Presntsi Traumatologi Forensik Rscm

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    TRAUMATOLOGI

    Departemen Ilmu KedokteranForensik dan Medikolegal FKUI

    RS. Cipto Mangunkusumo

    Irvan Januard AdoeHaekal Mahargias

    mil! "ad!a Akman

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    TRAUMATOLOGI FORENSIK

    Ilmu yang mempelajari tentang luka dan cederaserta hubungannya dengan berbagai kekerasan

    (rudapaksa). Sedangkan yang dimaksudkandengan luka adalah suatu keadaanketidaksinambungan jaringan tubuh akibatkekerasan.

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    KLASIFIKASI BERDASARAKAN

    PENYEBAB MEKANIK KEKERASAN TUMPUL KEKERASAN TAJAM SENJATA API

    FISIK SUHU LISTRIK DAN PETIRTEKANAN UDARA AKUSTIK

    RADIASI

    KIMIA / KOROSIF

    - ASAM KUAT

    - BASA KUAT

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    TRAUMAMEKANIK

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    KEKERASAN TUMPUL

    Bentuk

    1. Memar

    2. Luka Lecet

    3. Luka robek

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    Memar

    Perdarahan dalam jaringan bawah kulit/kutis

    akibat pecahnya kapiler/vena yang disebabkan

    oleh kekerasan benda tumpul.

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    Memar

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    Memar

    Perubahan arna !a"a memar

    #$Saa% %&mbu' berarna merah (emu"&anmen)a"& un*u a%au h&%am

    +$,- har& (emu"&an berubah men)a"& h&)au

    .$-#0 har& a(an berubah men)a"& (un&n*

    ,$A(an men*h&'an* "a'am #,-# har&

    Perubahan arna ber'an*1un* mu'a& "ar& %e!&

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    Lu(a Le2e%

    Cedera pada epidermis akibat bersentuhan dengan

    benda yang memiliki permuakaan kasar atau

    runcing

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    Lu(a Le2e%

    Lu(a 'e2e% G3re1

    D&a(&ba%(an 3'eh ben"a run2&n* 4an*

    men**e1er 'a!&1an !ermu(aan (u'&% "&"e!ann4a

    Lu(a 'e2e% 1eru%

    5ar&a1& "ar& 'u(a 'e2e% *3re1 4an* "aerah!er1en%uhann4a 'eb&h 'ebar

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    Lu(a Le2e%

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    Lu(a Le2e%

    Lu(a 'e2e% *e1er

    Te(anan '&near !a"a (u'&% "&1er%a& *era(an ber*e1er

    Lu(a 'e2e% %e(an

    Pen)e)a(an ben"a %um!u' !a"a (u'&%$ Karena (u'&%a"a'ah )ar&n*an 4an* 'en%ur6 ma(a ben%u( 'u(a

    be'um %en%u 1ama "en*an ben%u( !ermu(aanben"a %er1ebu%

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    Lu(a Le2e%

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    Lu(a R3be(

    Luka terbuka akibat trauma benda tumpul, yang

    menyebabkan kulit teregang ke satu arah dan bila

    batas elastis kulit terlampaui, maka akan terjadi

    robekan pada kulit.

    Kekerasan tumpul yang cukup kuat dapat

    menyebabkan patah tulang

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    Lu(a R3be(

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    7e"era Ke!a'a

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    7e"era Ke!a'a

    Per"arahan E!&"ura'

    Ser&n* %er)a"& !a"a u1&a "ea1a-!er%en*ahan

    "an 1er&n* "&)um!a& !a"a (e(era1an ben"a%um!u' "& !e'&!&1 809: "an be'a(an* (e!a'a8#9:

    Per"arahan Sub"ura'

    Karena r3be(n4a 1&nu16 ar%er& ba1&'ar&1 a%aubera1a' "ar& !er"arahan 1ubara(h3n3&"

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    7e"era Ke!a'a

    Per"arahan Subara(hn3&"

    Bera1a' "ar& ;3(u1 (3n%u1&3/'a1era1& )ar&n*an3%a(

    Le1& O%a(

    T&"a( 1e'a'u %er)a"& !a"a "aerah ben%uran6%e%a!& "a!a% )u*a %er)a"& "& 1ebran* %&%&(ben%uran a%au "&an%ara (e"uan4a

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    Ke2e'a(aan La'u L&n%a1

    #e$alan Kaki

    Lu(a !r&mer

    Pa%ah %u'an* baah < bum!erPa%ah %u'an* !an**u' = 'u(a-'u(a

    ba*&an "e!an m3b&'

