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Liu Z, Meng H, Huang J, Kwangwari P, Ma K, Xiao B, Li L. Acute carbon monoxide poisoning with low saturation of carboxyhaemoglobin: a forensic retrospective study in Shanghai, China. Sci Rep 2021; 11:18554. [PMID: 34535720 PMCID: PMC8448847 DOI: 10.1038/s41598-021-97436-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Accepted: 08/25/2021] [Indexed: 11/30/2022] Open
Abstract
Carbon monoxide (CO) poisoning is a common cause of death, leading to morbidity and mortality worldwide. Features of the CO poisoning with low carboxyhemoglobin (COHb) levels remain to be characterized. This study collected a total of 307 CO poisoning cases from Shanghai Public Security Bureau, an official organization that handles the most complicated and life-threatening cases across Shanghai municipality in China, and regrouped these cases into three categories: group 1, 10% <โCOHb% <โ30% (nโ=โ58); group 2, 30% โคโCOHb% <โ50% (nโ=โ79); group 3, COHb% โฅโ50% (nโ=โ170). Epidemiological, demographic, and forensic aspects of the CO poisoning cases, particularly those with low COHb levels, were analyzed. Our results showed that group 2 and 3 were mostly observed in younger victims (โคโ30ย years), while group 1 equally distributed to all age groups (pโ=โ0.03). All the CO poisoning from group 2 and 3 occurred in enclosed spaces, whereas cases from group 1 died additionallyย in outdoor spaces (pโ=โ0.01). 81.03% of group 1 cases died in fire circumstances, while only 45.57% from group 2 and 30.59% from group 3 were fire-related (pโ=โ0.00). Accordingly, group 1 was mostly related with fire burns, while group 2 or 3 were largely associated with gas leakage (pโ=โ0.00). A combination with alcohol, but not other psychotropic drugs, associated with significant higher levels of blood COHb% in fire-unrelated (pโ=โ0.021) but not fire-related cases (pโ=โ0.23). Five extremely low COHb% (<โ30%)-related poisoning deaths were negative of any cardiopulmonary pathology and psychoactive substances. In conclusion, CO poisoning with low COHb% significantly associates with fire circumstances and outdoor spaces and has no age preference. Further diagnostic markers mandates to be identified in order to avoid disputes in cases of extremely low COHb%-related poisoning.
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Affiliation(s)
- Zheng Liu
- Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, 131 Dongan Road, Shanghai, 200032, China
| | - Hang Meng
- Shanghai Key Laboratory of Crime Scene Evidence, Shanghai Public Security Bureau, 803 North Zhongshan Road, Hongkou District, Shanghai, 200083, China
| | - Juntian Huang
- Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, 131 Dongan Road, Shanghai, 200032, China
| | - Pascal Kwangwari
- Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, 131 Dongan Road, Shanghai, 200032, China
| | - Kaijun Ma
- Shanghai Key Laboratory of Crime Scene Evidence, Shanghai Public Security Bureau, 803 North Zhongshan Road, Hongkou District, Shanghai, 200083, China
| | - Bi Xiao
- Shanghai Key Laboratory of Crime Scene Evidence, Shanghai Public Security Bureau, 803 North Zhongshan Road, Hongkou District, Shanghai, 200083, China.
| | - Liliang Li
- Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, 131 Dongan Road, Shanghai, 200032, China.
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Abstract
In this review, we summarize the methods of sample introduction into a gas chromatograph. For volatile organic compounds, headspace measurements and purge-trap methods have been used traditionally. Recently, the trapped headspace method has been used in water quality testing. In addition, various solid-state adsorption methods have been developed, including a method in which the adsorbent is placed inside a needle, while new adsorbents and their applications have also been introduced.
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Affiliation(s)
- Kazutoshi Sugita
- Laboratory of Veterinary Public Health-1, School of Veterinary Medicine, Azabu University, 1-17-71 Fuchinobe Chuo, Sagamihara, Kanagawa, 252-5201, Japan.
| | - Hiroshi Sato
- Faculty of Pharmaceutical Sciences, Nagasaki International University, 2825-7 Huis Ten Bosch-cho Sasebo, Nagasaki, 859-3298, Japan
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Stauffer ร. Interpol review of fire investigation 2016โ2019. Forensic Sci Int Synerg 2020; 2:368-381. [PMID: 33385136 PMCID: PMC7770412 DOI: 10.1016/j.fsisyn.2020.01.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Accepted: 01/10/2020] [Indexed: 10/31/2022]
Abstract
This review paper covers the forensic-relevant literature in fire analysis and investigation sciences from 2016 to 2019 as a part of the 19th Interpol International Forensic Science Managers Symposium. The review papers are also available at the Interpol website at: https://www.interpol.int/content/download/14458/file/Interpol%20Review%20Papers%202019.pdf.
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Htike TT, Moriya F, Miyaishi S. Cyanide concentrations in blood and tissues of fire victims. Leg Med (Tokyo) 2019; 41:101628. [DOI: 10.1016/j.legalmed.2019.101628] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Revised: 08/29/2019] [Accepted: 10/10/2019] [Indexed: 01/16/2023]
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