Email this article A case of suspected fatal drug poisoning during resuscitation care for hydrogenic asphyxia
- Authors: Kuznetsov S.V.1, Molin Y.A.2, Reinuk V.L.3, Lodyagin A.N.4, Batotsyrenov B.V.4, Davydova Z.V.5, Lukovnikova L.V.3, Narzikulov R.A.4, Martinson T.G.4, Demidova E.O.3
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Affiliations:
- S.N. Golikov Scientific Research Center of the FMBA of Russia / department of extreme medicine, traumatology, orthopedics and military field surgery of the Federal State Budgetary Educational Institution of Higher Education «SPbGPMU of the Russian ministry of health»
- department of forensic medicine of the I.I. Mechnikov Northwestern State Medical University
- S.N. Golikov Scientific Research Center of the FMBA of Russia
- clinical toxicology department at the I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
- department of pathological anatomy with a course in forensic medicine named after professor D.D. Lokhov of the Federal State Budgetary Educational Institution of Higher Education «SPbGPMU of the Russian ministry of health»
- Section: Case reports
- Submitted: 28.05.2025
- Accepted: 03.08.2025
- Published: 22.10.2025
- URL: https://for-medex.ru/jour/article/view/16299
- DOI: https://doi.org/10.17816/fm16299
- ID: 16299
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Abstract
The article provides a detailed analysis of an indicative case of an asphyxic condition that occurred in a swimming pool in a young child and ended 16 days later with his death in a medical facility. The stages of providing assistance are given, starting with the first and ending with specialized medical care. The features of assistance to the preliminary investigation authorities in distinguishing the versions of the circumstances of death are described: drowning or possible improper provision of resuscitation care. The approaches of avoiding consideration of possible iatrogenic complications in isolation from the initial reason for providing medical care are substantiated. The necessity of observing safety regulations on the water is clearly illustrated.
Controversial aspects of the legal qualification of such situations are identified, and attention is also drawn to the lack of a unified methodology in their expert assessment. Additionally, omissions in conducting forensic medical examinations in such cases are shown, the problem of the inadmissibility of a superficial approach in the course of their implementation is highlighted, and ways to eliminate existing shortcomings are proposed.
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About the authors
Semyon Valerievich Kuznetsov
S.N. Golikov Scientific Research Center of the FMBA of Russia / department of extreme medicine, traumatology, orthopedics and military field surgery of the Federal State Budgetary Educational Institution of Higher Education «SPbGPMU of the Russian ministry of health»
Author for correspondence.
Email: nachsml@mail.ru
ORCID iD: 0000-0002-3132-8522
SPIN-code: 5122-0242
candidate of medical sciences, associate professor
leading researcher; associate professor of the department
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Yuri Aleksandrovich Molin
department of forensic medicine of the I.I. Mechnikov Northwestern State Medical University
Email: juri.molin@yandex.ru
ORCID iD: 0000-0002-4343-4656
SPIN-code: 7439-0540
doctor of medical sciences, professor, Honored doctor of the Russian Federation
professor of the department
Russian Federation, 195067, Saint Petersburg, Piskarevsky ave., house 47, pav. 26Vladimir Leonidovich Reinuk
S.N. Golikov Scientific Research Center of the FMBA of Russia
Email: institute@toxicology.ru
ORCID iD: 0000-0002-4472-6546
SPIN-code: 5828-0337
doctor of medical sciences, associate professor
acting director
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Aleksei Nikolaevich Lodyagin
clinical toxicology department at the I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Email: alodyagin@mail.ru
ORCID iD: 0000-0002-8672-2906
SPIN-code: 4886-8890
doctor of medical sciences, associate professor
head of the department - chief Toxicologist of the Ministry of Health of the Russian Federation
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Bair Vasilievich Batotsyrenov
clinical toxicology department at the I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Email: bbair@mail.ru
ORCID iD: 0000-0003-4954-8977
SPIN-code: 5804-4264
doctor of medical sciences, associate professor
chief researcher of the department
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Zlata Vyacheslavovna Davydova
department of pathological anatomy with a course in forensic medicine named after professor D.D. Lokhov of the Federal State Budgetary Educational Institution of Higher Education «SPbGPMU of the Russian ministry of health»
Email: zlata.davydova@rambler.ru
ORCID iD: 0000-0002-6673-8230
SPIN-code: 7016-7086
candidate of medical sciences, associate professor
associate professor of the department
Russian Federation, 194100, Saint Petersburg, Litovskaya str., house 2Lyubov Vladimirovna Lukovnikova
S.N. Golikov Scientific Research Center of the FMBA of Russia
Email: lukovnikova.l.v@toxicology.ru
ORCID iD: 0000-0002-6368-680X
SPIN-code: 5101-9477
doctor of medical sciences, professor
leading researcher
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Rustam Abdukhalimovich Narzikulov
clinical toxicology department at the I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Email: rnarzikulov@yandex.ru
ORCID iD: 0000-0002-6788-3050
SPIN-code: 1958-4902
doctor of medical sciences
researcher of the department
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Tatiana Gerbertovna Martinson
clinical toxicology department at the I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine
Email: martinson.t@mail.ru
ORCID iD: 0009-0006-5368-7493
SPIN-code: 6017-5632
candidate of medical sciences
researcher of the department
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Ekaterina Olegovna Demidova
S.N. Golikov Scientific Research Center of the FMBA of Russia
Email: bedskaya.667@yandex.ru
ORCID iD: 0009-0003-0820-8471
SPIN-code: 1618-1510
junior researcher of laboratory of morphology and electron microscopy,
PhD student of the first year of full-time education in the specialties of «Toxicology» and «Forensic medicine»
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1References
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