The Post-Mortem Examination in Sharp Force Trauma Deaths

2021 ◽  
pp. 61-76
Author(s):  
Peter Vanezis
2017 ◽  
Vol 57 (3) ◽  
pp. 124-129 ◽  
Author(s):  
Elena F. Kranioti ◽  
Anastasia E. Kastanaki ◽  
Despoina Nathena ◽  
Antonis Papadomanolakis

Sharp-force trauma is a popular cause of homicide and suicide in many countries. Characterisation of the injuries between the two is crucial for a differential diagnosis. The current paper reviews 12 self-inflicted sharp-force trauma deaths from the island of Crete in Greece. Forensic reports between 1999 and 2015 were collated, and we studied the number and location of injuries, the demographic characteristics of the deceased, the sharp object and the medical history of the deceased. One third of the cases where the forensic reports were available (3/10) involved multiple injuries, and one case involved a combination of stabbing and hanging. Most injuries involved a kitchen knife. Ninety-two per cent (11/12) of the victims involved male Greek nationals aged >50 years. The type and location of injuries were not found to be specific to suicide alone. Thus, death-scene investigation remains crucial to the differential diagnosis between suicide and homicide. This is the first report on self-inflicted sharp-force fatalities in Greece.


1997 ◽  
Vol 38 (3) ◽  
pp. 253-262
Author(s):  
A.-M. Dalin ◽  
K. Gidlund ◽  
L. Eliasson-Selling

1874 ◽  
Vol 20 (90) ◽  
pp. 259-262
Author(s):  
William T. Benham

Mary M., æt 14, was admitted into the Bristol Asylum July 15th, 1862. She is described in the case book as having a hydrocephalic cranium, measuring “24 inches in circumference, and 14 inches over vertex.” Trunk shortened and thickened; legs doubled up on the thighs, which were again slightly flexed on the abdomen. Quite unable to walk or stand, but could sit comfortably in a low chair. She possessed considerable intelligence; knew the name of the place from whence she came, and answered simple questions in a lively manner Had her bodily health and education have been well attended to, it is probable that she would have possessed a fair amount of mental power. She was dirty in her habits, but of a tractable disposition, and good tempered. During the year following her admission attempts were made to teach her to read, but without success; she, however, soon learnt to be cleanly in her person and habits.


1986 ◽  
Vol 15 (2) ◽  
pp. 95-98 ◽  
Author(s):  
P H Cooke ◽  
A E Goodship

An experiment was performed to determine the effects of stiffness of cruciate ligament prostheses upon joint function and degeneration. Twenty four sheep were allocated into four groups. One group had the ligament excised with no replacement and subsequent groups underwent substitution procedures with either a stiff, matched, or lax prosthesis. After six months the animals with a stiff or matched prosthesis were significantly less lame than those with a lax prosthesis or no prosthesis. However, at post mortem examination the animals with a stiff prosthesis or no prosthesis showed significantly more widespread cartilage damage than the matched or lax groups. The results indicate that either a stiff or matched prosthesis may restore functional activity, but that the stiff prosthesis may predispose to increased degenerative changes.


Author(s):  
Arnold T. Mahne ◽  
Driene Janse van Rensburg ◽  
Michael Hewetson

A 4-year-old Thoroughbred gelding underwent an explorative celiotomy for a suspected small intestinal obstruction. During surgery, an impacted diverticulum of the ileum was suspected, necessitating a jejunocaecostomy. The owner opted for euthanasia. On post-mortem examination and histopathology, a true diverticulum on the mesenteric side of the ileum, with ileal hypertrophy, was diagnosed.


2018 ◽  
Vol 164 (3) ◽  
pp. 225.1-225
Author(s):  
J Barratt ◽  
M Welch ◽  
C Wright

IntroductionThe use of Celox gauze has been established in military practice as an adjunct in the treatment of external haemorrhage. The future character of conflict means that casualties may take longer to reach definitive care. The aim of this study was to test whether Celox Rapid, a topical haemostatic dressing, would maintain haemostasis during extended use in a junctional haemorrhage model.MethodsAn anaesthetised swine underwent simultaneous bilateral femoral arteriotomies; after 30 s of free bleeding Celox Rapid gauze was applied to the wound and pressure was maintained for 1 min. Following inspection for re-bleeding the Celox gauze was covered with standard field dressings and checked for re-bleeding every hour until the 6 hours had elapsed or the animal deceased.ResultsThere was no evidence of re-bleeding at any point up to and including 6 hours. The animal was declared deceased shortly afterwards. Celox Rapid gauze maintained haemostasis in extended use in this limited single animal model. Post mortem examination revealed a stable clot at the site of the arteriotomy with no evidence of re-bleeding.ConclusionCelox Rapid was effective at achieving initial homeostasis and preventing re-bleeding in this limited study using a single anaesthetised swine. Its potential for use in situations where evacuation and definitive care may be delayed should be explored.


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