Accidental fire deaths

Ar, Copeland

doi:10.1007/bf00200525

Cited by 16 publications

(4 citation statements)

References 7 publications

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“…As compared to other accidental fatalities [5][6][7][8], boating deaths share a common theme a youth, alcohol, and stupidity. Similarly, a white male preponderance among the victims is noted in other recreational accidental deaths [5], accidental gunshot fatalities [6], teenage deaths [7], and in accidental fire deaths [8].…”

Section: Discussionmentioning

confidence: 95%

“…Similarly, a white male preponderance among the victims is noted in other recreational accidental deaths [5], accidental gunshot fatalities [6], teenage deaths [7], and in accidental fire deaths [8]. It may well behoove society to direct a public education campaign as to the hazards of poor judgement and alcohol to this group of individuals to prevent further tragedy.…”

Section: Discussionmentioning

confidence: 95%

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Non-commercial, accidental water transport (boating) fatalities

Copeland¹

1986

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A study of non-commercial accidental water transport (boating) fatalities was performed on the case files of the Office of the Medical Examiner of Metropolitan Dade County in Miami, Fla., during the years 1980-1984. A total of 23 cases were collected and analyzed as to the age, race, sex, and the cause of death of the victim along with the blood alcohol content and the Urine EMIT drug screen at autopsy. Furthermore, the type of boat involved, the geographic locale, the time of the incident, the reason or risk factor for the incident, and the scene circumstances were also noted. Commonly, one is dealing with a male population below the age of 30 years who die of drowning. In approximately half of the cases alcohol is detected. The scenario involves "small" boats or canoes in the Atlantic Ocean or in canals in the afternoon or evening. Inexperience in boating/or stupidity plays a key role. A discussion ensues concerning recommendations designed to avoid such tragedies.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 95%

Non-commercial, accidental water transport (boating) fatalities

Copeland¹

1986

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“…Die Flammeneinwirkung selbst kann -bei raschem Erfal3twerden ganz schnell -zum akuten Todeseintritt fiahren [1,5,6,13,25], sogar ohne dab es zu st~irkeren Verbrennungen gekommen sein mug [4,16]. Da bei unmittelbarem postmortalen (starken) Weiterverbrennen eine Abgrenzung zu den noch vital erlittenen Brandverletzungen praktisch unm6glich ist [16,24], lfil3t sich dies abet -wenn tiberhaupt -nur aus der Gesamtschau aller Befunde und Umstande ableiten.…”

Section: D) Zur Todesursache Beim Verbrennungstodunclassified

Blutaustritte im Kopf- und Halsbereich beim Verbrennungstod

Maxeiner

1988

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The 202 deaths connected with burns in 1976-1986 included 134 in which death occurred during the fire. In 49 cases the face was so badly charred that it was not possible to judge whether hemorrhage had occurred in the eyelids and/or conjuctivae. Such blood extravasation was seen in 14 of the remaining 85 cases, taking the form of petechiae in some cases and in others the form associated with more extensive extravasation, in some cases hemolytic. No other features known to cause such hemorrhages were present, so that they are attributed to the burning process itself. Signs of extensive pronounced burns were found in 13 of these cases, and it seemed that high-degree burns on the neck and trunk with less severe burns on the head were particularly likely to be associated with such hemorrhages. In most cases the flames had quickly come into direct contact with the body (clothing, bed or chair had caught fire), leading to rapid death, as documented by the fact that usually very little or no soot at all had been aspirated and by the low level of carbon monoxide intoxication (max. COHb 22%). One plausible explanation for the development of hemorrhage is the supposition first expressed over 20 years ago that when the circulation is maintained rapid burn-induced shrinkage of the skin of the neck has the effect of strangulating the victim; hemorrhage of eyelids and/or conjunctivae in such cases be could regarded as a vital reaction to the effect of fire. This is particularly significant, insofar as evidence of hemorrhage of this kind was found predominantly in bodies in which other vital signs indicative of the effects of burning were sparse and slight or even totally absent. In addition, specific examination of the laryngeal area revealed congestion-induced extravasation at various points, as well as petechial hemorrhage in the mucous membrane.

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“…Residential fires are of particular concern for older people because reduced mobility and the effect of chronic medical conditions may impede egress. Although several studies have reported risk factors for and characteristics of fire‐related deaths 13–23 , little information has been published pertaining specifically to older people 24–27 …”

mentioning

confidence: 99%