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Three Deaths Associated With Facial and Upper Airway Burns Related to Oxygen Use.
Am J Forensic Med Pathol
December 2024
From the Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI.
Despite the implementation of numerous strategies to prevent unintentional burns, fire-related thermal injuries remain a significant source of morbidity and mortality. Unfortunately, fires that occur in the setting of medical oxygen do so despite many safeguards and warnings that accompany oxygen therapy. Oxygen-related accidental fires can occur both within the home and medical settings, and burns associated with these events tend to produce injuries of the face and upper airways.
View Article and Find Full Text PDFCorrelations between blood volatile hydrocarbon concentrations in different types of fire-related deaths.
Forensic Sci Int
December 2023
Department of Forensic Medicine, Faculty of Life Sciences, Kumamoto University, Japan.
Analysis of volatile hydrocarbons in blood from fire-related deaths provides useful information such as whether the victim inhaled smoke from the fire before death or whether an accelerant was used in the fire. In this study, we used headspace gas chromatography-mass spectrometry to quantify volatile hydrocarbons in post-mortem heart blood from 121 fire victims. The cases were classified into the following four groups according to the detected volatile hydrocarbons: construction fires without accelerants, kerosene fires, gasoline fires, and a group with no fire-related hydrocarbons detected (other fires).
View Article and Find Full Text PDFFire deaths in Cape Town, South Africa: A retrospective review of medico-legal and toxicological findings (2006 - 2018).
Burns
May 2024
Division of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory, Cape Town, 7935, South Africa; Forensic Toxicology Unit, Forensic Pathology Service, Western Cape Department of Health, Cape Town, South Africa.
Background: In South Africa, fire-related deaths are common, particularly within dense informal housing settlements. Published data on deaths from fire incidents in Cape Town is sparse. Additionally, little emphasis has been placed on the role of toxicological investigations in these deaths, despite the known risk of alcohol and drug impairment to burn injury.
View Article and Find Full Text PDFFactors associated with residential fire-related hospitalisations and deaths: A 10-year population-based study.
Burns
December 2023
Fall, Balance and Injury Research Centre, Neuroscience Research Australia, Randwick, NSW 2031, Australia; School of Population Health, University of New South Wales, Kensington, NSW 2033, Australia.
This study aims to identify residential fire risk factors and their health outcomes in terms of hospital admissions from burns and smoke inhalation together with related readmissions, length of hospital stay (LOS), costs of hospitalisation and mortality within 30 days of the fire incidence. Residential fire-related hospitalisations from 2005 to 2014 in New South Wales, Australia were identified using linked data. Univariate and multivariable Poisson regression analyses were performed to determine factors associated with residential fires on hospital admission and loss of life.
View Article and Find Full Text PDFA case of carbon monoxide poisoning before a vehicle fire: Availability of volatile hydrocarbons analysis.
Leg Med (Tokyo)
February 2023
Department of Forensic Medicine and Sciences, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. Electronic address:
Benzene is one of volatile hydrocarbons contained in fire smoke, and the concentrations in the blood are known to be positively correlated with that of carbon monoxide-hemoglobin (CO-Hb) in fire-related deaths. In this report, we present a vehicle fire case in which CO and benzene concentration is atypically un-correlated. The car driven by the vehicle dweller ran into an oncoming lane at high speed, hitting a traffic signal pole.
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