Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F17%3A10370235" target="_blank" >RIV/00216208:11150/17:10370235 - isvavai.cz</a>
Alternative codes found
RIV/00179906:_____/17:10370235
Result on the web
<a href="https://link-springer-com.ezproxy.is.cuni.cz/article/10.1007%2Fs00414-017-1596-4" target="_blank" >https://link-springer-com.ezproxy.is.cuni.cz/article/10.1007%2Fs00414-017-1596-4</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00414-017-1596-4" target="_blank" >10.1007/s00414-017-1596-4</a>

Result language
angličtina
Original language name
Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?
Original language description
The postmortem diagnosis of hypothermia remains problematic even in the era of molecular and digital diagnostic advances. Gross hemorrhages in iliopsoas muscles have been regarded as a helpful diagnostic sign in hypothermia fatalities; nevertheless, they have received marginal attention since their original description. The present study attempts to fill that void by examining occurrence, localization, and diagnostic significance of the bleeding into the core muscles as evidence of death due to hypothermia in a series comprising 51 consecutive hypothermia autopsy cases. Hemorrhages into the core muscles were identified in 33 cases of fatal hypothermia (65%). Hemorrhages were present in iliopsoas muscles (19 cases; 37%), deep back muscles (18 cases; 35%), and in other core muscular groups such as the diaphragm, cervical, pectoral, and intercostal muscles (11 cases; 22%). The results of the study offer an attractive diagnostic opportunity and reaffirm the potential of the careful core muscle dissection for the clarification of hypothermic deaths. Centers lacking high-end imaging technologies and molecular postmortem programs may especially benefit, which may have implications in broader autopsy practice
Czech name
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Czech description
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Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30501 - Forensic science

Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year
2017
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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