A forensic overview of deaths in mountainous terrain.

IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Forensic Science, Medicine and Pathology Pub Date : 2024-11-06 DOI:10.1007/s12024-024-00914-4
Roger W Byard
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Abstract

Deaths at high altitudes may arise from a range of quite disparate entities including trauma (e.g. falls), environmental factors (e.g. hypothermia and hypoxia), and pre-existing medical conditions (e.g. coronary artery disease). Unique conditions include high altitude pulmonary edema (HAPE) and high altitude cerebral edema (HACE) which may contribute to lethal mechanisms or precipitate a traumatic event. Forensic issues that may arise in these cases are logistical problems due to remote locations, sometimes with failure to find a body, delay in discovery and/or repatriation, prior local autopsies being performed with embalming, and the non-specificity of pathology markers. Traumatic deaths involve blunt force impacts, falls, suffocation, crush asphyxia and hypothermia. The assessment of cases requires careful integration of the autopsy findings with the medical history of the decedent and an accurate description of their behaviour in the hours leading up to death.

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山区死亡事件的法医概述。
高海拔地区的死亡可能源于一系列不同的因素,包括创伤(如摔倒)、环境因素(如低体温和缺氧)和原有的疾病(如冠状动脉疾病)。独特的情况包括高海拔肺水肿(HAPE)和高海拔脑水肿(HACE),它们可能导致致命机制或引发创伤事件。这些案件中可能出现的法医问题包括由于地点偏远而造成的后勤问题,有时会出现找不到尸体、发现和/或运回延误、事先在当地进行尸体解剖并进行防腐处理以及病理标记不具特异性等问题。创伤性死亡包括钝器撞击、坠落、窒息、挤压性窒息和体温过低。对病例的评估需要将尸检结果与死者的病史仔细结合起来,并准确描述死者在死亡前数小时内的行为。
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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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