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Table 1 Overview of group I patients presenting good agreement of results in pmCT and autopsy (DD = differential diagnosis)

From: Analysis of death in major trauma: value of prompt post mortem computed tomography (pmCT) in comparison to office hour autopsy

ID

Cause of death - pmCT

Cause of death - autopsy

Region of death causing injury

1

subtotal amputation pelvic half/thigh amputation os ilium, open book fracture

amputation pelvis with consecutive blood loss

Skeletal system

7

brain steem bleeding, incarceration foramen magnum avulsion cervical myelon (C1/2)

basal skull fracture, brain bleeding, incarceration of medulla oblongata

head/neck

8

Multiple trauma: complex dislocated fracture skull/foramen magnum, subarachnoidal bleeding, ventricle tamponade  brain edema, incarceration suspected aortic root rupture, hematothorax, lung contusion, Tension pneumothorax, disruption pericardium/heart

multiple trauma: destruction of basal skull, disruption of pons/medulla oblongata, ventricle tamponade, diffuse intracerebral bleeding disruption of lung/pericardium/heart, rupture of aortic root, hematothorax

head/neck chest

13

intracerebral, subdural, subarachnoidal bleeding brain edema, basal incarceration

bloody destruction, herniation frontal/temportal lobe with so-called intravital brain necrosis

head/neck

14

impression fracture skull brain edema, incarceration lung contusion DD signs of aspiration

brain injury with occipital impression fracture, brain contusion, brain edema blood aspiration lung

head/neck chest

16

brain edema atlas ring fracture, dislocated dens axis, intraspinal bleeding avulsion vertebral artery, suspected marrow injury cervical spine

gaping disconnection 1st and 2nd cervical vertebrae, atlas ring fracture with rupture upper cervical marrow

head/neck

18

brain edema due to oxygen lack (drowning) lung edema, fluid filled major airways

signs of drowning lung/distal airways brain edema

chest

22

bilateral rib fractures pleural effusion, bilateral hematothorax

bilateral rib fractures, hematothorax, pleural effusion with circulatory failure due to inner bleed to death

chest

26

signs of increased intracranial pressure, midline shiftintracranial bleeding, incarceration foramen magnum skull base fracture bony destruction pelvis

skull base fracture, subdural bleeding, signs of increased intracranial pressure, beginning incarceration complex destruction of bony pelvis, soft tissue hematoma retroperitoneal due to rupture internal iliac artery

head abdomen/pelvis