Trauma to the chest is considered as one of the most serious injuries of the chest and it is also a common cause of mortality and morbidity. It is also the leading cause of death from physical trauma after head and spinal cord injury. Chest trauma is the primary or a contributing factor in approximately 1/4th of all trauma related deaths. Chest trauma accounts for 20-25% of deaths due to trauma. Approximately, 16,000 deaths per year in India alone are a result of chest trauma. The study was conducted on 25 patients of blunt chest trauma admitted in a G.G. Hospital affiliated to M.P. Shah Govt. Medical College during the years 2016- 2018. Detailed clinical history was recorded including age, sex, symptoms, mode of injury, associated injuries, external bleeding and mental status. Out of 25 patients having blunt chest trauma most common age group was 31-40 years, road traffic accident being the most common mode of injury in 60%, 64% having less than 4 ribs fractured, 60% having hemothorax and 54% having pneumothorax and 60% patients were treated with intercostal tube drainage. The study revealed that road traffic accident was the most common cause of blunt chest trauma. Majority of the patients with blunt chest trauma can be managed conservatively with pain management. Few required intercostal tube drain without the need of other invasive therapy.

A young bullock cart driver was pushing bulls hard in stunt and frolic. The cart sped up and he lost control and toppled in front of the iron wheel, which ran over his lower limb around the knee. Concomitant hemophilia further complicated the popliteal artery bleed, and the patient succumbed within hours of injury, despite medical aid. Sudden death is rare in congenital or acquired hemophilia. Popliteal artery injuries usually threaten the limb in high-velocity blunt or penetrating trauma in comparison to other peripheral arteries. However, fatality after popliteal artery injury in low-velocity blunt trauma is rare. Bullock cart is a very slow mode of transport. But animals can show unpredictable and aggressive behavior when driven in carts, which poses considerable risk of fatality to driver and occupants if they sustain vascular or regional injuries. As there is scarce literature about bullock cart-related injuries, this paper focuses on bullock cart run-over fatalities and sudden death in young hemophiliacs.

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