Elektrik Çarpması Olgularının Adli Tıbbi Değerlendirilmesi

Yıl 2025, Cilt: 47 Sayı: 4, 550 - 555, 18.06.2025

Uğur Demir , Hüseyin Gürbüz , Hüseyin Kafadar

Öz

Çalışma, elektrik çarpması nedeniyle acil servise başvuran hastaların demografik özelliklerini, yaralanma türlerini, tedavi süreçlerini ve düzenlenen adli rapor içeriklerini incelemeyi amaçlamaktadır. Bu retrospektif çalışmaya 2019-2024 yılları arasında Harran Üniversitesi Hastanesi'ne elektrik çarpması nedeniyle yatırılan 132 hasta dahil edildi. Hasta verileri, yaş, cinsiyet, giriş veya çıkış lezyonlarının varlığı, adli rapor tutulup tutulmadığı, adli rapor tutulmuş ise içeriği, lezyonların anatomik konumu, mortalite durumu ve hastanede kalış süresi gibi bilgiler hastanenin bilgi yönetim sisteminden elde edildi. 132 hastanın %61,4'ü erkek olup ortalama yaşları 25,0±14,91 yıl, %38,6'sı kadın olup ortalama yaşları 21,4±16,67 yıldı. Elektrik çarpması olayları en sık evde (%47) meydana gelirken, bunu işyeri (%18,9) ve dış mekanlar (%25) takip etti. Giriş lezyonları en sık ellerde (48 vaka) görülürken, çıkış lezyonları en sık ayaklarda (7 vaka) görüldü. On üç hasta entübasyon gerektirdi ve bunlardan 7'si daha sonra öldü. Toplam 11 hasta elektrik çarpması nedeniyle öldü. Elektrik çarpması olguları sıklıkla genç erişkinlerde ve çocuklarda görülmekte olup, özellikle ev ve iş kazaları ile ilişkilidir. Giriş-çıkış lezyonları, hem klinik ciddiyetin hem de adli değerlendirme gerekliliğinin önemli bir göstergesi olarak öne çıkmaktadır. Acil servis hekimlerinin, yalnızca tedavi değil, aynı zamanda adli raporlama konusundaki sorumlulukları konusunda daha fazla farkındalık ve eğitim almaları gerektiği vurgulanmalıdır.

Anahtar Kelimeler

Elektrik çarpması; , Elektrik yaralanması; , Acil servis; , Adli değerlendirme

Forensic Medical Evaluation of Electric Shock Cases

Öz

The study aims to examine the demographic characteristics, types of injuries, treatment processes and contents of forensic reports of patients admitted to the emergency department due to electric shock. This retrospective study included 132 patients admitted to Harran University Hospital between 2019-2024 due to electric shock. Patient data, including age, gender, presence of entry or exit lesions, whether a forensic report was kept, If a forensic report has been prepared, its content, anatomical location of the lesions, mortality status, and length of hospital stay, were obtained from the hospital's information management system. Of the 132 patients, 61.4% were male, with a mean age of 25.0±14.91 years, and 38.6% were female, with a mean age of 21.4±16.67 years. Electric shock incidents occurred most frequently at home (47%), followed by the workplace (18.9%) and outdoor areas (25%). Entry lesions were most commonly observed on the hands (48 cases), while exit lesions were most often seen on the feet (7 cases). Thirteen patients required intubation, and 7 of them subsequently died. A total of 11 patients died due to electric shock. Electrical injury cases are frequently observed in young adults and children and are particularly associated with domestic and occupational accidents. The presence of entry and exit wounds serves as a significant indicator of both clinical severity and the necessity for forensic evaluation. It is emphasized that emergency physicians should not only focus on clinical treatment but also require increased awareness and training regarding their responsibilities in forensic documentation.

Anahtar Kelimeler

Electric shock; , Electrical injury; , Emergency department; , Forensic evaluation

Etik Beyan

This retrospective study was carried out with the permission of the Clinical Research Ethics Committee of ............. Rectorate (decision number: E-76244175-050.04-393094, dated: November 18, 2024).

Kaynakça

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