Traumatic train injuries

10 year evaluation of train accidents

“…[5][6][7][8][9][10] The literature related to railway accidents is limited in our country as in the rest of the world.…”

“…[4,5,[12][13][14][15][16][17] A previous study from our region also reported a peak number of accidents during commuting hours. [18] Thirty-six cases (81%) were brought to the emergency department within 30 min.…”

“…[3] Alcohol intake is common in train accidents. [1,5,7,13,15,17,23,25] and intoxication is related with a mortality rate of 80%. [15] Although the frequency of alcohol intoxication was low in our study, with a rate of 4.5%, likely as a result of the low alcohol consumption in our population, among the 7 deaths, 2 of them were intoxicated (28%).…”

“…Lower limb amputations are encountered mostly. [3][4][5]11] Amputation rates in the literature vary between 35% -82% [3,5,16,23] and head, thorax and abdominal injuries to a lesser extent. [11] Amputations associated with higher MESS could not be saved.…”

Excavation of the chest due to railway mishap

“…Although alcohol is an important risk factor in railway accidents, a positive blood alcohol content and a psychiatric illness is often present in suicide victims 3,7,8 . Extensive blunt force injuries, especially traumatic amputations of an upper or lower extremity are commonly seen in railway accidents 6,9,10 . Massive blunt force trauma with alcohol intoxication is highly suggestive of an accidental death 3,7 .…”