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All Journal Indian Journal of Forensic Medicine & Toxicology
Dheeraj Singh Verma
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Public Health

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A Prospective Study of Burn Deaths with Special Reference to Manner of Death and Duration of Survival Priyamvada Kurveti Verma; Rajendra Kumar Morya; Dheeraj Singh Verma
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.v15i4.17029

Abstract

Around 0.2 million people are admitted in hospital due to burns, of which about 5000 people die every year.4Extent of Total Body Surface Area involved is an important parameter, that affects the prognosis in case ofburn injury. The majority of fire related deaths are accidental, usually due to carelessness. Suicidal burns aremostly seen in domestic situations and in females. Homicidal burns are rare; mostly accomplished to takerevenge or to conceal crime. So, this study was carried out with the aim to estimate the total body surfacearea affected & duration of survival / hospital stay and to find out the manner of death in burn cases.It was found that 79.00% cases had burn injuries covering 60– 100% of the total body surface area (TBSA).Maximum percentage of burns was seen in females (30.00% cases) with TBSA of 80-90%. 95% cases werehospitalized with 75.00% having the hospitalization period of 1 – 10 days and maximum number of cases(33%) survived for a period of 3 to 5 days. In most of the cases (64.00%), the manner of death was accidentalfollowed by suicidal (34.00%), with only 2% cases of homicidal burns.
Study of Causes of Death, Histopathological and Microbiological Changes in Cases of Burns Brought for Autopsy at Gandhi Medical College, Bhopal Rajendra Kumar Mourya; Priyamvada Kurveti Verma; Garima; Pawan Rathor; Dheeraj Singh Verma
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.v15i4.17039

Abstract

Death may occur immediately after burns or may get delayed for days & weeks, where burns may not be theactual cause of death; but its sequels & its complications leads to death. In such cases, determination of exactcause of death may be difficult. Hence, this study was aimed to find out the causes of death in burn casesduring autopsy utilizing histopathology and microbiology & its comparison with clinical causes of death. Allcases of burns autopsied at Gandhi Medical College & associated Hamidia Hospital Bhopal, for a period of1.6 years were included in the study.Out of 100 cases included, 45 (45.00%) showed the cause of death as septicemia, followed by hypovolemicshock in 30 (30.00%) cases, hypovolemic shock with acute renal failure seen in 4% cases. Bronchopneumoniawas seen in 29% cases, out of which 12% cases were associated with septicemia. Multiple Organ Failurewith septicemia was seen in 11% cases and in 2 (2.00%) cases of spot death; cause was neurogenic shockwith asphyxia.On histopathological examination, lungs revealed congestion and alveolar edema in 48% cases; Livershowed sinusoidal congestion in (39 %) cases; Kidneys showed hydropic degeneration of tubules in 62 %cases; being the most common findings. Pseudomonas aeruginosa was the commonest isolate, 61% in bloodand 47% in pus culture.So, there is need of strict and 100% implementation of aseptic measures in burnwards, along with adequate supply of appropriate drugs specially antibiotics to the all hospitals.
Co-Authors Garima Pawan Rathor Priyamvada Kurveti Verma Rajendra Kumar Morya Rajendra Kumar Mourya