CASE REPORT

Forensic investigation in a multiple trauma deceleration case due to road traffic accidents

Taufik Suryadi , Kulsum Kulsum

Taufik Suryadi
Forensic Medicine and Medicolegal Department, Faculty of Medicine, Universitas Syiah Kuala – The Zainoel Abidin General Hospital Banda Aceh. Email: [email protected]

Kulsum Kulsum
Anesthesiology and Intensive Care Department, Faculty of Medicine, Universitas Syiah Kuala – The Zainoel Abidin General Hospital Banda Aceh
Online First: April 01, 2020 | Cite this Article
Suryadi, T., Kulsum, K. 2020. Forensic investigation in a multiple trauma deceleration case due to road traffic accidents. Bali Medical Journal 9(1): 172-177. DOI:10.15562/bmj.v9i1.1728


Background: Road traffic accidents (RTA) are the series of events from road events that are unexpected, and always cause damage to objects, injury and even death. Factors for the occurrence of RTA can be in the form of vehicle, road and human. In this case RTA occurred because of human negligence and road factors. The human factor in the form of the driver driving a vehicle at high speed with an estimated 160 Km/h at night, the other factor is the driver is sleepy or tired. Road factors contribute to the occurrence of accidents due to wide and declining road segments cause the driver unable to control vehicles at high speed, quiet roads and inadequate street lighting conditions. This accident resulted in a heavy damage to the vehicle and all passengers died. The explanation of the causes and patterns of death is important in forensic investigations of RTA victims.

Case description: A case of RTA with multiple deceleration injuries was reported. This traffic accident case involved a minibus car speeding and crashing into a bulk cement tank truck that was stopped on the Banda Aceh-Meulaboh National Road, on 30 October 2016 around 04.15 a.m which caused all passengers of minibus died. The speeding minibus car suddenly stopped and hit the back of the tank truck, as a result the body moving at the speed of the vehicle suddenly slowed down (deceleration) causing multiple trauma. The effects on the bodies of the victims varied in the form of open head trauma, closed head trauma, chest trauma, abdomen and extremities. The mechanism and cause of death of the victims was massive bleeding in several organs, especially the head (traumatic brain injury) and chest (rib fracture).

Conclusion: Forensic investigations are very useful in determining the cause of death, mechanism of death, manner of death, magnitude of the impact, direction, speed, and nature of the traffic accident.

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