital
(c) Reason why the dead body was not
sent to the dispensary or hospital. :

Page 1 of 4
PM NO: [Abstract]
Date:
EXTERNAL EXAMINATION:
7. Description of clothes and ornaments with A dead body of male aged about 20 yrs
sex, apparent age, religion etc. - wearing blue-white lining lengho and adult
dyper.
8. Condition of the clothes: whether wet Hospital bandage with slab on right upper
with water, stained with blood or soiled limb present. Blood stained bandage over
with vomit or other matter? - left little finger present.
9. Special marks on the skin such as scars, Body identified by police and relatives.
tattooing etc. any malformation,
peculiarities, or other marks of
identification.
[Link] of body: whether well Averagely built and averagely nourished,
nourished, thin, or emaciated, warm or Body cold.
cold?
[Link] mortis-well marked, slight or Rigor mortis present on all over body.
absent, whether present in whole body or
part only?
[Link] mortem lividity: Extend and signs of Post mortem lividity fixed on back and
decomposition, presence of postmortem dependent parts of body except pressure
lividity on buttocks, loins, back and thighs areas.
or any other part, –
[Link] of body: whether natural or Eyes – Closed, Black
swollen, state of eyes, position of tongue, Mouth – Semiopen
nature of fluid (if any) oozes from nose, Tongue inside oral cavity
ears or mouth. – Dry blood stains in left ear present.
[Link] of skin- marks of blood etc. in No stains. Rest not applicable.
suspected drowning in which the presence
or absence of any water animal bite
marks, cutis anserine to be noted.
[Link] to external genitals, signs of No discharge, no injury, no purging.
discharge or purging. –
[Link] of limbs: especially of arms and Not applicable.
of fingers in suspected drowning, the
presence or absence of sand or soil within
nails or on the skin of hands and feet. –

17. External injury: surface wounds and injuries, their nature, position, dimensions
(measured) and directions to be accurately stated, their probable age and causes to be
noted. if contusions present, what the condition of subcutaneous tissue?
1. Surgically stapled wound, 6 cm long, 7 stitches present on right forehead.
2. Abrasion, 4 x 4 cm present on right forehead.
3. Abrasion, 2 x 2 cm, 1 x 1 cm present on left forehead.
Page 2 of 4
PM NO: [Abstract]
Date:
4. Abrasion, 2 x 1 cm present on middle of forehead lower part.
5. Abrasion, 4 x 3 cm present on left cheek upper part, outer to eye.
6. Graze abrasion, 3 x 3 cm present on left cheek.
7. Abrasion, 3 x 1 cm, 1 x 1 cm present on nose.
8. Graze abrasion, 6 x 4 cm present on left upper back.
9. Graze abrasion, 10 x 4 cm present on back of left forearm.
10. Abrasion, 3 x 2 cm present on back of left elbow.
11. Abrasion, 1 x 1 cm, 2 x 1 cm present on back of right lower part of arm.
12. Abrasion, 6 x 1 cm present on back of left head.
13. Swelling of right hand wrist with fracture-dislocation of right wrist joint.
14. Lacerated wound, 2 x 1.5 cm x bone deep present on left little finger with fracture
at root.
15. Abrasion, 4 x 3 cm present on right knee lower part.
16. Abrasion, 2 x 2 cm present on left knee lower part.
17. Abrasion, 6 x 1 cm, 1 x 1 cm present on left leg front.
18. Abrasion, 3 x 3 cm present on right foot front.
19. Multiple abrasion of varying size from 1 x 1 cm to 3 x 3 cm present on left foot.
20. Abrasion, 1 x 1 cm present on right first toe.
All injuries are red.
[Link] injuries discovered by external As mentioned above. Palpable fracture of
examination or palpation, as fracture etc.: upper part of right humerus and right ulna
present.
[Link] you say definitely that the injuries
mentioned in column no. 17 and 18 are Yes antemortem.
ante mortem?

INTERNAL EXAMINATION:
[Link]:
a) Injuries under the scalp, their nature:
Scalp contusion present over right frontal
region.
b) Skull: vault and base: (describe Linear fracture of frontal base present.
fractures, their sites, dimensions,
directions etc.):
c) Brain: The appearance of its Meninges – intact. Thin layer of sub dural
coverings, size, weight and general haemorrhage present over left
condition of organ itself.. – hemisphere, both occipital and frontal
base. Diffused sub arachnoid haemorrhage
present all over brain. Brain congested and
oedematous. Weight - 1160 gms.

