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

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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.

作者简介

Dmitry Karpov

Tyumen Regional Bureau of Forensic Medicine; Tyumen State Medical University

编辑信件的主要联系方式.
Email: karpovsme@mail.ru
ORCID iD: 0000-0002-2608-7111
SPIN 代码: 3787-7482

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

俄罗斯联邦, Tyumen

Andrey Terebilov

Tyumen Regional Bureau of Forensic Medicine

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

MD

俄罗斯联邦, Tyumen

Irina Bezusova

Tyumen Regional Bureau of Forensic Medicine

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

MD

俄罗斯联邦, Tyumen

Rostislav Loskutov

Tyumen Regional Bureau of Forensic Medicine

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

MD

俄罗斯联邦, Tyumen

参考

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  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

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版权所有 © Karpov D.A., Terebilov A.N., Bezusova I.B., Loskutov R.O., 2021

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