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Forensic Aspect of Injuries Associated with Cardiopulmonary Resuscitation
Ihnát Rudinská, Lucia ; Hejna, Petr (advisor) ; Klír, Přemysl (referee) ; Straka, Ĺubomír (referee)
IHNÁT RUDINSKÁ, Lucia: Forensic Aspect of Injuries Associated with Cardiopulmonary Resuscitation. Charles University, Faculty of Medicine in Hradec Králové; Hradec Králové: 2017, 97 s. Injuries associated with cardiopulmonary resuscitation (CPR) present the actual issue on the boundary of several medical specialities. The prevalence of CPR associated injuries is very high; the spectrum of these injuries is wide (from clinically irrelevant to injuries incompatible with life). The primary aim of the study was to evaluate frequency and seriousness of CPR associated injuries; the secondary aim was the analysis of factors, which might have participated in the development of CPR associated injuries. In total, 80 persons were enrolled in the study. All included individuals were resuscitated before death and underwent an autopsy at the University Hospital Ostrava within the study period (1. 9. 2012 - 30. 8. 2015). Injuries associated with CPR were revealed in 93.7% of resuscitated persons; injuries were multiple in the vast majority of these persons. Skin injuries, head and neck injuries, rare intra- abdominal injuries and frequent intrathoracic injuries were identified within the study group. Clinically serious injuries associated with CPR were revealed in 41.2% of persons (lung contusions or lacerations,...
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Morphological Findings in Hanging Deaths
Hejna, Petr ; Hottmar, Petr (advisor) ; Hirt, Miroslav (referee) ; Klír, Přemysl (referee)
Hanging is a form of ligature strangulation in which the force applied to the neck derives from the gravitational drag of the weight of the body. The furrow on the neck is mainly a postmortem phenomenon. To establish the intravital hanging, any inner neck structure injury indicating ligature mark intravitality is to be identified. The aim of this prospective autopsy study was to determine frequency of inner neck structure injuries in hanging with regard to the point of the ligature knot and the other victims' characteristics (body suspension, gender, age, weight). We tried to identify the mechanism of injury for the neck structures and determine, according to the obtained results, a possible specific or most characteristic inner neck injury in regard to the ligature knot location. This study also aimed to determine the frequency of Simon's bleedings in the lumbar region of the spinal column in cases of hanging. The authors prospectively studied 178 consecutive cases of hanging deaths. Fracture of throat skeleton was detected in 128 cases of hanging (72%). The hyoid bone fractures were indentified in 56 cases of hanging (31,5%). Horn thyroid cartilage fractures were found in 101 cases of hanging (56,8%). The occurrance of fractures of throat skeleton was independent of gender, age, weight and...
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