Acta Medica Medianae
CHARACTERISTICS OF GETTING INJURED AND WOUNDED IN THE NATO AGGRESSION VICTIMS ON THE TERRITORY OF BELGRADE
Slobodan NIKOLIĆ, Jelena MICIC and Slobodan SAVIC
Institute for Forensic Medicine ofthe Faculty of Medicine, Belgrade
Two studies analyzing the autopsy material of the Institute for Forensic Medicine in Belgrade have been done. The first study (group A) was a prospective histological one and it comprised the examined in which lung fat embolism was not recorded as a cause of death in the autopsy protocol conclusion but was confirmed by the microscopic examination in ali the cases. Ali these polytraumatized patients had an injury that could be an outcome of fat embolism. The second group (group B) was a retrospective autopsy one and it analyzed autopsy protocols and case histories ofthe patients who died of the fat embolism syndrome (FES) that was the only or competing cause of death. The autopsy records and the case histories of ali the patients were analyzed; the groups were compared with respect to gender and age, way of getting injured, an injury severity score (ISS) and the period of living after the injury. Ali the obtained data were processed by corresponding statistic methods. The data analysis led to the conclusion that in the polytraumatized patients the fat lung embolism could be a precipitating and final cause of death either as a singular or as a competitive one combined with some other. It is obvious that the fat embolism of the lungs and the system fat embolism could be accepted as aconsequence of every more serious injury of the fat depots in the organism while a possible later development of the fat embolism sydrome would represent a complication of the injury.
Key words: Fat embolism, FES, time of living after the injury, polytrauma