Accident or abuse? Differential diagnosis of contact burns from radiators/heaters in children.

IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Forensic Science, Medicine and Pathology Pub Date : 2024-08-13 DOI:10.1007/s12024-024-00875-8
A Amadasi, C Schönfeld, S Etzold
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Abstract

Contact burns in children are not uncommon and are often due to accidental contact. Medico-legal assessment is of paramount importance in these contexts to identify cases of abuse. In three cases of burns caused by contact with radiators or a portable heater -two accidental and one deliberate- thorough medico-legal assessment, combined with on-site event reconstruction, enabled accurate diagnoses. Accidental burns displayed a 'pattern' compatible with the incandescent instrument but were more irregular, with different depths and in different parts of the body. In contrast, intentional burns were uniform in depth, distribution and localisation, inconsistent with accidental events. In this context, the on-site inspection and direct evaluation of the objects involved were crucial in the medico-legal assessment. These are indispensable elements for a thorough analysis and abuse recognition.

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意外还是虐待?儿童接触暖气片/取暖器烧伤的鉴别诊断。
儿童接触性烧伤并不少见,通常是由于意外接触造成的。在这种情况下,医疗法律评估对于确定虐待案件至关重要。在三起因接触暖气片或便携式取暖器而烧伤的病例中,两起是意外烧伤,一起是故意烧伤,通过全面的医学法律评估,结合现场事件重建,可以做出准确的诊断。意外烧伤显示出与白炽灯相符的 "模式",但更不规则,深度和身体的不同部位也不同。与此相反,故意烧伤的深度、分布和部位都是一致的,与意外烧伤不一致。在这种情况下,现场检查和直接评估涉案物品对医学法律评估至关重要。这些都是进行彻底分析和确认虐待行为不可或缺的要素。
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来源期刊
Forensic Science, Medicine and Pathology
Forensic Science, Medicine and Pathology MEDICINE, LEGAL-PATHOLOGY
CiteScore
3.90
自引率
5.60%
发文量
114
审稿时长
6-12 weeks
期刊介绍: Forensic Science, Medicine and Pathology encompasses all aspects of modern day forensics, equally applying to children or adults, either living or the deceased. This includes forensic science, medicine, nursing, and pathology, as well as toxicology, human identification, mass disasters/mass war graves, profiling, imaging, policing, wound assessment, sexual assault, anthropology, archeology, forensic search, entomology, botany, biology, veterinary pathology, and DNA. Forensic Science, Medicine, and Pathology presents a balance of forensic research and reviews from around the world to reflect modern advances through peer-reviewed papers, short communications, meeting proceedings and case reports.
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