{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:07:56Z","timestamp":1777896476904,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2002,7,1]],"date-time":"2002-07-01T00:00:00Z","timestamp":1025481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2002,7]]},"abstract":"<jats:p>This study reviewed the trauma-related deaths in a coroner's (medico-legal) autopsy series at the University Hospital of the West Indies and represents only the second such study reported from Jamaica. The autopsy protocols of all coroner's autopsies performed during the 15-year period January 1, 1983 to December 31, 1997 were reviewed retrospectively, and the clinico-pathological characteristics of trauma-related deaths were analysed.<\/jats:p>\n                  <jats:p>Trauma accounted for 470 (28.7%) of the 1,640 coroner's autopsies and the causes of death in descending order of frequency were motor vehicle accidents [MVAs] (44.9%), blunt injuries (17.7%), burns (16.8%), firearm injuries (13.6%) and stab injuries (7.0%). The 21\u201330 age group was the most commonly affected and the overall male: female ratio was 4:1. The distribution of injuries (excluding burns) by anatomical region was head and neck (43.8%), chest (8.9%), abdomen and pelvis (4.3%), extremities (0.9%) and multiple sites (25.3%). Forty-nine (23.2%) of the victims of MVAs were documented to have been pedestrians. Blunt trauma was most commonly due to accidental falls followed by assaults. Flame burns accounted for 90% of burn cases. There were seven (1.5%) cases of suicide overall.<\/jats:p>\n                  <jats:p>In this series the majority of trauma-related deaths occurred in young males and were due to MVAs. Strategies aimed at reducing trauma-related mortality should therefore emphasize road traffic safety programmes, particularly targeting the young.<\/jats:p>","DOI":"10.1177\/002580240204200301","type":"journal-article","created":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T10:35:22Z","timestamp":1484217322000},"page":"185-191","source":"Crossref","is-referenced-by-count":6,"title":["Traumatic Deaths in Jamaica: A Coroner's (Medico-Legal) Autopsy Study from the University Hospital of the West Indies"],"prefix":"10.1177","volume":"42","author":[{"given":"Carlos T","family":"Escoffery","sequence":"first","affiliation":[{"name":"Department of Pathology, University of the West Indies, Mona, Kingston 7, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne E","family":"Shirley","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of the West Indies, Mona, Kingston 7, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,7,1]]},"reference":[{"key":"bibr1-002580240204200301","doi-asserted-by":"publisher","DOI":"10.1177\/002580249703700115"},{"key":"bibr2-002580240204200301","unstructured":"Amnesty bares all \u2014 Jamaica's crime in global report. The Jamaica Gleaner (2001), May 31. http:\/\/www.jamaica-gleaner.com\/gleaner\/20010531\/lead\/leadl.html"},{"key":"bibr3-002580240204200301","doi-asserted-by":"publisher","DOI":"10.1177\/002580249603600303"},{"key":"bibr4-002580240204200301","first-page":"48","volume":"34","author":"Burke A. W.","year":"1985","journal-title":"West Indian Med. J"},{"key":"bibr5-002580240204200301","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.49.9.698"},{"key":"bibr6-002580240204200301","first-page":"117","volume":"43","author":"Crandon I. W.","year":"1994","journal-title":"West Indian Med. J"},{"key":"bibr7-002580240204200301","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(92)90015-K"},{"key":"bibr8-002580240204200301","first-page":"484","volume":"108","author":"Hirsch C. S.","year":"1984","journal-title":"Arch. Pathol. Lab. Med"},{"key":"bibr9-002580240204200301","first-page":"52","volume":"44","author":"Holder Y.","year":"1995","journal-title":"West Indian Med. J"},{"key":"bibr10-002580240204200301","unstructured":"Knight B. (1996) Forensic Pathology, 2nd ed. London, Arnold, pp. 286; 497"},{"key":"bibr11-002580240204200301","unstructured":"Laws of Jamaica Vol. 5; The Coroner's Act. Section 6. 1982"},{"key":"bibr12-002580240204200301","unstructured":"Laws of Jamaica Vol. 24; The Road Traffic Act. Amendment No. 13. 1999"},{"key":"bibr13-002580240204200301","first-page":"53","volume":"42","author":"Mansingh A.","year":"1993","journal-title":"West Indian Med. J"},{"key":"bibr14-002580240204200301","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(89)90141-1"},{"key":"bibr15-002580240204200301","first-page":"141","volume":"48","author":"McDonald A.","year":"1999","journal-title":"West Indian Med. J"},{"key":"bibr16-002580240204200301","first-page":"36","volume":"49","author":"Mitchell D.I.G.","year":"2000","journal-title":"West Indian Med. J"},{"key":"bibr17-002580240204200301","first-page":"1","volume":"48","author":"Murphy S. L.","year":"2000","journal-title":"National Vital Statistics Reports"},{"key":"bibr18-002580240204200301","first-page":"39","volume":"92","author":"Nordrum I.","year":"1998","journal-title":"For. Sci. Int"},{"key":"bibr19-002580240204200301","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.49.9.737"},{"key":"bibr20-002580240204200301","unstructured":"Pan American Health Organization (1998). Health in the Americas, Vol. I. Washington, D.C., PAHO (Scientific Publication 569), pp. 77\u20138; 177\u20139"},{"key":"bibr21-002580240204200301","unstructured":"Pan American Health Organization (1998). Health in the Americas, Vol. II. Washington, D.C., PAHO (Scientific Publication, No. 569), pp. 349\u201350"},{"key":"bibr22-002580240204200301","first-page":"235","volume":"25","author":"Ramu M.","year":"1976","journal-title":"West Indian Med. J"},{"key":"bibr23-002580240204200301","first-page":"232","volume":"49","author":"Soyibo K.","year":"2000","journal-title":"West Indian Med. J"},{"key":"bibr24-002580240204200301","unstructured":"The Statistical Institute of Jamaica (1999) Demographic Statistics 1998, Kingston, The Statistical Institute of Jamaica, p. 64"},{"key":"bibr25-002580240204200301","volume-title":"Statistical Abstracts (Collated data, 1983\u20131998)","author":"The Statistical Institute of Jamaica","year":"1984"},{"key":"bibr26-002580240204200301","unstructured":"The Statistical Institute of Jamaica (2000) Demographic Statistics 1999, Kingston, The Statistical Institute of Jamaica, p. 3"}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/002580240204200301","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/002580240204200301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:27:37Z","timestamp":1777624057000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/002580240204200301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,7]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2002,7]]}},"alternative-id":["10.1177\/002580240204200301"],"URL":"https:\/\/doi.org\/10.1177\/002580240204200301","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,7]]}}}