ABSTRACT
The authors made a retrospective analysis of the 1988-2007 forensic medical examinations. They selected 45 fatal cases and 9 cases of severe irreversible CNS injuries occurring within 30 days after surgery as absolute complications due to anesthetic maintenance and postoperative management. Among the victims there were 7 children and 47 adults. In each case concerned, an attempt was made to reveal all critical incidents and factors associated with an evolving fatal outcome and it was suggested that a poor outcome could be prevented. It was noted that the most critical incidents resulting in death or severe irreversible CNS injuries were associated with respiratory disorders. These incidents were most frequently observed in the induction of anesthesia when tracheal intubation was attempted and in the early period (within 2 hours) after surgery. The most common associated factors should include inadequate preparation of a patient for surgery, improper medical care in the early postoperative period, and unavailability of automatic monitoring systems. It was ascertained that there was a potential for the prevention of death in most cases (53/54).
Subject(s)
Anesthesia/adverse effects , Anesthesia/mortality , Central Nervous System Diseases/mortality , Adolescent , Adult , Aged , Central Nervous System Diseases/etiology , Child , Child, Preschool , Female , Forensic Pathology , Hospital Mortality , Humans , Infant , Male , Medical Errors/mortality , Middle Aged , Retrospective Studies , Risk Factors , Russia , Young AdultSubject(s)
Cadaver , Forensic Pathology/methods , Mass Casualty Incidents , Algorithms , Databases, Factual , Humans , RussiaABSTRACT
The problems and errors in personal identifications in rescue work after accidents with a large number of human victims are considered. The order of actions of forensic medical experts in personal identification in emergency situation is proposed.
Subject(s)
Accidents , Disasters , Forensic Anthropology/methods , HumansABSTRACT
Organizational aspects of the forensic medical expertise of fragmented corpses in cases of huge death-rolls are discussed. Algorithm of identification examinations; principle requirements applicable to expert's examinations in cases when the objects of examination are brought in within some time intervals; as well as peculiarities and methods of registration, of separate examinations and of classification of objects are under consideration.
Subject(s)
Cadaver , Disasters , Forensic Medicine , Autopsy/methods , Forensic Medicine/methods , Forensic Medicine/organization & administration , Humans , RussiaABSTRACT
The article deals with the peculiarities of person identification of the great number of unidentified bodies subjected to considerable destruction and fragmentation and of the remains from the group burial places. The main principles of organization and conduction of objects' identification are formulated; the basic algorithm of these investigations is expounded. The authors substantiate the necessity of creation of specialized computer complex intended for identification of the fragmented bodies in the cases of their mass delivery.
