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Forensic Pathology

Nonchemical Suffocation Deaths In Forensic Setting: A 6-year Retrospective Study Of Environmental Suffocation, Smothering, Choking, And Traumatic/Positional Asphyxia*

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Abstract

There are still several areas of forensic pathology mainly based on tradition, with textbooks explaining and describing common knowledge that is not supported by modern research data. This study is intended to contribute to evidence-based data on nonchemical suffocation deaths in the forensic population aged more than 1 year. From 2000 to 2005, all autopsy cases were reviewed: age, gender, type of suffocation, and manner of death were compiled for all victims (96 cases). In general, the results from this study are concordant with the textbook literature, therefore supporting common knowledge related to manner of death in nonchemical suffocation. However, discrepancies have been underscored in smothering: smothering, contrary to the general belief, is probably not mostly homicidal, and accidental smothering is probably not that unusual. Furthermore, new data without actual literature correlates were obtained in the conducting of this study and are presented here....

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Homicide in the Bathtub

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Abstract

Retrospective analysis of the deaths investigated in the Institute of Forensic Medicine of the University of Cologne (1980–1993) revealed 215 fatalities in the bathtub comprising 11 homicides. In six cases mouth and nose were found beneath the surface of the water, and signs of drowning were encountered in four cases. In two cases drowning was the cause of death, the remaining fatalities being due to strangulation or sharp violence. Four corpses had merely been deposited in the bathtub, four homicides were committed in the bath, and three victims were put into the bathtub to control or ensure the occurrence of death. Two homicides were not recognized before autopsy. The particular difficulties of establishing the diagnosis of strangulation under the conditions of water-logging are discussed...

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Burnt Wives: A Study of Homicides

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Abstract

The death of married females nowadays is very common in India, usually being associated with dowry disputes. In India, dowries are a continuing series of gifts endowed before and after the marriage. When dowry expectations are not met, the young bride may be killed or compelled to commit suicide, most frequently by burning. In a cohort of 152 burned wives, 47 (31%) were homicidal burns and these cases were analyzed in view of epidemiological and medicolegal aspects. Homicide by burning amongst women is a major concern in India as it has become pervasive throughout all social strata and geographical areas. In this series, most women were from extended families (i.e. multigenerational groups of related individuals living under a single roof) and the homicides occurred within the first few years of their marriages. The majority of the affected wives were 16-25 years of age (77%) at the time of the incident and...

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A Review of the Trends of Self-Inflicted Burns.

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Abstract

During 1979-1998, 7139 patients were admitted to the Birmingham Burns Centre. Of these, 184 patients were identified with self-inflicted burns. There were 115 males and 69 females. The mean age was 37.4 +/- 14.6 years and mean size of burn was 41.1 +/- 31.3% of total body surface area (TBSA). The yearly admissions of these burns appeared to show a decline, while their percentage as compared to burn admission from other causes showed a rise in the trend. Statistically, however, these trends were not different from zero. During the studied period, there were 446 deaths, of which 81 (18%) were due to self-inflicted burns. The mortality in the self-inflicted burn patients was therefore 44%. The average size of burn in those who died was 67% TBSA, while in those who survived was 21% TBSA. The observed mortality when compared with expected mortality, as derived from mortality probability chart, showed that the...

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Investigation of the Demographic Characteristics and Mental Health in Self-Immolation Attempters

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Abstract

Background

Self immolation is a heinous way to commit suicide which is mostly prevalent in individuals who attempt to escape a stressful situation and is considered as a strange and unusual method.

Objectives

This study examined demographic characteristics and mental health in self immolation attempters in the city of Bandar Abbas.

Materials and Methods

Two groups are involved in this enquiry. A group of 30 participants who have committed self-immolation and the other consisting of 15 non-committers. To conduct the study, MMPI questionnaire of Minnesota was employed accompanied with demographic information and descriptive statistics as well as independent “t-test”.

Results

The research findings indicate that the self-immolation attempters were mostly among singles, females, low literates or illiterates, and housewives within the age group of 10-30 years old. According to the research there was a significant difference between two groups regarding personality characteristics and records of hypochondriasis, depression, psychopathic deviation,...

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How To Read A Stab Wound

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Most emergency departments do not see much penetrating trauma. But it is helpful to be able to learn as much as possible from the appearance of these piercing injuries when you do see them. This post will describe the basics of reading stab wounds.

Important: This information will allow some basic interpretation of wounds. It will not qualify you as a forensics expert by any means. I do not recommend that you document any of this information in the medical record unless you have specific forensic training. You should only write things like “a wound was noted in the midepigastrium that is 2 cm in length.” Your note can and will be used in a court of law, and if you are wrong there can be significant consequences for the plaintiff or the defendant. This information is for your edification only.

1. What is the length of the wound? This does not necessarily...

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Skin Tension And Cleavage Lines (Langer’s Lines) Causing Distortion Of Ante- And Postmortem Wound Morphology.

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Abstract

The assessment of individual wounds at autopsy may be complicated by the superimposition of a number of injuries or damage to tissues that occurred after death, either of which has the potential to distort the morphology of the initial injury. Additional factors that may change the shape of wounds are (1) the relationship of the wound to the so-called skin cleavage lines (Langer's lines) and (2) tension placed on the skin. Three autopsy cases are reported to demonstrate once more how wound morphology may be altered by such factors. In case 1, rectangular stab wounds to the base of the neck in a 53-year-old man, which suggested that a square or rectangular tool may have caused the injuries, were altered to more typical knife stab wounds once skin tension had been released at autopsy. The uppermost wounds, however, continued to gape due to the effects of skin cleavage lines. In case...

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Comparison Of Wound Patterns In Homicide By Sharp And Blunt Force.

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Abstract

A comparison of patterns of injuries between sharp force and blunt force homicide was performed. Male predominance was seen in both types of homicides. Most of the victims of sharp force were between 21 and 40 years and those of blunt force between 31 and 40 years. There was no difference in the incidence of victims below 20 years age, but blunt force was almost five times more than sharp force in victims of age above 60 years. Thorax was the commonest site to be involved in sharp force in contrast to head in blunt force. Hand and forearm were the commonest sites of defence injuries in sharp and blunt force homicides, respectively. The majority of the blunt force victims had lesions in only one region in contrast to involvement of 2-4 regions in sharp force. The majority of the victims were killed by..

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