Page 3 of 4
PM NO: [Abstract]
Date:
21. Neck:
22. Thorax:
a) Walls, ribs, cartilages: No injury.
b) Pleura: No injury, congested, no abnormal fluid
collection.
c) Larynx, trachea and bronchi: No injury, congested.
d) Right lung: Both lungs congested.
e) left lung: On cut section show frothy discharge
coming out at places.
Weight: Right – 401 gms, Left – 357 gms
f) Pericardium: No injury
g) Heart with weight: No injury, Weight - 252 gms,
coronaries patent.
[Link]:
a) Walls, Peritoneum and its cavity: No injury.
b) Buccal cavity, teeth, tongue, pharynx No injury.
and esophagus:
c) Stomach and its contents: Brownish liquid about 70 cc with no
particular smell present. Mucosa – normal.
d) Small and large intestine and its No injury, feces-gas-mucus.
contents:
e) Liver (weight) and gall bladder: No injury, Weight - 1220 gms.
f) Pancreas and suprarenals: No injury.
g) Spleen (with weight): No injury, Weight - 140 gms.
h) Kidneys (with weight): No injury,
Weight: Right – 120 gms, Left – 122 gms.
i) Urinary bladder: Few cc of urine
j) Genitals No injury.
All abdominal organs congested.
[Link] and spinal cord: No injury
[Link] of death: DIED DUE TO SHOCK AND HAEORRHAGE FOLLWING MULTIPLE
INJURIES SUSTAINED OVER BODY.

Date: 24/02/2024

Page 4 of 4

Common questions

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The post-mortem delineates the timeline from the injury at 1:30 hrs on 23/02/2024 to death at 16:00 hrs the same day . This is supported by post-mortem findings such as rigor mortis, fixed lividity, and the condition of injuries. Forensic methods like the external examination of injuries, especially immediate surgical interventions (stapled wounds) and internal investigation revealing antemortem hemorrhages, corroborate this timeline and illustrate a progression consistent with rapid onset of shock following severe trauma .

Rigor mortis being present all over the body suggests that the body has been deceased for longer than a few hours but less than about 36 hours, as this condition typically peaks 12 hours after death . Post-mortem lividity being fixed indicates that the body has been dead for more than several hours, typically fixing within 6-12 hours . These observations support the reported time of death being on 23/02/2024 at 16:00 hrs .

The external injuries, such as abrasions and lacerated wounds, are consistent with the history of a vehicular accident as mentioned in the police report. The presence of multiple abrasions and a fracture-dislocation supports a scenario of impact trauma, typical in such accidents . These findings align with the stated cause of death as shock and hemorrhage following multiple injuries .

Post-mortem findings such as fixed lividity, rigor mortis, and detailed descriptions of injuries allow for a detailed timeline and sequence of events. The types of abrasions and fractures, combined with internal findings like hemorrhages, reconstruct a scenario where considerable force was applied to the head and upper body, suggesting impact trauma consistent with a vehicular accident . These findings support the timeline of injury shortly before the time of reported death, correlating with the known events recorded in police documents .

The absence of injuries in the thorax and abdomen suggests that the main impact and trauma were localized to the head and appendages, especially the right upper limb. This distribution is typical of pedestrian vehicular accidents where the victim might be thrown or impacted significantly on one side of the body . It indicates the primary cause of death was massive cranial and upper limb trauma, aligning with the external injuries observed .

Subdural and subarachnoid hemorrhages signify severe head trauma often leading to increased intracranial pressure, brain swelling, and significant neurological damage. This can result in critical consequences such as impaired cerebral function, potential coma, or death. Their presence in the reported case highlights the high severity of the head injuries, serving as a critical forensic marker indicating a violent impact to the brain that correlated with the ultimate cause of death by shock and hemorrhage .

Antemortem injuries are distinguished by features like the presence of swelling and hemorrhage, indicating a response by body tissues while still alive. In this report, all injuries were noted to be red, which suggests fresh bleeding had occurred, marking them as antemortem . Additionally, the report conclusively states these injuries as antemortem , supported by the description of fractures and lacerations that exhibit signs of being impacted by physiological processes that cease post-mortem.

The internal examination showed no injury to the thoracic or abdominal organs, but they were noted to be congested, indicating compromised circulation potentially due to shock. The brain injuries, being the most prominent, likely led rapidly to systemic failure from increased intracranial pressure and shock, validating the stated cause of death due to shock and hemorrhage . The lack of fatal injuries to other organs corroborates the focus on head trauma as the primary cause.

The internal examination revealed a linear fracture of the frontal base, subdural hemorrhage, and diffuse subarachnoid hemorrhage. These are serious injuries indicative of traumatic brain injury, likely contributing significantly to the shock and hemorrhage that caused death . The brain was congested and oedematous, supporting the presence of severe internal trauma consistent with a vehicular accident .

The brain weight of 1160 grams and the observed congestion and edema indicate swelling often resulting from traumatic injury. This pathological condition can compress brain structures, leading to critical disruptions in brain function. In the context of trauma, this supports the conclusion of severe injury to the brain as critical in causing death, combined with visible hemorrhages . This enhances understanding of the physiological impact of the injuries sustained during the accident.

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