ozlede 1
DESCRIPTION
KriminalistikaTRANSCRIPT
![Page 1: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/1.jpg)
MEHANIČKE POVREDE
OZLEDE I RANE
Prof. dr Slobodan Savić
![Page 2: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/2.jpg)
nasilno oštećenje zdravlja
POVREDA – TRAUMA
razvija se pod dejstvom spoljašnjih (egzogenih) uzroka
NASILNA SMRT – MORS VIOLENTAzades
samoubistvo ubistvo
![Page 3: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/3.jpg)
VRSTE POVREDA
1. mehaničke
2. asfiktičke
3. fizičke
4. hemijske (trovanja)
5. nutritivne
6. bakterijske
7. psihičke
![Page 4: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/4.jpg)
MEHANIČKE POVREDE
telesne povrede proizvedene
dinamičkim dejstvom
mehaničkog oruđa
dinamičko dejstvo – KRETANJE
![Page 5: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/5.jpg)
MEHANIZAM kretanje oruđa prema telu - UDAR
Šta je oruđe na ovoj slici?
![Page 6: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/6.jpg)
MEHANIZAM
kretanje tela prema oruđu – PAD
![Page 7: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/7.jpg)
MEHANIZAM
kretanje oruđa i tela – SUDAR
![Page 8: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/8.jpg)
FAKTORI KOJI USLOVLJAVAJU
IZGLED POVREDA
brzina kretanja oruđa i/ili tela masa oruđa i/ili tela
mV2
Ek = 2
izgled (oblik i površina) povrednog oruđa
![Page 9: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/9.jpg)
![Page 10: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/10.jpg)
osobine povređenog dela tela
ISTA SILA – RAZLIČIT ISHOD
![Page 11: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/11.jpg)
DEJSTVENI SASTOJCI MEHANIČKOG ORUĐA1. tupina 2. oštrica 3. šiljak 4. projektil
1. TUPINA
![Page 12: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/12.jpg)
TUPINA
![Page 13: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/13.jpg)
TUPINA
![Page 14: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/14.jpg)
2. OŠTRICA
![Page 15: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/15.jpg)
3. ŠILJAK
ŠILJAKI OŠTRICA
![Page 16: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/16.jpg)
![Page 17: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/17.jpg)
![Page 18: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/18.jpg)
4. PROJEKTIL
![Page 19: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/19.jpg)
PROJEKTIL
![Page 20: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/20.jpg)
jedno mehaničko oruđe može imati više dejstvenih sastojaka
vojnička puška
tupina - kundak
oštrica – bajonet
šiljak - bajonet
projektil
![Page 21: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/21.jpg)
ORUĐA – imaju drugu namenu
PODELA MEHANIČKIH POVREDNIH SREDSTAVA
![Page 22: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/22.jpg)
ORUŽJE – namenjeno za napad i odbranu tj. za nanošenje povreda
![Page 23: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/23.jpg)
PRAVNI POJMOVI oružje, opasno oruđe ili drugo sredstvo podobno da telo teško povredi ili zdravlje
teško naruši
Član 122 KZ Srbije Laka telesna povreda
(1) Ko drugog lako telesno povredi ili mu zdravlje lako naruši, kazniće se novčanom kaznom ili zatvorom do jedne godine.
(2) Ako je takva povreda nanesena oružjem, opasnim oruđem ili drugim sredstvom podobnim da telo teško povredi ili zdravlje teško naruši, učinilac će se kazniti zatvorom do tri godine.
