Background: Traumatic asphyxia occurs when a powerful compressive force is applied to the thoracic cavity. This is most often observed in motor vehicle accidents, industrial and farming accidents, as well as the collapse of bridges, mansions, and during stampedes.
Methods: During the period of October 2016 to May 2018, 33 cases of traumatic asphyxia were recorded in the Varanasi district autopsy center, i.e. the Department of Forensic Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Utter Pradesh State, India. We conducted a prospective study on these incidents.
Results: The incidence of traumatic asphyxia is irrespective of gender. However, men are more viable to it due to their outdoor activities. In the present study, males outnumbered females in the distribution of cases. The external and internal features in combination were congestion 26(78.8%), cyanosis 25(75.0%), and subconjunctival hemorrhage 10(30.3%). In the internal examination, rib fracture with flail chest was recorded in 5(15.2%) cases.
Conclusion: Accidental death as a result of traumatic asphyxia is a major contributing factor to violent asphyxia. It results in asphyxia due to the compression of the chest by an external powerful compressive force.
1. Richards CE, Wallis DN. Asphyxiation: A review. Trauma. 2005; 7(1):37-45. [DOI:10.1191/1460408605ta330oa]
2. Saukko P, Knight B. Suffocation and Asphyxia. In: Saukko P, Knight B, editors. Forensic Pathology. 4th edition. Boca Raton, Florida: CRC Press; 2016.
3. Gill JR, Landi K. Traumatic asphyxial deaths due to an uncontrolled crowd. The American Journal of Forensic Medicine and Pathology. 2004; 25(4):358-61. [DOI:10.1097/01.paf.0000147316.62883.8b]
4. Sharma A, Rani A, Barwa J. Traumatic asphyxial deaths due to an uncontrolled crowd at railway station: Two case reports. Journal of Indian Academy of Forensic Medicine. 32(3):254-6.
5. Reddy KSN. Mechanical Asphyxia. In: Reddy KSN, Murty OMP, editors. The Essentials of Forensic Medicine and Toxicology. 33rd edition. New Delhi: Jaypee Brothers Medical Publishers; 2014.
6. Eken C, Yigit O. Traumatic asphyxia: A rare syndrome in trauma patients. International Journal of Emergency Medicine. 2009; 2(4):255-6. [DOI:10.1007/s12245-009-0115-x] [PMID] [PMCID]
7. Singh A. A study of demographic variables of violent asphyxial death. Journal of Punjab Academy of Forensic Medicine and Toxicology. 2003; 3:22-5.
8. Arif M. Autopsy based epidemiological study of violent asphyxia deaths in Punjab. Journal of Fatima Jinnah Medical Colledge of Lahore. 2014; 8(4):54-9.
9. Sklar DP, Baack B, McFeeley P. Traumatic asphyxia in New Mexico: A five-year experience. American Journal of Emergency Medicine. 1988; 6(3):219-23. [DOI:10.1016/0735-6757(88)90003-4]
10. Montes-Tapia, Barreto-Arroyo I, Cura-Esquivel I, Rodríguez-Taméz A, de la O-Cavazos M. Traumatic asphyxia. Pediatric Emergency Care. 2014; 30(2):114-6. [DOI:10.1097/PEC.0000000000000067]
11. Sah B, Yadav BN, Jha S. A case report of traumatic asphyxia. Journal of College of Medical Sciences Nepal. 2014; 10(3):51-5. [DOI:10.3126/jcmsn.v10i3.12777]
12. Hurtado TR, Della-Giustina DA. Traumatic asphyxia in a 6-year-old boy. Pediatric Emergency Care. 2003; 19(3):167-8. [DOI:10.1097/01.pec.0000081240.98249.32]
13. Esme H, Solak O, Yurumez Y. Perthes syndrome associated with bilateral optic disc edema. Canadian Journal of Ophthalmology. 2006; 41(6):780-2. [DOI:10.3129/i06-079]
14. Pathak H, Borkar J, Dixit P, Shrigiriwar M. Traumatic asphyxial deaths in car crush: Report of 3 autopsy cases. Journal of the American College of Radiology. 2012; 221(1-3):e21-e24. [DOI:10.1016/j.forsciint.2012.04.011]
15. Yeong EK, Chen MT, Chu SH. Traumatic Asphyxia. Plastic and Reconstructive Surgery. 1994; 93(4):739-44. [DOI:10.1097/00006534-199404000-00013]
16. Newquist MJ, Sobel RM. Traumatic asphyxia: An indicator of significant pulmonary injury. American Journal of Emergency Medicine. 1990; 8(3):212-5. [DOI:10.1016/0735-6757(90)90325-T]