Article Per Year (5 Year)
p-Index From 2020 - 2025
0.408
P-Index
This Author published in this journals
All Journal Indian Journal of Forensic Medicine & Toxicology
Wisarn Worasuwannarak
Unknown Affiliation
Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Sensitivity and Specificity of Postmortem CT for Detection of Thoracic Injury Komet Kosawiwat; RathachaiKaewlai; Pinporn Jenjitranant; Wisarn Worasuwannarak
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16935

Abstract

Objective: Postmortem CT (PMCT) can help conventional autopsy in determining the cause of death andfinding injury to various organs. Since injuries among several vital organs in the thorax can cause death, thisresearch aims to assess the performance of PMCT in detecting injuries of the thoracic cavity organs.Materials and Method: A total of 56 dead bodies by unnatural traumatic death who underwent PMCTbefore autopsy were collected. Thoracic traumatic findingsfrom PMCT were compared with data obtainedfrom conventional autopsy wherethe autopsy was the reference standard and calculated for sensitivity,specificity, PPV, NPV, and accuracy.Results:Findings in which PMCT showed high sensitivity included air (100%) and fluid (86.67%). Intermsof bone fracture, sensitivity and accuracy were79.18% and 88.69%, respectively, especially for T-spinefractures (sensitivity 92.31%, accuracy 87.50%) and clavicle fractures (sensitivity 90%, accuracy 89.29%).For rib fractures, PMCTexhibited moderate to high sensitivity (68.18-91.67%) and high accuracy (78.57-98.21%). For soft tissueinjuries, PMCT had high specificity (99.21%), but low sensitivity (34.94%).Conclusion: PMCT is useful in detecting thoracic injuries in conjunction with the conventional autopsy byhelping to diagnose bone fractures, abnormal air, and fluid with high sensitivity and specificity.
Cardiopulmonary Resuscitated Complications Encountered in Forensic Autopsy Cases: A 5-Year Retrospective Analysis in Ramathibodi Hospital Tulyawit Wannasri; Vichan Peonim; Wisarn Worasuwannarak
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.16019

Abstract

Purpose: This analysis considers the prevalence of internal organ injuries sustained from CPR in autopsied individuals who died from natural causes as well as correlations between internal organ injury and various potentially-related factors.Methods: This analysis is a descriptive retrospective study which makes use of filed autopsy reports of individuals who died of unnatural causes. Autopsies were carried out at the Forensic Pathology Laboratory between 2012 and 2016. Excluded individuals who died due to accident and sustained trauma or injury to chest and abdominal areas as well as individuals who were younger than 18. Results: This study comprised 154 individuals of which 122 males, and 32 females. Age distribution was between 18 and 82 years. This study found that injuries resulting from CPR administration were found in 83.11% of cases. The most frequent injury including ribs, sternum, and heart at 43.36%, 25.86%, and 10.33%, respectively. This study also found various types of abdominal and spine injury due to CPR. Statistical consideration of potentially correlated variables revealed that age was statistically significant (p=0.001) in relation to CPR, while sex and BMI were found to not exhibit statistically significant (p=0.203, p=0.351, respectively) in relation to CPRConclusion: Nature of CPR techniques it is possible that injury may be sustained to internal organs. It was seen that age have potential correlations with injury.
Co-Authors Komet Kosawiwat Pinporn Jenjitranant RathachaiKaewlai Tulyawit Wannasri Vichan Peonim