INJURY ARISING AT FALLING FROM HEIGHT

Content:

Introduction.

Chapter 1. Definition of “falling from height”, its display and help.

Chapter 2. Biomechanical aspects of a forensic medical examination of deadly falling from height.

Chapter 3. Falling on a ladder march – as a version of falling from height.

The conclusion.

Introduction

Now the forensic medicine represents the independent medical science, studying a certain circle of questions and having his own methods of research. It inseparably linked with the block of legal disciplines, like personal injury lawyer.
Successfully to hold a consequence or litigation, correctly to estimate the expert's statement, the lawyer should know about possibilities of forensic medicine and limits of the competence of a forensic medical examination.
From the point of view of a forensic medical examination one of the most difficult and difficultly diagnosed kinds of traumas are the injuries received at falling from height. It is connected by that at falling from height, the big variety of kinds of falling is observed, mechanisms and circumstances of their origin. Thus it is necessary to notice, that biomechanical aspects of an injury at falling from height, in comparison with other traumas, from a forensic medical point are studied insufficiently. Till now many aspects of this problem remain not opened and not investigated.

Chapter 1.Definition of “falling from height”, its display and help.

Falling from height occurs as a result of suicide actions, careless behaviour at washing of windows, at work on a balcony, is rare - owing to falling on building at safety precautions non-observance. The injuries received at falling from height, differ extreme difficulty. Most typical crises of calcaneal bones, a backbone, a basin, a lower extremities (a landing on the feet), crises of the arch of a skull, cervical department of a backbone (a landing on a head), multiple fractures of edges, fractures of spinal column, upper extremities (a landing sideways and on a back). Simultaneously with a bone injury, there can be heavy closed damages of internal bodies (rupture of an aorta, a liver, a separation of a bilious bubble, spleen rupture etc.). As a rule, traumatic shock quickly develops. Inspection of the patient make in a prone position on a back, remembering about possibility of a fracture of spinal column. Remove footwear to examine both stops. Cautiously palpate awned shoots of a backbone, having palmed off a hand under a back and reveal painful points. The Breaks of the bones of a basin and extremities define on the basis of described above signs. The urgent help consists in anesthetic introduction intramuscularly, cardiovascular means. The victim cautiously shift on a back on a stretcher, make splintage the revealed crises, openly crises apply sterile bandages. If there was a falling from the big height and the back (a backbone injury) is ill the victim, it is better be not to touching, and you must quickly call 911. (Personal Attorney) If it is necessary suffered to move or examine, it should be laid on a firm equal surface (a board or the earth). It is impossible to transfer it on hands or on a blanket! It can worsen its condition. To the victim who has fallen from height if it is in an unconsciousness, it is necessary to concern as the victim with a fracture of spinal column and to render first aid by rendering assistance rules at traumas (crises) of a backbone. However such situations happen seldom enough, for example, usually happens with those who drops out of windows of the top floors (it happens at hallucinations).

Shock therapy is made as transfusion.