Introduction: Head injury is a leading public health problem causing loss of life and limb particularly among young population throughout the world and our country is not an exception to this. Now-a-days, the term “head injury” has been replaced by the new term “traumatic brain injury (TBI).” The incidence of head injury is rising day by day worldwide because of inadequate traffic education, increased mechanization, and less implementation of road safety rules. Materials and Methods: The present study was undertaken on fatal head injury cases of road traffic accidents autopsied at Al-Ameen Medical College and District Hospital, Bijapur. The aim of this study was to describe in detail all the autopsy findings in head injury due to RTA. Results: Two-wheelers was the most commonly involved vehicle 114 (63.4%) cases. Next in the order was Pedestrians 47 (26.2%). In 54.9% victims facial injury was seen. Abrasion was seen in 61 (33.9%) victims (Isolated or in combination with other injures). In majority of the victims, contusion of the scalp was seen -137 (76.1%) (Isolated or in combination with other injures). Laceration was seen in 24 (13.3%) victims. In this study 166 (92.2%) had skull fracture. Fracture of vault and base together was seen in 121 (67.2%) Fracture of base alone was seen in 31 (17.2%) and in combination with vault constitute 152 (84.4%). In majority of victim comminuted fracture was seen 112 (70.0%). Conclusion: From this study it is definite that head is one of the most accessible, vital and vulnerable part of the body in road traffic accidents and so good things to avoid accident or to protect from accident, wear helmet and avoid alcohol during driving. Following road safety rules is atmost important to avoid accidents and head injury related to accident.

Keywords: Head Injury; Road Traffic Accident; PM Examination; Fracture of Skull.