    Lu(a 1e(un"er)a%uh%er'&n"a1%eran*(a% (e a%a1 (a2a )a%uh

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    Pen*emu"& M3b&'

    kepala : kaca depan

    Pergelangan tangan : karena menahan stir

    Patah tulang femur dan pelvis : karena

    menginjak pedal dengan kuat Sternum dan iga : terbentur stir

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    %uka aki&at kekerasan

    &enda ta$am Gambran umum < %e!& "an "&n"&n* 'u(a

    ra%a6 berben%u( *ar&16 %&"a( %er"a!a%

    )emba%an )ar&n*an6 "an "a1ar 'u(aberben%u( *ar&1 a%au %&%&($

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    Jenis luka aki&at &enda

    ta$am#$ Lu(a &r&1 (e"ua 1u"u% 'u(a 'an2&!"an "a'am 'u(a %&"a(

    +$ Lu(a 1a4a% me'eb&h& !an)an* 'u(a6

    1u"u% 'u(a 'an2&! "a!a%

    .$ Lu(a ba23( %er)a"& + (a'& "&%em!a% "(%

    ,$ Lu(a %u1u(

    ,a$ P&1au ma%a 1a%u < 1a%u 1u"u% 'u(a 'an2&! "an 'a&nn4a %um!u'

    ,b$ P&1au ma%a "ua < (e"ua 1u"u% 'u(a 'an2&!

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    Lu(a &r&1

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    Lu(a Tu1u( "an Ba23(

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    #em&unuhan

    'unuh diri Ke(elakaan

    L3(a1& 'u(a Sembaran* Ter!&'&h Ter!a!ar

    Jum'ah 'u(a Ban4a( Ban4a( Tun**a'/ban4a(

    Pa(a&an Ter(ena T&"a( %er(ena Ter(ena

    Lu(a %an*(&1 A"a T&"a( a"a T&"a( a"a

    Lu(a!er23baan

    T&"a( a"a A"a T&"a( a"a

    7e"era

    1e(un"er

    Mun*(&n a"a T&"a( a"a Mun*(&n a"a

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    %uka aki&at tem&akan

    sen$ata api Sen)a%a a!& < ha1&' !e'e"a(an me1&u6 "a!a%

    me'3n%ar(an !r34e(%&' ber(e2e!a%an %&n**& "ar&'ara1n4a$

    A*ar 1%ab&' "&*una(an 'ara1 >Bera'ur? (e(&r& 823'%:a%au (e(anan 81m&%h an" e113n: )um'ah a'u ,-@$

    Gar&1 %en*ah ana( !e'uru 1ena!an b&a1an4aberu(uran -mm "en*an !an)an* +-. mm6

    "an bera% -#, *$ !a"a 1ena!an me1&n umumn4a'eb&h (e2&' "an r&n*an 6@mm "an .6 *$

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    Fa(%3r 4an* !en*aruh& (eru1a(an

    3r*an a(&ba% 1ena!an !e'uru$ Be1ar "an ben%u( ana( !e'uru

    Ba'&1%&( 8(e2e!a%an6 ener*& (&ne%&(6

    1%ab&'&%a1 ana( !e'uru:

    Kera!uhan ana( !e'uru

    Ke!a"a%an )ar&n*an 1a1aran

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    Ber"a1ar(an )ara( 'u(a %emba(

    Lu(a %emba( ma1u( )ara( )auh

    Lu(a %emba( ma1u( )ara( "e(a%

    Lu(a %emba( ma1u( )ara( 1an*a% "e(a%

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    Lu(a %emba( (e'uar 8'eb&h be1ar 3/ "e;3rm&%a1

    ana( !e'uru "an %er&(u%n4a )ar&n*an !e2ah%u'an*: namun (a"an* b&1a beru(uran (e2&'b&'a (ehab&1an %ena*a 1aa% (e'uar %ubuh$

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    Kelim le(et < 'uban* 4an* "&(e'&''&n*& ba*&an 4an*(eh&'an*an (u'&% ar&

    Kelim kesat < a% 4an* me'e(a% !a"a ana( !e'uru

    4an* %eru1a! !a"a %e!& 'uban* 8'u(a %emba( ma1u()ara( )auh:

    Kelim tatto < bu%&r-bu%&r me1&u 4an* %&"a( hab&1%erba(ar a(an %er%anam !a"a (u'&% "&1e(&%ar ('&m 'e2e%

    8'u(a %emba( ma1u( )ara( "e(a%:

    Kelim $elaga < a1a! 4an* (e'uar "ar& u)un* 'ara11en)a%a

    Kelim api < h&!erem&1 a%au )ar&n*an 4an* %era(ar8'u(a %emba( ma1u( )ara( 1an*a% "e(a%:

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    Lu(a a(&ba% 1uhu

    Suhu tinggi "a!a% men*a(&ba%(an%er)a"&n4a heat exhaustion!r&mer$ Suhu

    'e%ha' e(13*en a"a'ah ,. "era)a% 2e'2&u1$ Lu(a ba(ar (3n%a( (u'&% "en*an ben"a

    ber1uhu %&n**&$ , "era)a% 'u(a ba(ar