Journal of Forensic and Legal Medicine
Volume 14, Issue 4 , Pages 195-202 , May 2007

Forensic considerations of missed diagnoses in trauma deaths

Received 18 October 2005 ,Revised 11 December 2005 ,Accepted 13 February 2006.

References 

  1. Enderson BL, Maull KI. Missed injuries: The trauma surgeon’s nemesis. Surg Clin North Am. 1991;71:399–418
  2. Enderson BL, Reath DB, Meadors J, Dallas W, DeBoo JM, Maull KI. The tertiary trauma survey: a prospective study of missed injuries. J Trauma. 1990;30:666–670
  3. Juhl M, Mdler-Madsen B, Jensen J. Missed injuries in an orthopaedic department. Injury. 1990;21:110–112
  4. Albrektsen SB, Thomsen JL. Detection of injuries in traumatic deaths; the significance of medicolegal autopsy. Forensic Sci Int. 1989;42:135–143
  5. Frawley PA. Missed injuries in multiply traumatized. Aust NZ J Surg. 1993;63:935–939
  6. Hirshberg A, Wall MJ, Ramchandani MK, Mattox KL. Reoperation for bleeding in trauma. Arch Surg. 1993;128:1163–1167
  7. Janjua KJ, Sugrue M, Deane SA. Prospective evaluation of early missed injuries and the role of tertiary trauma survey. J Trauma. 1998;44:1000–1007
  8. Hirshberg A, Wall MJ, Allen MK, Matton KL. Causes and patterns of missed injuries in trauma. Am J Surg. 1994;168:299–303
  9. Sung CK, Kim KH. Missed injuries in abdominal trauma. J Trauma. 1996;41:276–278
  10. Born CT, Ross SE, Iannacone WM, Schwab CW, deLong WG. Delayed identification of skeletal injury in multisystem trauma: the ‘missed’ fracture. J Trauma. 1989;29:1643–1646
  11. Scalea TM, Phillips TF, Goldstein AS, et al. Injuries missed in operation: nemesis of the trauma surgeon. J Trauma. 1988;28:962–966
  12. Hamdan TA. Missed injuries in casualties from the Iraqi-Iran war: a study of 35 cases. Injury. 1987;18:15–17
  13. Hodgson NF, Stewart TC, Girotti MJ. Autopsies and death certification in deaths due to blunt trauma: What are we missing?. J Crit Care. 2000;43(2):130–136
  14. Biffi WL, Harrington DT, Cioffi WG. Implementation of a tertiary trauma survey decreases missed injuries. J Trauma. 2003;54(1):38–44
  15. McElwee TB, Myers RT, Penell TC. Diaphragmatic rupture from blunt trauma. Am J Surg. 1984;50:143
  16. Aronoff RJ, Reynolds J, Thal E. Evaluation of diaphragmatic injuries. Am J Surg. 1982;144:671
  17. Beauchamp G, Khalfallah A, Girand R. Blunt diaphragm rupture. Am J Surg. 1984;148:292
  18. Wisner DH, Yong C, Blaisdell FW. Blunt intestinal injury. Arch Surg. 1990;125:1319–1323
  19. Fakhry SM, Brownstein M, Watts DD, et al. Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma. 2000;48(3):408–413
  20. Reber JU, Schmied B, Seiler CA, Baer HU, Patel AG, Bachler MW. Missed diaphragmatic injuries and their long term sequelae. J Trauma – Injury Infect Crit care. 1998;44(1):183–188
  21. Guth AA, Pachter HL, Kim U. Pitfalls in the diagnosis of blunt diaphragmatic injury. Am J surg. 1995;170:5
  22. Meyers BF, McCabe CJ. Traumatic diaphragmatic hernia. Ann Surg. 1993;218:783
  23. Collins JA, Samra GS. Failure of chest X-rays to diagnose pneumothoraces after blunt trauma. Anaesthesia. 1998;53:74–78
  24. Mirvis SE, Rodrigues A, Whitley NO, et al. CT evaluation of thoracic infections after major trauma. AJR. 1985;144:1183–1187
  25. Ovenfors C, Hedgecock MW. Intensive care unit radiology: problems of interpretation. Radiol Clin North Am. 1978;16:407–439
  26. Snow N, Bergin KT, Horrigan TP. Thoracic CT scanning in critically ill patients: information obtained frequently alters management. Chest. 1990;97:1467–1470
  27. Mirvis SE, Tobin KE, Kostrubiak I, et al. Thoracic CT in detecting occult disease in critically ill patients. AJR. 1987;148:685–689
  28. McGonigal MD, Schwab WC, Kauder DR, et al. Supplemental emergent chest computed tomography in the management of blunt torso trauma. J Trauma. 1990;30:1431–1434
  29. Poole VG, Morgan DB, Cranston BE, et al. Computed tomography in the management of blunt thoracic trauma. J Trauma. 1993;35:296–300
  30. Smejkal R, O’Malley KF, David E. Routine initial computed tomography of the chest in blunt torso trauma. Chest. 1991;100:667–669
  31. Toombs BD, sandler CM, Lester RG. Computed tomography of chest trauma. Radiology. 1981;140:733–738
  32. Trupka A, Waydhas C, Hallfeldt KK, et al. Value of thoracic computed tomography in the first assessment of severely injured patients with blunt chest trauma: results of a prospective study. J Trauma. 1997;43:405–411
  33. Navarrete Navarro P, Vazques G, Bosch JM, et al. Computed tomography versus clinical and multidisciplinary procedures for early evaluation of severe abdomen and chest trauma – a cost analysis approach. Intensive Care Med. 1996;22:208–212
  34. Livingston DH, Lavery RF, Passannante MR, et al. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional trial. J Trauma – Injury Infect Crit Care. 1998;44(2):273–282
  35. Kremli MK. Missed musculoskeletal injuries in a university hospital in Riyadh: types of missed injuries and responsible factors. Injury. 1996;27:503–506
  36. Reid DC, Henderson R, Saboe L, Miller JD. Etiology and clinical course of missed spine fractures. J Trauma. 1987;27:980–986
  37. Sharma BR, Gupta M, Harish D, Singh VP. Missed diagnoses in trauma patients vis-à-vis significance of autopsy. Injury. 2005;36(8):976–983
  38. Wyatt JP, Beard D, Busuttil A. Quantifying injury and predicting outcome after trauma. Forensic Science International. 1998;95:57–66
  39. Wyatt JP, Beard D, Busuttil A. Use of the abbreviated injury scale to identify preventable deaths. Am J Forensic Med Pathol. 1999;20:102
  40. Goldman L, Sayson R, Robbins S. The value of the autopsy in three medical eras. N Engl J Med. 1983;308:1000–1005
  41. Pollock DA, O’Neil JM, Parrish RG. Temporal and geographic trends in the autopsy frequency of blunt and penetrating trauma deaths in the United States. JAMA. 1993;269:1525–1531
  42. Sharma BR. Clinical forensic medicine – management of crime victims from trauma to trial. J Clin Forensic Med. 2003;10(4):267–273
  43. Knight B. Forensic pathology. 2nd ed.. Arnold Publications; 1996;p. 54–55

PII: S1353-1131(06)00138-6

doi: 10.1016/j.jcfm.2006.02.027

Journal of Forensic and Legal Medicine
Volume 14, Issue 4 , Pages 195-202 , May 2007