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Forensic medical examination to determine the severity of injuries

Open fractures are a, communicating with the external environment through the wound soft tissues.
Closed fractures of long tubular bones can be regarded as life-threatening only in those instances when they are accompanied by a life-threatening conditions. In all other cases, the severity of these injuries is estimated to outcome;
"fractures of the pelvis, accompanied by severe shock or massive blood loss or rupture of membrane of the urethra".
Here I am referring to both open and closed fractures if they are accompanied by severe shock or massive blood loss;
t) "damage, which caused a shock severe or massive blood loss, caused the collapse; clinically apparent fat or gas embolism; traumatic toxicosis with symptoms of acute renal failure".
Shock III and IV degrees should be regarded as serious. Shock and blood loss, life-threatening, to be confirmed by clinical manifestations and results of laboratory and other studies;
d) "damage to a major blood vessel: the aorta, carotid (total, internal, external), subclavian, axillary, shoulder, iliac, femoral, popliteal arteries or accompanying veins.
Note. Damage to other peripheral vessels (head, face, neck, forearms, hands, legs, feet) qualify in each case depending on the resulting concrete danger to life, such as massive blood loss; objectively established shock severe";
f) "thermal burns III-IV degrees the affected area over 15% body surface; the burn of the III degree more than 20% of the body surface, the II degree burns over 30% of the body surface, and burns less space, accompanied by severe shock, burns respiratory tract with symptoms of swelling and narrowing of the glottis".
Burns to the respiratory tract should be classified as dangerous for life in those cases when the nasal mucous and narrowing of the glottis developed phenomena deep hypoxia, life-threatening;
x) "burns chemical compounds (concentrated acid, caustic alkalis, various cauterizing substances, which caused, in addition to local, General toxic action threatening the life";
C) "the compression of the neck organs and other types of mechanical asphyxia, accompanied by a pronounced complex life-threatening events (disorder of cerebral circulation, loss of consciousness, amnesia, and others), if it is stated objective data".
As life-threatening evaluated not only the fact of compression of the neck organs or other mechanical asphyxia (drowning, compression of the thorax and the abdomen), and due to this effect, expressed in a life-threatening events linked ultimately deep hypoxia of the brain.
Generally to life-threatening conditions that can be caused by bodily injury, should include: who; shock III and IV degree; expressed syndrome disorders of regional and organ circulation; syndrome of acute advanced hormonal dysfunction (acute adrenal insufficiency, acute failure of the pituitary gland, acute pancreatic necrosis); syndrome of deficiency of breath, reflected in the deep hypoxia, symptoms of circulatory failure (acute congestive heart failure, acute vascular insufficiency); syndrome of liver failure and kidney; septic condition as a stage of clinical course of traumatic disease. These States can be observed both in isolation and in combination.