FORENSIC MEDICAL ASSESSMENT OF CERVICAL SPINE TRAUMAS WITH THE ACCOUNT OF CHANGES IN CENTRAL HEMODYNAMICS

Abstract

The article analyzes the up-to-date state and problematic issues of forensic medical diagnosis of cervical spine injuries. It establishes that there are cases when forensic medical experts underestimate the outcomes and consequences of this trauma. It studies the state of the central hemodynamics of the injured with cervical spine traumas. At the same time 107 injured were divided into two groups: with clear and moderate manifestations. The research applied an objective and modern method of Doppler echocardiography. The conducted research has demonstrated significant changes in extraand intracerebral blood flow. The results of the comparative analysis show that forensic medical assessment of cervical spine traumas should take into account the results of Doppler echocardiography. Among these results the most informative are functional changes of the cerebral and spinal arteries. The manifestation of these deviations is determined, primarily, by the severity and time of injuries. The article determines the ways of improving forensic medical examinations of the injured with cervical spine traumas. It demonstrates the criteria significance of changes in bloodflow of cerebral and cervical arteries of the injured while establishing the severity of injuries.