In response to the subject of forensic diagnosis of a human death caused by exposure to low-temperature water
- Authors: Chudakov A.Y.1, Tolmachev I.A.2, Khrustaleva Y.A.2, Bozhchenko A.P.2
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Affiliations:
- Saint Petersburg University of Ministry of Internal Affairs of the Russian Federation
- Military medical academy
- Issue: Vol 9, No 2 (2023)
- Pages: 125-134
- Section: Original study articles
- URL: https://bakhtiniada.ru/2411-8729/article/view/133092
- DOI: https://doi.org/10.17816/fm797
- ID: 133092
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Abstract
BACKGROUND: Examining corpses recovered from the water often poses challenges in forensic medical evaluation.
AIM: To propose a clarifying set of differential diagnostic features characteristic of a fatal cold injury in low-water temperature conditions.
MATERIALS AND METHODS: Clinical observations, forensic examination of the corpses of patients who died from general hypothermia and drowning in ice water.
RESULTS: A complex of the most apparent diagnostic signs for the differential diagnosis of acute deep hypothermia in water from other types of hypothermia and drowning was revealed.
CONCLUSION: Morphofunctional changes in the internal organs have always been determined by hypothermia’s type, degree, and speed. The most characteristic signs of a fatal cold injury in low-water temperature conditions were determined by the state of the blood supply and the structure of organs and tissues. Pathological changes developed according to the type of edema, focal ischemia, and focal necrosis.
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##article.viewOnOriginalSite##About the authors
Alexander Y. Chudakov
Saint Petersburg University of Ministry of Internal Affairs of the Russian Federation
Email: chief.chudakow@yandex.ru
ORCID iD: 0000-0003-3443-7908
SPIN-code: 2822-8027
Dr. Sci (Med.), Professor
Russian Federation, Saint PetersburgIgor A. Tolmachev
Military medical academy
Author for correspondence.
Email: 5154324@mail.ru
ORCID iD: 0000-0002-5893-520X
Scopus Author ID: 291223169513x49
ResearcherId: I-7544-2018
Dr. Sci (Med.), Professor
Russian Federation, Saint PetersburgYulia A. Khrustaleva
Military medical academy
Email: khrustaleva-julia@yandex.ru
ORCID iD: 0000-0001-5282-7219
SPIN-code: 3622-5270
Dr. Sci (Med.), Assistant Professor
Russian Federation, Saint PetersburgAlexander P. Bozhchenko
Military medical academy
Email: bozhchenko@mail.ru
ORCID iD: 0000-0001-7841-0913
SPIN-code: 1110-0515
Dr. Sci. (Med.), Assistant Professor
Russian Federation, Saint PetersburgReferences
- Sundukov VA. Sudebno-meditsinskaya ekspertiza utopleniya. Astrakhan: Saratov State Medical University; 1986. 110 р. (In Russ).
- Pigolkin YuI, Solodovnikov VI, Kislov MA, Oganesyan NS. Comparative epidemiology of thermal injury and hypothermia. Sudebno-Meditsinskaya Ekspertiza. 2021;64(2):4–9. (In Russ). doi: 10.17116/sudmed2021640214
- Chudakov AYu, Bozhchenko AP, Khrustaleva YuA, Tolmachev IA. Morphological signs of fatal acute general cold injury in the air. Russian Journal of Forensic Medicine. 2022;8(3):47–55 (In Russ). doi: 10.17816/fm742
- Shigeev VB, Shigeev SV. Ocherki o kholodovoi travme. Moscow: “August Borg” Printing house; 2016. 528 р. (In Russ).
- Klevno VA, Chumakova YuV, Korotenko OA, et al. Virtopsia in the case of sudden death of a teenager. Russian Journal of Forensic Medicine. 2020;6(1):41−45. (In Russ). doi: 10.19048/2411-8729-2020-6-1-41-45
- Chudakov AYu. Sudebno-medicinskaya i fiziologicheskaya harakteristika ostroj obshchei glubokoi akcidental’noi gipotermii [abstract of the dissertation]. Saint Petersburg; 1997, 23 р. (In Russ).
- Chudakov AYu. Sudebno-medicinskaya i fiziologicheskaya harakteristika ostroj obshchei glubokoi akcidental’noi gipotermii [dissertation]. Saint Petersburg; 1997. 343 р. (In Russ).
- Puparev KV. Vtyanutye testis vverkh k bryushnomu kol’tsu, kak priznak postoyannyi i bolee drugikh priznakov kharakterizuyushchii smert’ ot zamerzaniya. Drug zdorov’ya. 1847;43:339–340. (In Russ).
- Desyatov VP. Smert’ ot obshchego pereohlazhdeniya organizma [abstract of the dissertation]. Tomsk; 1969. 27 р. (In Russ).
- Raiskii MI. K ucheniyu o raspoznavanii smerti ot holoda [abstract of the dissertation]. Tomsk; 1907. 27 р. (In Russ).
- Sveshnikov VA. O novom priznake v diagnostike utopleniya. In: Forensic medical examination and criminalistics in the service of the investigation (collection of works). Stavropol. 1965. Iss. 4. P. 348–350. (In Russ).
- Blonssfeld T. Die gerichtsarztliche Auffassung der Todesursachen besondere uber den Tod durch Erfrieren in Beziehungzu seinen Bedingungen und Ursachen. Z. Staatsarzneikunde. 1860;40:143–174. (In German).
- Desyatov VP. Smert’ ot pereokhlazhdeniya organizma. Tomsk; 1977. 126 р. (In Russ).
- Dieberg C. Hundert gerichtliche Sektionen. Tod durch Kalte. Vierteljahresschr. Gerichtl. Offetl. Med. 1864;l:303–316. (In German).
- Fabrikantov PA. K morfologicheskim priznakam smerti ot ohlazhdeniya tela. In: Sbornik nauchnyh rabot po sudebnoj medicine i pogranichnoj oblasti. Moscow: 1955;2:68–70. (In Russ).
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