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Falls from height

In forensic practice quite often there are cases fall on the stairs, and the resulting damage depend not only on the height of the fall, but also from the extra speed, inform the body, for example, when you push the hand of a third person.
Spontaneous fall to the ground from the height of the bottom of the stairs accompanied by the emergence of abrasions or even hurt RAS occipital region, cracks or fractures of the vault of the skull, bruising and bleeding in the interscapular region and in the muscles along the spine. Possible isolated broken ribs, shoulder blades, or a combination of damage.
The fall from the height of the middle of the flight is accompanied by a collision upper half of the body on a path obtuse angle formed the staircase and the lower steps of the stairway. Area of impact is the occipital region, as a rule, higher lambdoidal seam. Abrasions and bruises are not only on the back, but in the lumbar region.
When falling from the top steps of the stairway often occurs in the occipital region slit hurt RAS situated in a horizontal direction, formed as a result of collision on the edge of the underlying stairs. Contused wounds, as a rule, have pocket-type hollows. provinces peeling the bottom edge. Abrasions and bruises on the back surface of the body are found in much larger quantities.
In cases falling back from a standing position or on the flight of stairs (especially under the condition of making the body more speed in the form of shock or impact), there may be a skull fracture, not only in the posterior fossa, but also in the front - due to the inertial impacts of the content of the orbit at a horizontal plate of the frontal bone (on the background of General deformation of the skull).
When falling from a great height (above 10 m) becomes the defining value of the kinetic energy produced by the body because of the fall. In conditions of free fall speed, purchased by the body, usually increases during the first 10-12 C, after which the body falls from a uniform speed due to the air resistance.
In forensic practice known cases falling from a very great height (several hundred and even thousand meters) with a favorable outcome, which is explained by the phenomena of depreciation: drop on the slopes of the snow-covered gully, depreciation blast and other
Falling from a great height and collision feet characterized by the fact that at the moment of contact with the plane of other parts of the body by inertia continue its movement. Arise out of internal organs and even moving in the direction of the fall.
Rather typical and fractures of the bones of the skeleton: the heel bones fractures, impacted fractures of the long bones of the lower extremities, compression fractures of the lumbar or nizhnegorodsky spine. Meet ring fractures of the skull base around a large occipital foramen with the introduction of the cervical spine in the cranial cavity.
At the collision of the head is detected fractures of the bones of the cranial vault continued on the basis, compression fractures in the cervical or Wernigerode spine, tears or breaks and move internal organs in the direction of the fall.
Damage when dropped from a great height and impact of any party body essentially do not differ from trauma when hit with a blunt object with a wide plane.
It should be borne in mind that in the process of falling (including from a great height) separate parts of the body can hit the protruding objects with considerable force (Fig. 34). This raises damage typical for the impact of such objects, with the formation of a kind of abrasions, bruises, wounds and even out of a limb or the dismemberment of the body.

Fig. 34. Body damage when dropped from a great height on the wall.