![Page 24: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/24.jpg)
PODELA MEHANIČKIH POVREDA
OZLEDE RANE
OZLEDE – opšte mehaničke povrede čije osobine ukazuju samo na to da su nanete
mehaničkim oruđem uopšte
RANE – posebne mehaničke povrede čija svojstva ukazuju na to da su nanete upravo
jednom određenom vrstom mehaničkog oruđa
![Page 25: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/25.jpg)
OZLEDE
dejstvom mehaničkog oruđa
dejstvom nemehaničkih povrednih
sredstava - npr. hemijskih
posledica oboljenja - spontani krvni podlivi – hemofilija
- patološki prelomi
![Page 26: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/26.jpg)
VRSTE OZLEDA
1. oguljotina (sasušina)
2. krvarenje (krvni podliv i krvni izliv)
3. nagnječina
4. rascep, provala
5. prelomi i iščašenja
6. razorine i raskomadine
![Page 27: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/27.jpg)
OGULJOTINA
KOŽE I SLUZOKOŽEkoža lišena natkožice (epiderma), a
ogolela kožica (derm) je obnažena
MEHANIZAM NASTANKA OGULJOTINE
![Page 28: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/28.jpg)
zaživotna
oguljotina posmrtna
agonalna
![Page 29: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/29.jpg)
ZAŽIVOTNA OGULJOTINA
uklanjanje natkožice -
ogolela kožica se aktivno
ovlaži limfom ili krvlju
sasušivanjem nastaje krusta
(korica)
oguljotina sluzokože
zbog vlažne sredine ne
stvara se krusta
![Page 30: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/30.jpg)
regeneracija epiderma sa rubova
krusta otpada – mladi epiderm – za 7 do 14 dana
bez ožiljka
![Page 31: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/31.jpg)
SM ZNAČAJ ZAŽIVOTNE
OGULJOTINE
dokaz dejstva sile
![Page 32: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/32.jpg)
pravac dejstva sile smer sljuštenja epiderma
![Page 33: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/33.jpg)
SM ZNAČAJ ZAŽIVOTNE OGULJOTINE
može ukazati na
način (mehanizam) povređivanja
povredno sredstvo
- lokalizacija
- oblik - tačkast, crtast (ogrebotina), kružan ovalan, prugast, nepravilan
![Page 34: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/34.jpg)
oguljotine na
isturenim
delovima tela
pad
![Page 35: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/35.jpg)
![Page 36: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/36.jpg)
povreda u saobraćaju – mehanizam?
oguljotine od suljanja po tlu
![Page 37: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/37.jpg)
![Page 38: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/38.jpg)
oguljotine od
suljanja po tlu
“brush abrasions”
![Page 39: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/39.jpg)
![Page 40: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/40.jpg)
u veštačenju
identifikacija
učesnika
(vozač, suvozač)
vozač
pravogaona
oguljotina u
vidu otiska na
potkolenici
![Page 41: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/41.jpg)
POKUŠAJ SILOVANJA
žrtva napadačcrtaste i prugaste oguljotine od noktiju
![Page 42: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/42.jpg)
Pregled žrtve silovanjacrtasta lučna oguljotina od ivice nokta
![Page 43: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/43.jpg)
tačkaste oguljotine od barutnih česticaustrelina iz relativne blizine
![Page 44: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/44.jpg)
crtaste oguljotine - samopovrede
![Page 45: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/45.jpg)
crtaste oguljotine - samopovređivanje
![Page 46: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/46.jpg)
narkoman - samoubistvo utopljenjem samopovređivanje
![Page 47: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/47.jpg)
KRUSTANJE OGULJOTINE RELATIVNA VITALNA REAKCIJA
POSMRTNA OGULJOTINAnema aktivnog izlivanja limfe ni krvi
![Page 48: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/48.jpg)
nema aktivnog izlivanja limfe – ogoljena kožica se sasuši – žutomrka, pergamentast izgled (liči na sasušinu) – nema kruste
u hipostatskim predelima može se pasivno ovlažiti
![Page 49: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/49.jpg)
saobraćajna nezgoda
pešak smrt nastupila
na mestu povređivanja
![Page 50: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/50.jpg)
teška kraniocerebralna povreda
![Page 51: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/51.jpg)
SASUŠINA
kože – žutomrko pergamentasto očvrsla
promena kože nastala usled isparavanja
kroz očuvanu, ali razdešenu natkožicu
ISKLJUČIVO POSTMORTALNA PROMENA
![Page 52: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/52.jpg)
sasušina kože nastaje na mestima gde je koža za života bila:
izložena pritisku – na grudnom košu
od masaže srca
![Page 53: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/53.jpg)
SASUŠINA
pritisak odpoveske kojom je
bila fiksiranavilica
![Page 54: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/54.jpg)
TRAG STEZANJA
KOD VEŠANJA
brazda
sasušina
![Page 55: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/55.jpg)
Kako su
nastale ove
sasušine?
