Publications by authors named "Petr Hejna"
Article Synopsis
- - Avalanches are infrequent in the Czech Republic, with ten recorded fatalities between 1993-2015, mostly involving young males (average age 27.9 years) engaged in winter sports like skiing and snowboarding
- - The primary causes of death included suffocation and blunt trauma, with some victims suffering from prolonged shock after being rescued, which contributed to their fatalities
- - No instances of alcohol or drug influence were found among the victims, and rescue times after avalanche incidents varied from minutes to three hours
Article Synopsis
- Power hammers are essential machines in steel manufacturing, but injuries are uncommon.
- A 52-year-old man died after a metallic object he was using with a power hammer struck him in the chest, leading to severe internal injuries.
- The autopsy revealed that he died from blood loss due to injuries to his heart and aorta, and the incident was linked to violations of safety regulations, marking a first in recorded fatalities related to this type of power hammer.
Article Synopsis
- The text discusses the dangers of autoerotic paraphilic behaviors, which can lead to unusual and potentially fatal outcomes.
- It presents a case study of a 30-year-old man who died while engaging in multiple paraphilic activities, including dangerous body wrapping and electric stimulation.
- His death resulted from an accident—an electric massager short-circuited, leading to electrocution—highlighting the risks associated with these practices.
Article Synopsis
- * In cases of SCD with unclear autopsy results, genetic testing is recommended to identify hereditary heart conditions, following global and European guidelines.
- * The Czech Society of Forensic Medicine has outlined a specific procedure for investigating these cases, emphasizing a collaborative approach involving various disciplines for thorough examination.
Article Synopsis
- Forensic medicine integrates multiple fields, collaborating with specialists like toxicologists, radiologists, and other experts, to enhance its practice.
- The article examines eponymous terms (terms named after people) used in forensic medicine, analyzing 28 terms from four Czech textbooks published between 1937 and 2016.
- It discusses the origins, benefits, and drawbacks of these terms, as well as their roles in professional and lay communication within the forensic context.
Article Synopsis
- A 36-year-old man was admitted to the hospital with severe respiratory distress and coughing up blood after injecting 20 milliliters of pure gasoline.
- Despite providing the highest level of medical support, he died within four hours, and a postmortem examination revealed diffuse pulmonary hemorrhage as the cause of death.
- This case underscores the importance of recognizing gasoline poisoning as a rare but possible cause of hemoptysis and lung bleeding in clinical settings.
Traumatic Decapitation of the Fetus During Birth: Criminalistic and Forensic Aspects.
Am J Forensic Med Pathol
September 2020
Article Synopsis
- Serious intrapartum fetal injuries, while rare, can have significant consequences for medical staff, though most birth traumas are minor and resolve shortly after birth.
- A unique case of complete fetal decapitation occurred during labor complicated by shoulder dystocia, leading to severe mechanical trauma to the fetal neck.
- Although such tragic outcomes might not imply medical malpractice, they can raise serious ethical and legal concerns.
Article Synopsis
- Autoerotic deaths occur during solitary sexual activities where individuals use devices or methods to enhance arousal, but can occasionally lead to fatalities.
- The paper details a case of a 35-year-old man who suffered fatal injuries due to an expandable rubber pipe stopper that he inserted and inflated, causing severe rectal trauma.
- This case highlights the risks associated with unusual autoerotic practices and discusses the need for greater awareness and understanding of atypical autoerotic deaths in the medical and legal fields.
Article Synopsis
- The text discusses the importance of conducting clinical forensic examinations for victims of physical or sexual assault, emphasizing that proper documentation and analysis of findings are crucial for legal proceedings.
- It highlights that timely examinations are essential for securing biological evidence, as the ability to collect such samples diminishes quickly over time.
- The Ludwig Boltzmann Institute's JUSTU project aimed to assess the availability of low-threshold clinical forensic examinations across EU member states, sharing insights from a questionnaire on victim support services.
Article Synopsis
- The study addresses the urgent need for effective biomarkers for early detection of ovarian cancer, focusing on a four-gene methylation panel that includes CDH13, HNF1B, PCDH17, and GATA4.
- The research utilized advanced methylation detection methods and found that the panel achieved an impressive sensitivity of 88.5%, successfully identifying methylation in a high percentage of both early and late-stage tumors.
- With results showing 100% specificity and a 94.4% efficiency, the study suggests the potential of this four-gene panel for diagnosing high-grade serous ovarian carcinoma, while highlighting the need to explore less invasive testing methods like plasma analysis.
Asphyxiated while hunting for treasure: an unusual geocaching fatality.
Forensic Sci Med Pathol
December 2019
Article Synopsis
- Geocaching is a tech-driven treasure hunt that uses GPS devices or smartphone apps to locate hidden treasures marked by GPS coordinates shared online, but it comes with risks like falls and environmental injuries.
- A case study reports on an experienced geocacher who died while attempting to rappel from a railway bridge to retrieve a geocache, ending up suspended with climbing gear causing asphyxia.
- The investigation into the death revealed that a camera recording helped reconstruct the incident, and the autopsy confirmed asphyxiation as the cause, prompting discussions on the forensic risks associated with geocaching.
Article Synopsis
- Cardiac strangulation is a rare condition where epicardial pacing wires can embed around a growing heart, leading to over-pressurization and potential damage to heart structures.* -
- The case study highlights a 29-year-old male who died suddenly after 30 years of having a pacing wire in place, with autopsy revealing an enlarged, oddly-shaped heart and significant tissue changes.* -
- The article also reviews existing research on this phenomenon, emphasizing important clinical and legal considerations for medical professionals.*
Article Synopsis
- Advanced diagnostic methods, including postmortem CT and MRI, are becoming more prevalent in forensic medicine alongside traditional autopsy techniques.
- Despite these advancements, conventional autopsies remain essential for accurate diagnosis in forensic cases.
- Interdisciplinary collaboration in forensic medicine and anthropology, as well as the exploration of non-invasive techniques, is leading to innovative methods like 3D printing and body scanning, though some technologies are still in experimental stages.