Shahab 02

 It is an injury caused by heat or any physical or

chemical agent having an effect similar to heat.

1. Physical contact Produces blisters Cause erythema .    Contact burns.

Flame burns:  Contact of flame with body  Vesication  Singeing of hair  Blackening of skin  Flash burns  Effect of kerosene oil and petrol produce sooty blackening .2.

  Scalds Occur on contact with hot liquid Exposed surface .3.

4. Chemical burns  Ulcerated patches  No blisters  No singeing of hair  No red line of demarcation .

Radiant heat burns 6. . Ionizing radiation heat burns 7. Electrical burns 8. Microwave burns 5.

First degree(epidermal) 2. . Second degree(Dermo-epidermal) 3. Third degree(Dermal) 1.

 Erythema  Blister  Surrounded by a thin red area of inflammation  Self healing  Singeing of hair  No scar formation  Sensations are present .

 Coagulation necrosis of epidermis and dermis  Dry. white and leathery appearance  Necrosed tissue separates  Scar formation  Pain and shock  Skin grafting .

 Destruction of whole skin. muscle and bone occurs.  Painless  No blisters  No spontaneous regeneration occurs .

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1 point is given to a third degree burn. Temperature  Duration of exposure  Extent and position  Burn index ½ point is given to second degree burn. .

Immediate Redness 2-3 hrs Vesication 36-72 Inflammation After a week Throwing off of superficial sloughs of third degree burn Final result Formation of scar .

injury to vital organs Secondary shock Accidental injuries Acute tubular necrosis Inflammation Sepsis Exhaustion Complications: tetanus.1.   2         Immediate causes Neurogenic shock Asphyxia Delayed causes Severe pain. ascites etc . gangrene.

   External features: Clothing: Should be checked for petrol. 5.  2. 3. kerosene and any other inflammatory substance Site Distribution Extent Blisters Due to increased permeability of blood vessels Contain serous fluid Face Swollen Burnt tip of tongue Froth will be pink . 4.   6. 1.

8. Eyes Crow’s feet Skin Marbled appearance Hair singed. 10. 9. completely or partially burned Postmortem staining Cherry red in color Heat ruptures due to contraction of burned tissue Degloving Boxing attitude/Pugilistic attitude/fencing posture . 13.7. 11. 12.

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1. soft clot chocolate or pink color Eggshell fracture without radiating fracture lines Absent Smooth.  Skull Heat hematoma Feature Cause position Distribution EDH due to burns Charring of skull due to heat Usually bilateral Diffused EDH due to tauma Blunt force to head Usually unilateral Localized Appearance Honeycomb appearance. rubbery and reddish purple in color Radiating lines are present May be present Skull fracture Injury to CNS .

trachea and bronchiole  Presence of carbon particles and soot 5. . Blood  Thick due to hemeconcentration  Cherry red in colour  Contain more than 10% CO  Kunkel’s test  Nicotine in urine 2.Brain  Congested and swollen  Flattening of gyri and sulci 3. Neck 4. Larynx.

Heart Filled with blood 9. Lungs Congested and shrunken 8.  Puppet organs .Pleura  Congested and filled with serous fluid 7. Stomach and intestines Curling’s ulcer 6.

Indentification:  Gender of the deceased  Race  Age  Dental identification  Clothing  Xray examination  Fingerprinting .

Feature Line of redness Vesicles Antemortem burns Present Contains serous fluid rich in albumin Postmortem burns Absent Contain air. dry and yellow Absent No . if fluid present contains little albumin Absent Inflammation Present along with pus Soot Base of vesicles Carboxy-Hb Enzyme reaction May be present Red and inflammed Present Increase in periphery Absent Dull.

Burning  Blisters  Soot  Cherry red colour of blood Suicidal and homicidal  Depends upon site of injury Accidental burning .

 Known as bride burning cases .

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