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Biomedical subjects

I Pedal

Publications and source records attributed to I Pedal.

57 records · Page 4Linked to original sources

[Fatal sodium azide poisoning in a hospital: a preventable accident].

A case of fatal sodium azide poisoning is reported. From the hospital staff, a 57 year old patient had obtained 1 g of sodium azide in order to put it as a preservative, in his 24 hour urinal. Probably due to an error, he swallowed the total dose. A cardiovascular collapse was cause of the death after five hours of intensive treatment and reanimation. Azide anions were found in blood (traces, less than 0.5 mg/L), vitreous (10 mg/L) and cerebrospinal fluid (20 mg/L). The use of sodium azide for disinfection of urine samples should be regarded as obsolete. Less toxic substances for disinfection are available. To avoid chemical disinfection, urine samples can be kept at 4-8 degrees C prior to rapid analysis.

Azides↗

[Sudden fatalities in mechanically restrained patients].

We report on 7 nursing home or hospital patients who died suddenly and unexpectedly during physical restraint. Four of the patients were found dead hanging beside their beds, with their waist restraints displaced to the thorax. In spite of a variety of preexisting diseases, asphyxia by thorax compression was the most probable cause of death. Three other patients, when falling out of their beds, were strangulated by the head opening of a nursing bedcover fixed to the bed. In all instances the fatal accidents resulted from improper handling of the restraint devices, namely from the omission of bed rails as well as of the obligatory waist belt lateral fixations. The bedcover type involved in three fatalities is destined for care purposes but not licensed as a restraint device. Physical restraint fatalities can be avoided to a large extent if the producers' instructions are strictly observed, and only especially trained and supervised personnel is admitted to this field of duties.

Aged↗

[Cadaver lipid: various origins add to the difficulty of assessing postmortem time].

Establishing the length of time since death is particularly difficult in corpses showing advanced putrefaction. One particular sign of advanced decay is the formation of adipocere, as observed mainly in drowned bodies or following a long period of storage under airtight conditions. During storage in an open, damp environment (e.g. water) the formation of adiopocere becomes visible after approximately 3-6 months and can be found in more extensive form after approximately one year. In this state bodies show evidence of a partly waxlike and partly pasty condition. Continued storage ultimately results, among other things, in further decomposition due to the action of microorganisms from the surrounding area-even if this is chronologically delayed. An exception is provided by the formation of adipocere under air-tight conditions (e.g. wrapped in plastic material or in mass graves). Initially autolysis and heterolysis also occur, involving the release of fatty acids from the lipids produced naturally in the body. As a result of the subsequent hydrogenation of the fats by the action of bacterial enzymes, the unsaturated fatty acids are partially converted into saturated fatty acids. As the fatty acids released in large quantities during adipocere formation clearly have a bactericidal effect, further bacterial decomposition is stopped at this early adipocere stage. Additional microorganisms from outside can no longer infiltrate when this hermetic seal is in place. In addition, the lack of calcium (e.g. from water or moist earth) can be a reason for the fact that further adipocere development, leading to wax-like hardening of the fat, is arrested. The soft parts of the body retain a soft, viscous consistency. Thus the condition of the body can remain constantly preserved over many years and no longer allows a reliable estimate to be made of the period of time since death.

ABO Blood-Group System↗