Burn Injury

Cooper, P

doi:10.1007/1-84628-026-5_9

Cited by 5 publications

(5 citation statements)

References 64 publications

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“…This corroborates, no much differences in accuracy of the combination of physical method and VH K + concentration for estimation of PMI and VH K + concentration alone in burn cases (using all the previously described methods for testing the accuracy of the resulted equations). These results have differences from results in control cases and can be explained by the fact that, the death due to thermal burn has effects on the PM changes specially rigor mortis and hypostasis, which not found in control cases (Cooper, 2006 andChintalwar et al, 2016) In this study, it was found that, equation 1 which depend on VH K + concentration has no significant difference between control and burn cases, but significant differences were found in equation 2, 3 and 4 between control and burn cases which depend on combination of physical method and VH K + concentration, this indicates that in burn death, estimation of PMI by VH K + concentration more better than physical methods which influenced by burn.…”

Section: Honjyo Et Al (2005)contrasting

confidence: 65%

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Vitreous potassium concentration as a predictor of postmortem interval in severe burn deaths at Alexandreia mortuary

hindawy

Sawaf

Ramsis

et al. 2019

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

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Background: Postmortem interval estimation (PMI) is an important goal in forensic medicine. Aim: to estimate PMI using a scoring method for postmortem changes; hypostasis, rigidity and corneal turbidity in burn cases, potassium (K +) in vitreous humor (VH) and serum and compare accuracy of thanatochemistry and scoring method for postmortem changes in estimation of PMI. Methods: The study was conducted from May 2017 to May 2018, 50 burn cases where autopsy confirmed the cause of death as severe burns and another 50 control cases. Physical postmortem changes were assessed and numerically scored. The VH (K +) and serum levels were measured. Data were statistically analyzed and linear regression analysis was used to obtain equations for calculation of PMI. Results: All studied variables in the present study were significantly correlated with PMI; highest correlation coefficient in control and burn groups was for VH (K +) level, followed by corneal turbidity and serum K + then rigidity in burn groups, but in control groups the highest correlation coefficient was for VH (K +) and serum levels, followed by rigidity then corneal turbidity and lastly hypostasis. All equations obtained from the present study can predict PMI but with different levels of accuracy. Conclusion: The scoring method for physical postmortem changes was proved to be more valuable in PMI estimation than thanatochemistry.

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Section: Honjyo Et Al (2005)contrasting

confidence: 65%

“…In burn groups no significant correlation was noticed between hypostasis scores and PMI, the hypostasis not recognize and masked or not seen due to severe burns . Cooper, (2006) stated that restriction of the postmortem hypostasis caused by severe burn.…”

Section: Discussionmentioning

confidence: 91%

Vitreous potassium concentration as a predictor of postmortem interval in severe burn deaths at Alexandreia mortuary

hindawy

Sawaf

Ramsis

et al. 2019

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

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“…External signs that the body was exposed to heat before death could be blisters on the skin, petechial hemorrhages in deeper skin layers and the conjunctivae [1,2]. It is important to mention that blisters may be present in postmortem burns as well, however they tend to be yellow, pale, filled with air and/or clear fluid with no red base present [3]. The presence of a line of redness around the burn has been regarded as evidence of vital reaction, however, it is not considered reliable as a red rim is frequently seen around postmortem burns [3].…”

Section: Discussionmentioning

confidence: 99%

“…It is important to mention that blisters may be present in postmortem burns as well, however they tend to be yellow, pale, filled with air and/or clear fluid with no red base present [3]. The presence of a line of redness around the burn has been regarded as evidence of vital reaction, however, it is not considered reliable as a red rim is frequently seen around postmortem burns [3]. In assessing antemortem signs of skin burns, the histopathology shows inflammatory tissue reaction: dilated capillaries, coagulative necrosis, swelling of epidermal cell nuclei, edema of the subepidermal connective tissue, vacuolization and elongation of cells and cell nuclei and polymorphonuclear leucocytic infiltration.…”

Section: Discussionmentioning

confidence: 99%

“…In assessing antemortem signs of skin burns, the histopathology shows inflammatory tissue reaction: dilated capillaries, coagulative necrosis, swelling of epidermal cell nuclei, edema of the subepidermal connective tissue, vacuolization and elongation of cells and cell nuclei and polymorphonuclear leucocytic infiltration. These signs are not seen in the examination of postmortem burns [1,3].…”

Section: Discussionmentioning

confidence: 99%

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Homicides Disguised as Fire Deaths

Žiūkaitė,

Jasaitė,

Chmieliauskas

et al. 2023

AML

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Background: When conducting a forensic examination of burnt bodies, it is important to determine whether the victim was exposed to fire while alive or after death. The differential diagnosis between antemortem and postmortem burning is difficult and often cannot be made based on information obtained solely from the autopsy. The aim of the study is to review current literature on this topic and present clinical cases that illustrate how challenging the determination of vitality during the fire and manner of death can be.Materials and methods: We present four cases of burnt homicide victims, illustrating the complexity of forensic determination of the cause of death in the fire and the importance of differential diagnosis of antemortem and postmortem exposure to flames.Results: In the forensic assessment autopsy is a fundamental to determine the cause of death. When death is related to fire, particular findings during autopsy can help to suspect that the victim was alive. One of the main antemortem signs is the deposition of soot in the respiratory tract. Another important test is the toxicological analysis, which determines the level of carboxyhaemoglobin in the blood: a concentration of more than 50% indicates that the person died in the fire.Conclusions: Forensic examination of burnt bodies requires a comprehensive and detailed assessment of all available data. The autopsy, together with additional diagnostic forensic methods, including histological examination, toxicological analysis and postmortem computed tomography, allows the exact cause of death to be determined.

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