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Utilizing the Modified T-Maze to Assess Functional Memory Outcomes After Cardiac Arrest
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Positional asphyxia without active restraint following an assault.

Tarini Fernando1, Roger W Byard

  • 1Forensic Science SA and The University of Adelaide, Adelaide, SA, 5005, Australia.

Journal of Forensic Sciences
|June 22, 2013
PubMed
Summary
This summary is machine-generated.

Accidental deaths from positional asphyxia are often linked to intoxication. This case highlights a fatal assault resulting in hypoxic ischemic encephalopathy due to unusual body positioning, even without restraint.

Keywords:
accidentforensic sciencehomicidepositional asphyxiasuffocationwedging

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Area of Science:

  • Forensic Pathology
  • Toxicology
  • Trauma Research

Background:

  • Positional asphyxia deaths are frequently accidental, often involving alcohol or drug intoxication.
  • Understanding the mechanisms of positional asphyxia is crucial for forensic investigations.

Observation:

  • A 19-year-old male died after an assault, being placed in a head-down position in a car.
  • Evidence of dragging and the body's wedged position in the footwell were noted.
  • Autopsy revealed facial congestion, bruising, subarachnoid hemorrhage, and cerebral swelling.

Findings:

  • Toxicology results were negative, ruling out intoxication as a direct cause.
  • Death was attributed to hypoxic ischemic encephalopathy (HIE) caused by the extreme body position.
  • The unusual positioning led to fatal asphyxia.

Implications:

  • This case underscores that positional asphyxia can occur in non-accidental scenarios like assaults.
  • Forensic evaluations must consider unusual positioning as a cause of death, even without restraint.
  • Further research into the pathophysiology of positional asphyxia in diverse scenarios is warranted.