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Blunt Force Trauma
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Characteristics of Instruments
Size length and width Shape cross-sectional outline round -- more fx lines angular -- fewer fx lines, distinct edges patterned injuries Weight heavy or light
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Effects of BFT on bone Inbending at the site of force
Outbending around the site of force LeFort fractures Ring fractures
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Estimation of direction Estimation of energy Estimation of number
Same as projectiles Description of wound Estimation of size Estimation of shape cross-sectional outline and axial configuraton Estimation of direction Estimation of energy Estimation of number Estimation of sequence
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Sharp and Miscellaneous Trauma
Sharp is the result of a narrowly focused, dynamic compression force Results in discontinuity, such as a puncture, incision or cleft Additional discontinuities include fx lines, hinge fx, and chips of bone (wastage)
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Effects of Sharp Instruments
Puncture force is vertical or near vertical, focus is cone-shaped Incision defect is longer than wide, force applied across the surface of a bone with a long, sharp edge Cleft or Notch hacking Striations on the walls, caused by dull or serrated blades
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Wound Analysis Description of wound Instrument characteristics
type cutting, stabbing, chopping size blade length, width, surface contour, sharpness Direction of force Number of traumatic events
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Miscellaneous Strangulation Fire Chemical Trauma
hanging, ligature, manual strangulation Fire Chemical Trauma
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