kırıkkale uni med j

The Journal of Kırıkkale University Faculty of Medicine

2148-9645

Kirikkale University

10.24938/kutfd.1019421

Health Care Administration

Sağlık Kurumları Yönetimi

TRACTOR RELATED DEATHS (ROLLOVER, FALL, ACCIDENT, LIGHTNING STRIKE)

Traktör İlişkili Ölümler (Devrilme, Düşme, Kaza, Yıldırım Çarpması)

https://orcid.org/0000-0002-7736-748X

Hösükler

Erdem

ABANT IZZET BAYSAL UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF FORENSIC MEDICINE

https://orcid.org/0000-0002-6608-8637

Hösükler

Bilgin

USAK UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF FORENSIC MEDICINE

https://orcid.org/0000-0002-2030-0372

Koç

Sermet

ISTANBUL UNIVERSITY-CERRAHPASA, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF FORENSIC MEDICINE

08 31 2022

24 2 262 271 11 05 2021 06 27 2022

1999

The Journal of Kırıkkale University Faculty of Medicine

Objective: Tractor-related accidents are more common than other agricultural vehicles. Tractor overturning is one of the major risk factors for farmers. In this study, it was aimed to discuss the sociodemographic characteristics, autopsy findings, the cause of death and measures to be taken of the tractor-related deaths with literatüre.Material and Methods: In this study, reports of tractor-related deaths were investigated retrospectively in cases where an autopsy was performed in the Morgue Department of Istanbul Council of Forensic Medicine between 2008 and 2012.Results: It was determined that 42 (0.2%) of 20,559 cases who were autopsied in Istanbul between 2008-2012 were tractor-related deaths. Thirty-eight (90.5%) of the cases were male and four cases (9.5%) were female. The average age was 44.54 ± 20.66 (min: 2, max: 80) with the most common death occurring at 60 years and above. Twenty-six (61.9%) of the cases were drivers. The most common death occurred in July and November (n: 7, 16.6%). The death occurred due to tractor overturns in 50% of the cases (n: 21), whereas the reason for death was falling from the tractor in 31% (n=13), traffic accident in 7.1% (n=3), run-over in 7.1% (n=3) and lightning strikes in 4.8% (n=2).Conclusion: In the prevention of tractor-related deaths, is necessary to prohibit the use of tractors as a means of transport and increase the use of seat belts and roll-over protective structures (ROPS) in all tractors.

Amaç: Diğer tarım araçlarına göre traktör ilişkili kazalara daha sık rastlanmaktadır. Tarımcılar için traktör devrilmesi majör risk faktörlerinden birisidir. Bu çalışmada traktörle ilgili olarak meydana gelen ölümlerin sosyodemografik özellikleri, otopsi bulguları, ölüm sebebi, önlenmesi açısından alınması gereken önlemlerin literatür ışığında tartışılması amaçlanmıştır.Gereç ve Yöntemler: Çalışmada 2008-2012 tarihleri arasında İstanbul Adli Tıp Kurumu Morg İhtisas Dairesi’nde otopsisi yapılan olgularda traktör ilişkili ölümlerin otopsi raporları retrospektif olarak incelenmiştir.Bulgular: İstanbul’da 2008-2012 yılları arasında otopsi yapılan 20,559 olgunun 42’sinin (%0.2) traktör ile ilgili ölüm olduğu tespit edilmiştir. Olguların 38’i (%90.5) erkek, dördü (%9.5) kadın cinsiyettir. Yaş ortalaması 44.54±20.66 (min:2, max:80) olup, en sık 60 yaş ve üzeri (n=13, %31) yaş grubunda ölüm gerçekleştiği belirlenmiştir. En sık ölüm Temmuz ve Kasım aylarında (n=7, %16.6) gerçekleşmiştir. Olguların %50’sinde (n=21) traktör devrilmesi, %31’inde (n=13) traktörden düşme, üçünde (%7.1) trafik kazası, üçünde (%7.1) ezilme ve ikisinde de (%4.8) yıldırım çarpması nedeniyle ölüm gerçekleşmiştir.Sonuç: Traktör kazalarının önlenmesinde traktörlerin taşıma aracı olarak kullanılmasının önlenmesi, sürücülerin emniyet kemeri kullanması ve traktör devrilmesini önleyici sistemlerin kullanılması faydalı olacağı düşünülmektedir.

Tractor Death Accident Rollover Forensic medicine

Traktör Ölüm Kaza Devrilme Adli tıp

Yok

1. Lower T, Herde E. Non-intentional farm injury fatalities in Australia, 2003-2006. NSW Public Health Bull. 2012;23(1-2):21-6.

2. Moreschi C, Da Broi U, Fanzutto A, Cividino S, Gubiani R, Pergher G. medicolegal ınvestigations ınto deaths due to crush asphyxia after tractor side rollovers. Am J Forensic Med Pathol. 2017;38(4):312-7.

