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81 Z. Rechtsmedizin 1 (1978)

handle is hein.journals/injlegame81 and id is 1 raw text is: Z. Rechtsmedizin 81, 1-17 (1978) Zeitschrit fmzr Rechtsmedizin J Springer-Verlag 1978 Ubersichtsreferat - Review Article Der plbtzliche, natarliche Tod im StraBenverkehr *** Walter Krauland Institut far Rechtsmedizin der Freien Universitat Berlin, Hittorfstrale 18, D-1000 Berlin 33 Sudden Death in Traffic due to Natural Causes Summary. Together with the increase in motorisation sudden death at the wheel by natural causes has also gained more importance although this is not a very frequent occurrence. Scattered reports on such cases in the literature are summarized and discussed with regard to recognition, frequency, age and sex distribution, pathological changes and marginal problems, e. g. diagnostic difficulties, risk and prevention. At the top of the list of the causes of sudden natural death at the wheel are disturbances of the cardiovascular circulation and under this heading the ischemical heart diseases with 83 %. The frequency peak lies in the sixties age group and in the case of the ischemical diseases generally in the seventies age group which is an indication that driving is particularly a burden for the circulation. The percentage of women (2.6 %) is approx. 10 times less than it is in sudden deaths generally, this obviously being due to the fact that women in advanced years do not drive as often as men. In approx. 50 % of cases the sudden natural death takes place when the vehicle is stationary. Serious accidents are seldom. Diagnostic difficulties occur when alcohol has been consumed or when in an accident caused by the sickness the victim is fatally injured or when the question of guilt is not clear. Restrictive measures will not completely prevent sudden death when driving; it is most important that a patient with a history of myocardial infarction or of advanced age should be advised of the dangers of driving by the physician treating him. Key words: Sudden natural death at the wheel - Traffic medicine - Accident insurance - Preventative medicine Zusammenfassung. Mit der zunehmenden Motorisierung haben auch die pldtzlichen Todesfille aus naturlicher Ursache am Steuer eine zunehmende Bedeutung er- langt, wenn es sich auch nicht um ein allzu haufiges Ereignis handelt. Die im Schrifttum verstreuten Berichte werden zusammengefalit und hinsichtlich * Vorgetragen am 4.11.1977 auf dem 3. Internationalen Verkehrs- und Kraftfahrmedizinischen Kongrell in Wien ** Herrn Prof. Boleslaw Popielski zum 70. Geburtstag

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