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This woman died after getting hit by a train. Her right arm got amputated along with bruising of the face and chest. No further info. Railway injuries are not uncommon, especially in countries with many ‘level crossings’ (called ‘grade crossings’ in the USA), where a public road crosses a railway track with either no barrier at all or with only a flimsy lifting pole. Many vehicles are struck each year by passing locomotives.

Fig.1 Amputation of the right arm and bruising of the face and chest in a pedestrian struck by a passing locomotive.

The other fairly common railway fatality is the suicide who lays himself in front of an approaching train. Decapitation is the most common injury and the obvious features are the local tissue destruction, usually with grease, rust or other dirt soiling of the damaged area.

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