3. Ozdes T, Berber G, Celik S. Death cases related to tractor overturns. Turkiye Klin Med J Sci. 2011;31(1): 133-41.

4. Darcın ES, Darcın M. Fatal tractor injuries between 2005 and 2015 in Bilecik, Turkey. Biomedical Research. 2017;28(2):549-55.

5. Byard RW. Farming deaths- an ongoing problem. Forensic Sci Med Pathol. 2017;13(1):1-3.

6. Abubakar MS, Ahmad D, Akande FB. A Review of farm tractor overturning accidents and safety. Pertanika J. Sci. & Technol. 2010;18(2):377-85.

7. Nag PK, Nag A. Drudgery, accidents and injuries in Indian agriculture. Ind Health. 2004;42(2):149-62.

8. Antunes SM, Cordeiro C, Teixeira HM. Analysis of fatal accidents with tractors in the centre of Portugal: Ten years analysis. Forensic Sci Int. 2018;287:74-80.

9. Rondelli V, Casazza C, Martelli R. Tractor rollover fatalities, analyzing accident scenario. J Safety Res. 2018;67:99-106.

10. Fulcher J, Noller A, Kay D. Farming tractor fatalities in Virginia: an 11-year retrospective review. Am J Forensic Med Pathol. 2012;33(4):377-81.

11. Dogan KH, Demirci S, Sunam GS, Deniz I, Gunaydin G. Evaluation of farm tractor-related fatalities. Am J Forensic Med Pathol. 2010;31(1):64-8.

12. Karbeyaz K, Şimşek Ü, Yılmaz A. Deaths related to tractor accidents in Eskişehir, Turkey: A 25-year Analysis. J Forensic Sci. 2019;64(6):1731-4.

13. Helmkamp JC, Lundstrom WJ. Tractor-related deaths among west virginia farmers January 1997– January 2002. Ann Epidemiol. 2002;12(7):510.

14. Erkol Z, Buken B, Hekimoglu Y, Ince H, Erzengin OU. Analysis of tractor-related deaths. J Agromedicine. 2013;18(2):87-97.

15. Voaklander DC, Hartling L, Pickett W, Brison RJ. Work-related mortality among older farmers in Canada. Can Fam Physician. 1999;45:2903-10.

16. Türkoğlu A, Sehlikoğlu K, Tokdemir M. Analysis of tractor-associated fatalities. Am J Forensic Med Pathol. 2017;38(4):306-11.

17. Swanton AR, Young TL, Leinenkugel K, Torner JC, Peek-Asa C. Nonfatal tractor-related injuries presenting to a state trauma system. J Safety Res. 2015;53:97-102.

18. Jones CB, Day L, Staines C. Trends in tractor related fatalities among adults working on farms in Victoria, Australia, 1985-2010. Accid Anal Prev. 2013;50:110-4.

19. Eraybar S, Atmaca S, Nennicioglu Y, Torun G, Aydin O, Varisli B et al. Comparison of fatal ınjuries resulting from tractor and high speed motorcycle accidents in Turkey: A Multicenter Study. Emerg Med Int 2019; 2: 9471407.

20. Stephens WB, Ibendahl GA, Myers ML, Cole HP. Risk analysis of tractor overturns on catfish farms. J Agromedicine. 2010;15(4):405-11.

21. Myers ML, Cole HP, Westneat SC. Seatbelt use during tractor overturns. J Agric Saf Health. 2006;12(1):43-9.

22. Myers ML, Cole HP, Westneat SC. Injury severity related to overturn characteristics of tractors. J Safety Res. 2009;40(2):165-70.

23. Cole HP, Myers ML, Westneat SC. Chores at times of fatal or serious ınjuries associated with tractor overturns with and without rollover protection. Safety 2016; 2(3): 18.

24. Sertaridou E, Papaioannou V, Kouliatsis G, Theodorou V, Pneumatikos I. Traumatic asphyxia due to blunt chest trauma: a case report and literature review. J Med Case Rep. 2012;30(6):257.

25. Byard RW, Wick R, Simpson E, Gilbert JD. The pathological features and circumstances of death of lethal crush/traumatic asphyxia in adults-a 25-year study. Forensic Sci Int. 2006;159(2-3):200-5.

26. Pinzkea S, Nilsson K, Lundqvist P. Tractor accidents in Swedish traffic. Work 2012; 41(Suppl 1):5317-23.

27. Costello TM, Schulman MD, Mitchel RE. Risk factors for a farm vehicle public road crash. Accid Anal Prev. 2009;41(1):42-7.

28. Zack F, Rothschild MA, Wegener R. Lightning strike-mechanisms of energy transfer, cause of death, types of injury. Dtsch Arztebl. 2007;104(51-52):3545-9.

29. Ritenour AE, Morton MJ, McManus JG, Barillo DJ, Cancio LC. Lightning injury: A review. BURNS. 2008;34(5):585-94.