tragovi od
defibrilacije
![Page 56: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/56.jpg)
sasušina kože nastaje na mestima gde je koža za života bila:
vlažna – u naborima ispod dojki
gojaznih žena ili na vratu odojčadi
![Page 57: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/57.jpg)
![Page 58: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/58.jpg)
![Page 59: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/59.jpg)
SASUŠINE SLUZOKOŽA – usne, beonjače, rožnjače
![Page 60: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/60.jpg)
SASUŠINA ROŽNJAČE – zamućenje
![Page 61: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/61.jpg)
KRVARENJE
isticanje krvi iz krvnih sudova
(srca, arterija, vena i kapilara)
u tkivo, telesne duplje ili van tela
![Page 62: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/62.jpg)
KRVNI PODLIV
krvarenje kod kojeg istekla krv prodire u
okolno tkivo i prožima ga – koža, sluzokoža,
duboka tkiva
tačkasti - petehije na koži
- ekhimoze na sluzokožama
mrljasti
sliveni
![Page 63: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/63.jpg)
tačkasta (petehijalna) krvarenja kože
![Page 64: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/64.jpg)
![Page 65: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/65.jpg)
krvni podlivi sluzokožaekhimoze vežnjača
![Page 66: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/66.jpg)
krvni podliv (hematom) kože
![Page 67: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/67.jpg)
krvni podlivi kože nogu
pešak
![Page 68: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/68.jpg)
duboki krvni podlivi potkožnog tkiva i mišića
![Page 69: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/69.jpg)
prirodni
krvni podliv povredni (nemehanički)
ozledni (mehanički)
prirodni krvni podlivi
usled oboljenja (bez dejstva sile)
spontani – morbozni
![Page 70: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/70.jpg)
![Page 71: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/71.jpg)
![Page 72: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/72.jpg)
LEUKEMIJA
brojna tačkasta i mrljasta spontana
(morbozna) krvarenja kože po celom telu (hemoragijska
purpura)
![Page 73: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/73.jpg)
meningokokna sepsaWaterhouse-Friderichsenov sindrom
![Page 74: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/74.jpg)
NEMEHANIČKI - stezanje vrata lančićem
trag stezanja
tačkasti krvni podlivi (petehije)
![Page 75: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/75.jpg)
krvni podlivi sluzokožaekhimoze vežnjača - asfiksija
![Page 76: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/76.jpg)
krvni podliv nastao dejstvom mehaničkog oruđa traumatski (ozledni) krvni podliv
![Page 77: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/77.jpg)
zaživotni
krvni podliv posmrtni
agonalni
![Page 78: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/78.jpg)
ZAŽIVOTNI KRVNI PODLIV
krv prožima tkivo i zgrudvava se
postepena resorpcija
ishod:
najmanji – iščeznu
veći – se organizuju
najveći – se učaure
![Page 79: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/79.jpg)
SM ZNAČAJ KRVNIH PODLIVA
dokaz dejstva sile
mehanizam nastanka
- direktni – na mestu dejstva sile
- indirektni – na udaljenom mestu
![Page 80: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/80.jpg)
krvni podliv u vidu naočara
tuča
- direktni - indirektni
![Page 81: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/81.jpg)
Pad ili udarac?
![Page 82: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/82.jpg)
![Page 83: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/83.jpg)
Kako je nastao krvni podliv u predelu kapaka desnog oka? Udarac ili nešto drugo?
![Page 84: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/84.jpg)
samoubistvo – ustrelina glave ulazna rana – hirurški zbrinuta
![Page 85: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/85.jpg)
![Page 86: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/86.jpg)
![Page 87: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/87.jpg)
INDIREKTNI KRVNI PODLIV
![Page 88: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/88.jpg)
krvni podlivi kapaka u vidu naočaraindirektno nastali kod preloma baze lobanje
![Page 89: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/89.jpg)
indirektni krvni podlivi očnih kapaka
u vidu naočara
![Page 90: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/90.jpg)
indirektni krvni podlivi nastali su
kao posledica višestrukih preloma kostiju baze lobanje
M, 22 g
povređen kao motociklista
![Page 91: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/91.jpg)
zagušenje direktni krvni podlivi, oguljotine i nagnječine
![Page 92: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/92.jpg)
DIREKTNI KRVNI PODLIVImasivni krvni podliv glave i vrata
![Page 93: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/93.jpg)
ODBRAMBENE POVREDE
![Page 94: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/94.jpg)
pešak povređen od automobilakrvni podlivi na nogama
![Page 95: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/95.jpg)
![Page 96: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/96.jpg)
krvni podliv od ujeda
![Page 97: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/97.jpg)
krvni podlivsluzokože
gornje usneudarac
![Page 98: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/98.jpg)
Čime je nanesen ovaj krvni podliv?Udarac pesnicom, kolenom, stopalom ili ... ?
