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Journal : Medical Scope Journal (MSJ)

Gambaran Kasus Kematian akibat Keracunan Karbon Monoksida Muhamad R. Jehian; James F. Siwu; Nola T. S. Mallo
Medical Scope Journal Vol. 5 No. 1 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i1.45290

Abstract

Abstract: Carbon monoxide (CO) is a toxic, odorless and colorless gas produced by incomplete combustion of carbon fuels such as wood, charcoal, and also gasoline products. Sources of carbon monoxide in the home environment include heating systems, cooking utensils, and fireplaces. Many of domestic and occupational poisoning cases were caused by exposure to carbon monoxide due to damaged or defective home appliances. This study aimed to obtain the description of death cases due to CO poisoning. This was a literature review study using three databases namely ClinicalKey, Pubmed, and Google Scholar. The results obtained 11 articles to be reviewed. Postmortem changes were CoHB in the blood, non-specific changes such as cherry red patches or bruises in the skin surface, nails, brain, internal organs and mucous membranes, and changes in the lung namely hypoxia, sub-pleural petechiae, lung edema, and lung stasis. In conclusion, specific postmortem change in CO poisoning is CoHb in the victim blood, meanwhile the non-specific changes are cherry red appearances in the skin and internal organs. Keywords: carbon monoxide poisoning; COHb; death cases; postmortem changes     Abstrak: Karbon monoksida (CO) adalah gas beracun, tidak berbau, dan tidak berwarna yang dihasilkan melalui pembakaran tidak sempurna bahan bakar karbon seperti kayu, arang, dan juga produk bensin. Sumber-sumber karbon monoksida di lingkungan rumah meliputi sistem pemanas ruangan, alat masak, serta perapian. Banyak kasus keracunan domestik dan pekerjaan diakibatkan paparan karbon monoksida karena alat-alat rumah tersebut yang mengalami kerusakan atau cacat produk. Penelitian ini bertujuan untuk mengetahui gambaran kasus kematian akibat keracunan CO. Metode penelitian yang digunakan ialah literature review dengan pencarian melalui tiga database yaitu ClinicalKey, Pubmed, dan Google Scholar. Hasil penelitian mendapatkan 11 artikel untuk dilakukan analisis. Gambaran postmortem yang dapat muncul ialah kadar CoHB pada kandungan darah korban, dan gambaran nonspesifik berupa bercak atau lebam berwarna merah terang (cherry red) pada permukaan kulit, kuku, otak, organ dalam, dan membran mukus dari korban, serta hipoksia pada paru, petekia sub-pleural, edema paru, dan stasis paru. Simpulan penelitian ini ialah gambaran postmortem spesifik pada keracunan karbonmonoksida meliputi kadar CoHB pada kandungan darah korban sedangkan tanda fisik non spesifik berupa gambaran cherry red pada permukaan kulit dan organ dalam. Kata kunci: keracunan karbon monoksida; COHb; kasus kematian; perubahan postmortem
Gambaran Kasus Forensik Klinik di RSUP Prof. Dr. R. D. Kandou Manado Tahun 2022 Pratiwi Hardani; Erwin Kristanto; Nola T. S. Mallo
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.48980

Abstract

Abstract: To date, there is lack of available data regarding clinical forensic services in Indonesia, including North Sulawesi. Prof. Dr. R. D. Kandou Hospital in Manado, a referral center in North Sulawesi, was chosen as the research location expecting to obtain the description of clinical forensic cases in North Sulawesi. This study aimed to obtain a description of clinical forensic cases in North Sulawesi in 2022. This was a descriptive study with a cross sectional design. The resukts showed that the cumulative number of clinical forensic cases at Prof. Dr. R. D. Kandou Hospital in 2022 was 250 cases, consisting of 155 cases of traffic accidents, 59 cases of abuse, and one case of sexual violence. Victims consisted of 79% male sand 21% females. Most clinical forensic cases came to Prof. Dr. R. D Kandou Hospital in December (15%) and the least in April (3%). Most of the wound locations were found in the abdominal area (65%), followed in the back area (34%), and the least in the vaginal area (1%). In conclusion, traffic accidents were the most common clinical forensic cases in North Sulawesi. Most injuries were found in the abdominal area and the least in the genital area. Most of the victims were male. December 2022 donated the most clinical forensic cases. Only a few cases of sexual violence were brought to Prof. Dr. R. D. Kandou Hospital, therefore, the victims still need to be outreached and encouraged to report. Keywords: sexual violence; assault; traffic accidents; clinical forensic cases    Abstrak: Hingga saat ini masih belum banyak data yang tersedia mengenai kasus pelayanan forensik klinik baik di Indonesia maupun Sulawesi Utara. RSUP Prof. Dr. R. D Kandou Manado sebagai pusat rujukan di Sulawesi Utara dipilih menjadi lokasi penelitian karena diharapkan dapat menggambarkan kasus forensik klinik di Sulawesi Utara.  Penelitian ini bertujuan untuk memperoleh gambaran kasus forensik klinik di Sulawesi Utara pada tahun 2022. Jensi penelitian ialah deskriptif dengan desain potong lintang. Hasil penelitian mendapatkan angka kumulatif kasus forensik klinik di RSUP Prof. Dr. R. D. Kandou sepanjang tahun 2022 sebanyak 250 kasus, terdiri atas 155 kasus kecelakaan lalu lintas, 59 kasus penganiayaan, dan satu kasus kekerasan seksual. Korban terdiri atas 79% berjenis kelamin laki-laki dan 21 % perempuan. Kasus forensik klinik tertinggi pada bulan Desember (15%) dan paling sedikit pada bulan April (3%). Lokasi luka terbanyak ditemukan pada area abdomen (65%), disusul daerah punggung belakang (34%), dan paling sedikit daerah vagina (1%). Simpulan penelitian ini ialah kasus forensik klinik terbanyak di Sulawesi Utara terjadi pada jenis kelamin laki laki, jenis kasus kecelakaan lalu lintas, dan lokasi luka di bagian abdomen. Bulan Desember menyumbangkan kasus forensik klinik terbanyak. Kasus kekerasan seksual masih sedikit yang dibawa ke RSUP Prof. Dr. R. D. Kandou sehingga masih memerlukan sosialisasi dan dorongan agar korban berani melapor. Kata kunci: kekerasan seksual; penganiayaan; kecelakaan lalu lintas; kasus forensik klinik