title: About morphological findings in fatal railway collisions.
abstract: The autopsy findings in fatal cases of railway collisions of the Bonn Institute of Legal Medicine in 1992-1999 were investigated and compared to the statements in the investigation files of the public prosecutor with regard to classification as accident or suicide as well as with regard to type and speed of collision. Of the 38 deaths, 10 were hit in an upright position, 11 fatal collisions affected persons lying outside the track and 13 were hit and overrun lying inside the track. According to the investigation classification 21 persons committed suicide (56%), while 10 died in an accident (26%). Our survey confirmed the leading role of being over-rolled in a lying position as an indication for suicides, while in accidents the upright hit was most important. With exception of the persons primarily affected between the rails in upright position and over-rolled consecutively an unequivocal assignment of injury patterns to the hit categories was possible. In cases of persons being primarily over-rolled in a lying position especially the criteria (i) opening of body cavities, (ii) organ injuries and (iii) loss of parts of the body allowed for careful conclusion on hit, respectively, overrunning speed.
authors.affiliation: Institute of Legal Medicine, Rheinische Friedrich-Wilhelms-University of Bonn, Stiftsplatz 12, 53111 Bonn, Germany.
authors.forename: Frank
authors.initials: F
authors.lastname: Driever
authors.forename: Peter
authors.initials: P
authors.lastname: Schmidt
authors.forename: Burkhard
authors.initials: B
authors.lastname: Madea
mesh_terms: D000059:Accidents / Q000401:mortality* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005554:Forensic Medicine / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011890:Railroads