![Page 99: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/99.jpg)
SM ZNAČAJ KRVNIH PODLIVA
utvrđivanje povrednog sredstva – u
nekim slučajevima izgled krvnog podliva
verno odslikava izgled površine
dejstvenog principa mehaničkog oruđa
![Page 100: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/100.jpg)
otisak šare od gume – pregaženje pešaka
![Page 101: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/101.jpg)
![Page 102: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/102.jpg)
![Page 103: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/103.jpg)
![Page 104: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/104.jpg)
![Page 105: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/105.jpg)
krvni podliv u vidu
otiska đona tuča
”patterned injuries”
![Page 106: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/106.jpg)
prugasti krvni podlivi u vidu tramvajskih ili
železničkih šina (tram-line, railway-line)
udarci štapom, pendrekom, kaišem i sl.
![Page 107: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/107.jpg)
mehanizam nastanka
"tram-line“ krvnih podliva
na mestima gde postoji deblji sloj potkožnog masnog tkiva
(butine, sedalni predeo)
![Page 108: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/108.jpg)
procena broja udaraca
![Page 109: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/109.jpg)
procena broja udaraca
![Page 110: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/110.jpg)
ZAŽIVOTNI KRVNI PODLIV
u toku evolucije
na koži – postepena promena boje
modroljubičasta
smeđa
zelena
žuta
brzina promene individualna
SUDSKOMEDICINSKI ZNAČAJ
procena vremena povređivanja
![Page 111: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/111.jpg)
![Page 112: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/112.jpg)
![Page 113: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/113.jpg)
promena boje
2 dana 3 dana
![Page 114: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/114.jpg)
krvni podliv star 6 dana
![Page 115: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/115.jpg)
![Page 116: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/116.jpg)
prebojeni krvni podlivi
![Page 117: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/117.jpg)
velike varijacije – životno doba, debljina sloja krvi, karakteristike tkiva, individualne razlike
![Page 118: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/118.jpg)
Devojčica, 8 meseci – smrtna povreda glave (roditelji narkomani), dete umro u bolnicipovrede navodno nastale usled pada sa
kreveta istog dana kada je dete primljeno
krvni podlivi različite starosti
![Page 119: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/119.jpg)
smeđi krvni podliv u vidu
otiska šake na grudnom
košuprocena starosti i
oruđa
![Page 120: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/120.jpg)
S-292/02 3-godišnji dečak zlostavljan i ubijen (majka izvršilac) – KCP
tram-line krvni podlivi različite starosti
naneseni gajtanom od pegle
![Page 121: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/121.jpg)
![Page 122: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/122.jpg)
MEDICINSKI ZNAČAJ KRVNIH PODLIVA
na koži – uglavnom lake telesne povrede
duboki - pritisak na okolne strukture - živce,
disajne puteve (poremećaj funkcije, bolovi)
![Page 123: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/123.jpg)
![Page 124: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/124.jpg)
MEDICINSKI ZNAČAJ KRVNIH PODLIVA
mogućnost inficiranja - dobra podloga za
bakterije
veliki ili opsežni krvni podlivi - veliki gubitak
krvi - šok, iskrvarenje
![Page 125: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/125.jpg)
Žena 35 godina, ubio je muž u prisustvu dvoje maloletne dece - tuča
![Page 126: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/126.jpg)
uzrok smrti: iskrvarenje - gubitak krvi u meko tkivo - skupno dejstvo brojnih krvnih podliva
moguća masna embolija
![Page 127: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/127.jpg)
povredno oruđe – oklagijapolomljena prilikom nanošenja povreda
![Page 128: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/128.jpg)
odbrambenepovrede
krivičnopravni značaj prisustva i
broja odbrambenih povreda
![Page 129: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/129.jpg)
zaživotni
krvni podliv posmrtni
agonalni
![Page 130: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/130.jpg)
![Page 131: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/131.jpg)
posmrtno nastali
krvni podliv
posle uzimanja
uzorka krvi iz
butne vene
![Page 132: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/132.jpg)
posmrtni krvni podliv
ne menja boju sa protokom vremena
![Page 133: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/133.jpg)
Kako su nastali ovi krvni podlivi?
![Page 134: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/134.jpg)
![Page 135: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/135.jpg)
![Page 136: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/136.jpg)
POSMRTNI KRVNI PODLIVI
spontani - hipostatska purpura (vibices)
![Page 137: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/137.jpg)
posmrtni krvni podlivi
hipostatska purpura (vibices)
nema promene boje
![Page 138: OZLEDE 1](https://reader038.vdocuments.pub/reader038/viewer/2022102603/549644ddac7959381c8b459a/html5/thumbnails/138.jpg)
SM ZNAČAJ KRVNIH PODLIVA krvni podliv relativna vitalna reakcija
promena boje
krvnog podliva
apsolutni znak
zaživotnosti