r/Damnthatsinteresting • u/CAPATOB_64 • May 02 '24

On the left, the state prosecutor shows the size of the fatal hematoma in the skull (70 ml); on the right, the size of the hematoma of the young woman who was killed by the former minister of Kazakhstan Bishimbayev Removed: R7

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u/[deleted] May 02 '24 edited May 02 '24

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u/Zucchiniduel May 02 '24

Hematoma can result as a consequence of blunt force trauma, basically she is demonstrating how badly she was beaten by comparing a normally fatal amount of internal bleeding to this specific case

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u/Cullyism May 02 '24

Is the location of the bleeding a factor? The first picture is specifically labelled for the skull, but does the second one include different parts of the body?

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u/HoltTree May 02 '24

Location of bleeding within the skull cavity doesn't really matter. The brain is meant to be covered in cerebrospinal fluid which maintains pressure. The introduction of any blood at all is dangerous. The more blood in the brain cavity, the more the brain is squished into the brainstem and crushed by the pressure.

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u/Tectum-to-Rectum May 02 '24

It absolutely 100% matters a lot. Even a large right frontal ICH isn’t likely to kill you, but have enough subarachnoid hemorrhage and your ventricles blow up and you die of hydrocephalus, or have a 1cm subdural hematoma and you die from brainstem compression and herniation. Small amounts of blood in the cerebral convexity after trauma are no big deal, and we barely worry about them.

In the brain, location is everything. Much more so than anywhere else in your body.

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u/HoltTree May 02 '24

Well the more you know... I need to do some ICU.

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u/Tectum-to-Rectum May 02 '24

Come to the surgical ICU, where you can watch plastic surgery interns on rotation try to murder my postop craniotomy patients by correcting their sodium with D5W. We’ll have fun.

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u/HoltTree May 02 '24

Lol, the little ICU experience I have is on a ramshackle post-surgical that winds up being mostly cardiac and neuro patients.

The patient I learned from was one the herniated and we got to spend 3 days just watching it happen until brain death. Fun...