Email this article 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
- Submitted: 18.01.2023
- Accepted: 20.03.2023
- Published: 29.06.2023
- URL: https://for-medex.ru/jour/article/view/797
- DOI: https://doi.org/10.17816/fm797
- ID: 797
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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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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
Россия, 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
Россия, 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
Россия, 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
Россия, Saint PetersburgReferences
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