The causes of death in burns include neurogenic shock, hypovolemic shock, electrolyte imbalance, suffocation from inhalation of toxic gases, circulatory failure, renal failure, adrenal crisis, centrilobular necrosis of the liver, tubular necrosis of the kidney, and infections such as septicemia and tetanus. External findings on post-mortem examination may include partly or fully burnt clothes, a burnt smell from the hair or skin, cavities that have burst open due to increased pressure, and a boxer or fencing posture from muscle coagulation. Identification is difficult for charred bodies but may be possible through partly burnt clothes, teeth, or bones.
The causes of death in burns include neurogenic shock, hypovolemic shock, electrolyte imbalance, suffocation from inhalation of toxic gases, circulatory failure, renal failure, adrenal crisis, centrilobular necrosis of the liver, tubular necrosis of the kidney, and infections such as septicemia and tetanus. External findings on post-mortem examination may include partly or fully burnt clothes, a burnt smell from the hair or skin, cavities that have burst open due to increased pressure, and a boxer or fencing posture from muscle coagulation. Identification is difficult for charred bodies but may be possible through partly burnt clothes, teeth, or bones.
The causes of death in burns include neurogenic shock, hypovolemic shock, electrolyte imbalance, suffocation from inhalation of toxic gases, circulatory failure, renal failure, adrenal crisis, centrilobular necrosis of the liver, tubular necrosis of the kidney, and infections such as septicemia and tetanus. External findings on post-mortem examination may include partly or fully burnt clothes, a burnt smell from the hair or skin, cavities that have burst open due to increased pressure, and a boxer or fencing posture from muscle coagulation. Identification is difficult for charred bodies but may be possible through partly burnt clothes, teeth, or bones.
The causes of death in burns include neurogenic shock, hypovolemic shock, electrolyte imbalance, suffocation from inhalation of toxic gases, circulatory failure, renal failure, adrenal crisis, centrilobular necrosis of the liver, tubular necrosis of the kidney, and infections such as septicemia and tetanus. External findings on post-mortem examination may include partly or fully burnt clothes, a burnt smell from the hair or skin, cavities that have burst open due to increased pressure, and a boxer or fencing posture from muscle coagulation. Identification is difficult for charred bodies but may be possible through partly burnt clothes, teeth, or bones.
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The passage discusses various causes of death from burns like neurogenic shock, hypovolemic shock, electrolyte imbalance, suffocation, circulatory failure, renal failure, adrenal crisis and infection. It also talks about some post-mortem external findings like clothes, smell, identification, cavities and body posture. Finally, it mentions different types of burns - burns, scalds, electric burns, lightening burns and explosive burns and their characteristics.
Some of the major causes of death in burns mentioned are neurogenic shock, hypovolemic shock, electrolyte imbalance, suffocation, circulatory failure, renal failure, adrenal crisis, centrilobular necrosis of liver, tubular necrosis of kidney and infection in the form of septicemia, tetanus and gangrene.
Some of the post-mortem external findings seen in burn victims include clothes that may be partly or totally burnt. There can be a smell of kerosene/petrol. Identification may be difficult in charred bodies. Cranial and abdominal cavities may burst open due to increased pressure. The body may exhibit a boxer's/defensive posture. The face can be swollen and distorted with tongue protruded out and froth/bloody discharge from nose/mouth.
CAUSES OF DEATH IN BURNS
& EXTERNAL FINDINGS
Causes of deaths in burns are due to -
1. Neurogenic shock (primary shock)
2. Hypovolemic shock (secondary shock) 3. Electrolyte imbalance (hypokalemia) 4. Suffocation- 1.In burning of organic matter (CO&CO2) 2.In burning of nitrocellulose film (NO2&N2O4) 3.In burning of wool/silk (NH3,HCN,H2s,SO2) 5. Circulatory failure 6. Renal failure 7. Adrenal crisis 8. Centrilobular necrosis of liver 9. Tubular necrosis of kidney 10. Infection - 1.Septicemia 2.Tetanus 3.Gangrene 11. Fat embolism 12. Increased carboxy haemoglobin levels 13. Cerebral oedema 14. Pulmunory oedema 15. Exhaustion POST-MARTEM FINDINGS(external findings) 1.Clothes a) May be partly or totally burnt b) Partly burnt clothes may be on or off the body c) Silk, polyester & nylon clothes may be sticking to the body d) There may be kerosene / petrol smell in the clothes e) Clothes are preserved in glass containers and sent to FSL Smell a) Smell of kerosene/ petrol can be known from clothes, hair,scalp,axilla or inguinal area Identification Especially in charred body, identification becomes difficult. In such cases identity is established from partly burnt clothes,teeths,ornaments on body and bones Cavities Due to increased pressure, cranial and abdominal cavities may burst open Boxers /defence/fencing posture a) Due to denaturation of and coagulation of proteins , there results flexion at all joints and clawing of fingers, giving the body a typical posture b) This phenomenon occurs both in antemortem and postmortem burns Face a) Hair- hypopigmented b) Face – swollen, sometimes distorted c) Tongue – protruded out d) Nose and mouth – froth or bloody discharge present Artefacts a) Cracks on skin b) Blisters due to scalds c) Fracture skull or other bone d) Heat hematoma e) Injuries due to building collapse f) Charring of body P.M Lividity a) In burns – dark red b) In death due to suffocation – cherry red External injuries – it depends upon source of heat A) In burns I. Singeing of hair II. Superficial or deep burns III. Coagulation necrosis IV. Red line of demarcation – due to reaction at junction of burnt & unburnts part is 5-25 mm wide V. In kerosene burns black sooty and smell may be present VI. Body may be charred VII. Bones may be expose VIII. Burns may be less severe in folds of skin IX. In delayed deaths pus or partial healing may be seen B) Scalds I. No singeing or charring II. Within 2/3 hours there is formation of blisters C) Electric burns I. Erythema II. Sloughing ulcers III. Blindness due to laser beams IV. Scar formed is radiant V. Prolonged exposure may lead to malignancy D) Electric burns I. Typical wound entry is a crater formation ie wound is depressed thick hard leathery cauliflower like and non bleeding II. Typical wound of exit is a bleeding laceration E) Lightening burns There may be no external injury or there may result complete charring or mutilation of the body F) Explosive burns (due to heat mechanical force and blast wave) I. Burns II. Mutilation of body by blast wave III. Extensive blackening and tattooing IV. Suffocation due to fumes V. Rupture of viscera VI. Injuries may be accidental homicidal or suicidal VII. Bombs may be explosive nulclear or biological
Theoretical Medicine and Bioethics Volume 31 Issue 3 2010 (Doi 10.1007/s11017-009-9125-1) Susanna Maria Taraschi - Paterson, Craig - Assisted Suicide and Euthanasia - A Natural Law Ethics Approach PDF