PubMed · 14335241
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I MACIK. 1965. [MULTIPLE INJURIES].. https://pubmed.ncbi.nlm.nih.gov/14335241/
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Steamer accidents, through contact with the bucket wheel, are very seldom today. No publication of such a kind of fatal accident could be found in literature. We present the case of a fatal steamer accident, in which the findings of a blunt traumatization of a person by the ship was completely documented by post-mortem combined multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) examinations. A rupture of the aorta was detected using both radiological methods without use of radiopaque material. Radiological examination revealed a comminuted fracture of the thorax vertebrae at the same level as the aortic rupture. Injuries of the soft tissues of the back, caused by the bucket wheel of the steamer, were also diagnosed. In addition to the signs of blunt force trauma the findings of drowning such as an over inflation of the lungs, fluid in the stomach and duodenum were revealed. Furthermore, algological analysis detected diatoms in the lung tissue and blood from the left heart. Therefore, the cause of death was considered being a combination of fatal hemorrhage, caused by the aortic rupture, and drowning. We conclude that virtual autopsy using combined post-mortem MSCT and MRI is a useful tool for documentation, visualisation and analysis of the findings of blunt force trauma and drowning with a large potential in forensic medicine.
We report a study of 40 burnt bodies on which an autopsy was carried out at the Institut de Médecine Légale in Lyon (28 men/12 women, average age = 41 years, minimum age = 3 years, maximum age = 86 years). Criminal deaths (31%) represented the second cause of death after accidents (52%), and before suicide (16%). Criminal burning seemed mainly to be means of covering up homicide, whereas criminal immolation was rarer. The particular characteristics of each of these situations have been highlighted (tying or poisoning in criminal immolation). We deemed it essential to make X-rays, to look for injuries due to trauma and to carry out systematic toxicological analyses in a victim of burning.
A low-income mother is accused of child abuse after co-sleeping with, and then waking to find her 13-month-old daughter entangled and apparently strangling in the mother's hair. The baby was initially unconscious and cyanotic; revived by the time the parents reached the ER, clinical examination revealed a ligature mark on the neck and petechiae on the face. In a pro bono effort, her attorney teamed with RAM Consulting as an expert witness. RAM performed a six-part investigation including: (1) an anthropometric analysis, (2) determination of the strength of human hair, (3) characterization of the ligature mark, (4) an investigation into airway occlusion forces, (5) an investigation into the conditions required to initiate petechiae, and (6) a review of the literature. Our conclusion was that it is possible for a strangulation incident to occur when a young child is co-sleeping with a parent with long hair, and that this scenario may result in injury or death. Upon review of this report and RAM's deposition on this matter, the prosecuting attorney's expert witness withdrew her testimony and the judge dismissed the case.