Homicides Disguised as Fire Deaths

Background: When conducting a forensic examination of burnt bodies, it is important to determine whether the victim was exposed to fire while alive or after death. The differential diagnosis between antemortem and postmortem burning is difficult and often cannot be made based on information obtaine...

Full description

Bibliographic Details
Main Authors: Gabrielė Žiūkaitė, Marta Jasaitė, Sigitas Chmieliauskas, Diana Vasiljevaitė, Sigitas Laima, Dalius Banionis, Jurgita Stasiūnienė
Format: Article
Language:English
Published: Vilnius University Press 2023-05-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://zurnalai.vu.lt/AML/article/view/30553
_version_ 1797826137239322624
author Gabrielė Žiūkaitė
Marta Jasaitė
Sigitas Chmieliauskas
Diana Vasiljevaitė
Sigitas Laima
Dalius Banionis
Jurgita Stasiūnienė
author_facet Gabrielė Žiūkaitė
Marta Jasaitė
Sigitas Chmieliauskas
Diana Vasiljevaitė
Sigitas Laima
Dalius Banionis
Jurgita Stasiūnienė
author_sort Gabrielė Žiūkaitė
collection DOAJ
description Background: When conducting a forensic examination of burnt bodies, it is important to determine whether the victim was exposed to fire while alive or after death. The differential diagnosis between antemortem and postmortem burning is difficult and often cannot be made based on information obtained solely from the autopsy. The aim of the study is to review current literature on this topic and present clinical cases that illustrate how challenging the determination of vitality during the fire and manner of death can be. Materials and methods: We present four cases of burnt homicide victims, illustrating the complexity of forensic determination of the cause of death in the fire and the importance of differential diagnosis of antemortem and postmortem exposure to flames. Results: In the forensic assessment autopsy is a fundamental to determine the cause of death. When death is related to fire, particular findings during autopsy can help to suspect that the victim was alive. One of the main antemortem signs is the deposition of soot in the respiratory tract. Another important test is the toxicological analysis, which determines the level of carboxyhaemoglobin in the blood: a concentration of more than 50% indicates that the person died in the fire. Conclusions: Forensic examination of burnt bodies requires a comprehensive and detailed assessment of all available data. The autopsy, together with additional diagnostic forensic methods, including histological examination, toxicological analysis and postmortem computed tomography, allows the exact cause of death to be determined.
first_indexed 2024-03-13T11:04:16Z
format Article
id doaj.art-40bdee81dfd04840b9cbf66c8691e07e
institution Directory Open Access Journal
issn 1392-0138
2029-4174
language English
last_indexed 2024-03-13T11:04:16Z
publishDate 2023-05-01
publisher Vilnius University Press
record_format Article
series Acta Medica Lituanica
spelling doaj.art-40bdee81dfd04840b9cbf66c8691e07e2023-05-16T09:46:56ZengVilnius University PressActa Medica Lituanica1392-01382029-41742023-05-0130110.15388/Amed.2023.30.1.10Homicides Disguised as Fire DeathsGabrielė Žiūkaitė0Marta Jasaitė1Sigitas Chmieliauskas2Diana Vasiljevaitė3Sigitas Laima4Dalius Banionis5Jurgita Stasiūnienė6Faculty of Medicine, Vilnius University, Vilnius, LithuaniaFaculty of Medicine, Vilnius University, Vilnius, LithuaniaDepartment of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius, LithuaniaDepartment of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius, LithuaniaDepartment of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius, LithuaniaDepartment of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius, LithuaniaDepartment of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences of the Faculty of Medicine of Vilnius University, Vilnius, Lithuania Background: When conducting a forensic examination of burnt bodies, it is important to determine whether the victim was exposed to fire while alive or after death. The differential diagnosis between antemortem and postmortem burning is difficult and often cannot be made based on information obtained solely from the autopsy. The aim of the study is to review current literature on this topic and present clinical cases that illustrate how challenging the determination of vitality during the fire and manner of death can be. Materials and methods: We present four cases of burnt homicide victims, illustrating the complexity of forensic determination of the cause of death in the fire and the importance of differential diagnosis of antemortem and postmortem exposure to flames. Results: In the forensic assessment autopsy is a fundamental to determine the cause of death. When death is related to fire, particular findings during autopsy can help to suspect that the victim was alive. One of the main antemortem signs is the deposition of soot in the respiratory tract. Another important test is the toxicological analysis, which determines the level of carboxyhaemoglobin in the blood: a concentration of more than 50% indicates that the person died in the fire. Conclusions: Forensic examination of burnt bodies requires a comprehensive and detailed assessment of all available data. The autopsy, together with additional diagnostic forensic methods, including histological examination, toxicological analysis and postmortem computed tomography, allows the exact cause of death to be determined. https://zurnalai.vu.lt/AML/article/view/30553forensic sciencehomicideburned bodiesantemortem burningpostmortem burning
spellingShingle Gabrielė Žiūkaitė
Marta Jasaitė
Sigitas Chmieliauskas
Diana Vasiljevaitė
Sigitas Laima
Dalius Banionis
Jurgita Stasiūnienė
Homicides Disguised as Fire Deaths
Acta Medica Lituanica
forensic science
homicide
burned bodies
antemortem burning
postmortem burning
title Homicides Disguised as Fire Deaths
title_full Homicides Disguised as Fire Deaths
title_fullStr Homicides Disguised as Fire Deaths
title_full_unstemmed Homicides Disguised as Fire Deaths
title_short Homicides Disguised as Fire Deaths
title_sort homicides disguised as fire deaths
topic forensic science
homicide
burned bodies
antemortem burning
postmortem burning
url https://zurnalai.vu.lt/AML/article/view/30553
work_keys_str_mv AT gabrieleziukaite homicidesdisguisedasfiredeaths
AT martajasaite homicidesdisguisedasfiredeaths
AT sigitaschmieliauskas homicidesdisguisedasfiredeaths
AT dianavasiljevaite homicidesdisguisedasfiredeaths
AT sigitaslaima homicidesdisguisedasfiredeaths
AT daliusbanionis homicidesdisguisedasfiredeaths
AT jurgitastasiuniene homicidesdisguisedasfiredeaths