Traumatology is a study about wound or trauma and also its relation with violence. One of the many causes of death is head trauma that can cause trauma of either outer layer or inner layer of the head. In USA, there are around 1.7 million people that head injuries every year. More than 52,000 people were reported dead, 275,000 people were hospitalized, and almost 80% were treated and referred to emergency departments. Based on gender, males were more often had head injury than females. This study was aimed to obtain the profile of head injury that caused death at the Department of Forensic and Medicolegal Prof Dr. R. D. Kandou Hospital Manado from June 2015 to July 2016. Samples were obtained by using total sampling method. The results showed that there were 4 cases in 2015 and 5 cases in 2016. The description of head injuries were skull base fracture, diffuse brain injury, intracerebral hematoma, and subdural hematoma. Males had a higher prevalence than females, most were aged 20-40 years.Keywords: head injury, death Abstrak: Traumatologi adalah ilmu yang mempelajari tentang luka dan cedera serta hubungannya dengan kekerasaan. Salah satu dari banyak penyebab kematian ialah cedera kepala, yang dapat menyebabkan trauma pada kepala baik lapisan luar maupun dalam. Diperkirakan 1,7 juta orang di Amerika Serikat mengalami cedera kepala setiap tahunnya. Lebih dari 52.000 orang meninggal dunia, 275.000 dirawat di rumah sakit, dan hampir 80% dirawat dan dirujuk ke instalasi gawat darurat. Jenis kelamin laki-laki lebih banyak mengalami cedera kepala dibandingkan perempuan. Penelitian ini bertujuan untuk mendapatkan gambaran cedera kepala yang menyebabkan kematian di Bagian Forensik dan Medikolegal RSUP Prof Dr. R. D. Kandou periode Juni 2015 - Juli 2016. Pada penelitian ini sampel diperoleh dengan metode total sampling. Hasil penelitian mendapatkan tercatat 4 kasus pada tahun 2015 dan 5 kasus pada tahun 2016. Gambaran cedera kepala yang menyebabkan kematian yaitu fraktur basis krani, cedera otak difus, hematoma intraserebral, dan hematoma subdural. Laki-laki memiliki prevalensi yang paling banyak terhadap kejadian kematian akibat cedera kepala dengan usia terbanyak 20-40 tahun. Kata kunci: cedera kepala, kematian
The aim of this study was to find out the patterns of gunshot wounds on dead victims. The study was conducted from October to December 2014 at Forensic and Medicolegal Department, Medical Faculty of Sam Ratulangi University – General Hospital of Prof. Dr. R.D. Kandou Manado. This was a retrospective descriptive study. The results showed that during the period of time from January 2007 to December 2013, there were two cases of gunshot wounds that met the criteria. The first case occured in July 2012 and the second case in November 2012. Both victims were males. The first victim was 25 years old and the second victim was 44 years old. The location of gunshot wound of the first victim was on his left chest while the second victim had gunshot wound on his left upper arm. The mechanisms of death of both victims were massive bleeding. Further studies with longer period of time that perform in other hospitals around Manado are suggested.Keywords: patterns of wound, gunshot, dead victimsAbstrak: Penelitian ini bertujuan untuk mengetahui pola luka pada korban mati akibat senjata api.Jenis penelitian bersifat deskriptif retrospektif dengan menggunakan data sekunder. Penelitian dilakukan di Bagian Ilmu Kedokteran Forensik Medikolegal FK Unsrat – RSUP Prof. dr. R.D. Kandou Manado selama periode Oktober 2014 sampai dengan Desember 2014.Hasil penelitian menunjukkan bahwa selama periode Januari 2007 sampai dengan Desember 2013 terdapat dua kasus luka tembak yang memenuhi kriteria. Kasus pertama terjadi pada Juli 2012 dan kasus kedua terjadi pada November 2012. Kedua korban berjenis kelamin laki-laki. Korban pertama berusia 25 tahun dan korban kedua berusia 44 tahun. Lokasi luka tembak korban pertama ada di bagian dada kiri sedangkan korban kedua ada di lengan atas kiri. Mekanisme kematian kedua korban adalah perdarahan masif. Disarankan penelitian lebih lanjut dengan periode yang diteliti lebih lama dan dilakukan di rumah sakit lainnya yang ada di sekitar Manado.Kata kunci: pola luka, senjata api, korban mati
Violence in a family shows a tendency to increase every year. Studies from other countries showed that the occurance of this violance was about 15-17%. Most of the victims are adult females and the culprits are mostly the husbands. There are several methods needed to detect such cases. Doctors and their medical staff must have the ability to identify the condition of the victim inlcuding psychological and physical condition as well as the types of wounds. Theis study aimed to obtain the pattern of wound types in female victims related to violence in family. This was a retrospective and descriptive study using reports of visum et repertum of Bhayangkara Hospital Manado as the secondary data. The results showed that of the 43 cases, the majority belonged to the group of age 31-32 years old (10 people), physical type of violance (93%), bruise as the type of wound (70%), and located at the forehead and the back part of the head (18.60%).Keywords: Violence, family, type of injuryAbstrak: Kekerasan dalam rumah tangga (KDRT) merupakan salah satu kasus yang terus meningkat dari tahun ke tahun. Studi dari berbagai negara menunjukkan angka kejadian KDRT berkisar antara 15-71%. Sebagian besar korban KDRT ialah perempuan dewasa dan pelaku biasanya ialah suami. Dalam pengungkapan kasus KDRT diperlukan metode-metode tertentu dari dokter atau tenaga kesehatan untuk mendektesinya. Dokter atau tenaga medis harus mampu mengetahui keadaan psikologis dan fisik, serta pola luka/cedera yang dialami korban. Penelitian ini bertujuan untuk mengetahui dan meningkatkan kemampuan deteksi kasus KDRT terhadap perempuan bagi para dokter melalui pola luka. Penelitian ini bersifat deskriptif retrospektif dengan menggunakan data sekunder dari hasil visum dan dilaporkan menurut distribusi frekuensi. Hasil penelitian menunjukkan bahwa dari 43 kasus KDRT terhadap perempuan terbanyak ialah kelompok umur 31-32 tahun (10 orang), jenis kekerasan fisik (93%), jenis cedera memar (70%), letak cdera daerah sekitar dahi dan kepala bagian belakang (18,60%).Kata kunci: kekerasan dalam rumah tangga, pola cedera
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