Possibilities of a fatal damage case complex diagnostics caused by atmospheric electricity - practical observation

Cover Page

Cite item

Full Text

Abstract

Background: A lightning strike causes macro- and micromorphological changes in the human body as a whole due to a combination of several damaging factors. Clinical case: Using an example from the forensic medical expert practice demonstrating the possibilities of a comprehensive approach (autopsy, biochemical, histological, and medico-forensic investigations) to the diagnosis of trauma arising from atmospheric electricity exposure. Conclusion: Complex assessment based on a wide range of laboratory studies made it possible to diagnose at a qualitatively new level, reasonably reconstruct circumstances of the injury that occurred in conditions of nonobviousness, and constructively solve a wider range of issues in the interests of the investigating authorities and court.

About the authors

Dmitry A. Karpov

Tyumen Regional Bureau of Forensic Medicine; Tyumen State Medical University

Author for correspondence.
Email: karpovsme@mail.ru
ORCID iD: 0000-0002-2608-7111
SPIN-code: 3787-7482

Cand. Sci (Med.), Assoc. Prof.

Russian Federation, Tyumen

Andrey N. Terebilov

Tyumen Regional Bureau of Forensic Medicine

Email: sbho@tobsme72.ru
ORCID iD: 0000-0003-0956-1835

MD

Russian Federation, Tyumen

Irina B. Bezusova

Tyumen Regional Bureau of Forensic Medicine

Email: yarkovo@tobsme72.ru
ORCID iD: 0000-0002-8687-9145

MD

Russian Federation, Tyumen

Rostislav O. Loskutov

Tyumen Regional Bureau of Forensic Medicine

Email: kammone69@gmail.com
ORCID iD: 0000-0003-4153-0668

MD

Russian Federation, Tyumen

References

  1. Smolyaninov VM. Forensic medicine: a textbook. 2nd ed., revised and updated. Moscow: Medicine; 1982. P. 206−211. (In Russ).
  2. Berezutsky VI. Lightning strike. Polytrauma. 2017;(2):70−76. (In Russ).
  3. Nazarov GN, Nikolenko LP. Forensic investigation of electric shock. Moscow: Folium; 1992. P. 17–102. (In Russ).
  4. Kryukov VN. Forensic medicine. 2nd ed. Moscow: Norma; 2009. P. 187–194. (In Russ).
  5. Zhirkova EA, Spiridonova TG, Sachkov AV, Svetlov VK. Electric shock (review of literature). N.V. Sklifosovsky Journal «Emergency Medical Care». 2019;8(4):443–450. (In Russ). doi: 10.23934/2223-9022-2019-8-4-443-450
  6. Lubin AV, Solov AV, Shapovalov KG. Platelet aggregation and lymphocyte-platelet adhesion in electric shock in the experiment. Far Eastern Medical Journal. 2012;(1):112–115. (In Russ).
  7. Solov’eva IV. D-dimer: clinical significance for elderly patients. Laboratory service. 2017;6(1):14–22. (In Russ). doi: 10.17116/labs20176114-22

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Micropreparation of “breast skin with a burn from damage by atmospheric electricity” — 1 — stratification of the epidermis with hemorrhage, 2 — reorientation of epidermal cell nuclei in the form of “panicle” figures, 3 — smoothness of the papillary layer of the dermis, and 4 — homogenized fibers of the dermis; hematoxylin and eosin stain × 5.

Download (1004KB)
3. Fig. 2. Micropreparation “fragment of the respiratory parenchyma of the lung” — small focal hemorrhages in lumens of the alveoli in the form of accumulations of erythrocytes; hematoxylin and eosin stain × 5.

Download (1MB)

Copyright (c) 2021 Karpov D.A., Terebilov A.N., Bezusova I.B., Loskutov R.O.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies