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This study aimed to examine the demographic characteristics of autopsy cases due to multiple trauma and contribute to the diagnosis and treatment process. Method: Our study was carried out by examining autopsy reports of multiple trauma cases. Accordingly, two groups were formed: those who died at the scene and those in the emergency department. In addition, the demographic data of the cases, the mechanism of multiple trauma, and the cause/causes of death were recorded. Results: A total of 278 cases involving 165 deaths at the scene and 113 deaths in the emergency service were included. The most common causes of trauma in both groups were in-vehicle traffic accidents and falling from height. The most common causes of mortality in both groups were hemothorax and subarachnoidal hemorrhage. Conclusions: Deaths due to multiple trauma were almost four times more common in males (82%); the number of trauma under the age of 65 was approximately four times higher. This result shows that young men are at a much higher risk of trauma, resulting in more fatal consequences. We think our study will help to reveal the prevalence, coexistence, and trauma mechanisms of existing pathologies.

Y›ld›r›m, atmosferde oluflan elektriksel potansiyelin bulutlar ve yerküre aras›ndaki deflarj›d›r. Y›ld›r›m çarpmas› sonucu ölen olgular›n tespit edilmesi amac›yla Adli T›p Kurumu 1. ‹h-tisas Kurulu'nda 1998-2006 y›llar›nda ölüm sebebi verilmifl dosyalar tarand›. Ölüm sebebi y›ld›r›m çarpmas›na ba¤lanm›fl 15 olgu tespit edilerek bunlar›n yafl, cinsiyet, meslek, olay yeri incelemesi, olgulardaki harici ve dahili patolojiler ile histopatolojik bulgular› incelendi.Y›ld›r›m çarpmalar› özellikle bahar ve yaz dönemlerinde, ö¤-leden sonraki ya¤murlarla birlikte görülmektedir. Olgulardan 3 tanesinin yaz ay›nda, geri kalan 6's›n›n ilkbahar di¤er 6's›n›n ise sonbahar aylar›nda öldü¤ü tespit edildi. Y›ld›r›m çarpmas› sonucu ölümlerde kiflilerde hiçbir patolojik bulgu görülmeye-bilece¤i gibi patognomonik olmayan farkl› patolojik lezyonlar da görülebilmektedir. Y›ld›r›m çarpmas›na ba¤l› ölümlerin otopsilerinde iç organlarda tespit edilen bulgular tek bafl›na tan› koydurucu özellikte de¤ildir. ‹ç organlarda hiperemi, ödem, konjesyon ve kanamalar tespit edilmifltir. Bu nedenle olay yeri incelemesinin y›ld›r›m çarpmas› sonucu ölüm olaylar›nda tan›-daki de¤eri büyüktür. Olgulardan en küçü¤ünün 3, en büyü¤ü-nün ise 53 yafl›nda oldu¤u tespit edilmifltir. Y›ld›r›m çarpmas› sonucu ölümlere, geliflmekte ve geri kalm›fl ülkelerde s›kl›kla çiftçi ve gemicilerde rastlanmakta iken, geliflmifl ülkelerde bu tip ölümler, gittikçe daha popüler olan do¤a sporlar› ile u¤ra-flan popülasyonda art›fl göstermektedir.Sonuçta bir flahs›n y›ld›r›m çarpmas› sonucu öldü¤ünü söyle-yebilmek için cesedin ayr›nt›l› iç ve d›fl muayenesi yan›nda olay yeri incelemesinin de dikkatli yap›lm›fl olmas› gerekmektedir.Olay yerinde gök gürültülü ve f›rt›nal› bir havan›n meydana gelmifl olup olmad›¤› ayr›ca etrafa da¤›lm›fl giysi parçalar›, ev ve a¤açlarda hasarlar, toplu hayvan ölümleri gibi çevrede y›ld›r›-m›n etkilerine ait deliller de araflt›r›lmal›d›r.Anahtar kelimeler: Y›ld›r›m çarpmas›, olay yeri incelemesi, otopsi, adli bilimler SUMMARYLightning is an atmospheric discharge of electricity between clouds and the earth. Death records Council of Forensic Medicine 1. Specialty Committee between 1998 and 2006 were included and reviewed retrospectively. 15 cases, the cause of deaths are determined as lightning-related were found and these cases were evaluated with regard to age, sex, job, crime scene and internal, external and micropathologic findings.Lightning strike especially occurs in rainy afternoons of spring and summer seasons. Of our cases, 3 have occurred in summer, 6 in spring and the rest 6 in autumn. Lightning-related deaths may reveal none of pathologic findings or no patognomonic features, such as eudema, hyperemia, congestion and hemorrhage can be described in autopsy. For this reason crime scene investigation is very important in these cases. Age of our cases ranged from 3 years old to 53 years old. Lightning caused deaths occurs frequently among agricultural workers and sailors in developing and underdeveloped countries and occur frequently among nat...