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Haematic silicon in drowning.
Giovanni Pierucci1, Federica Merlano1, Yao Chen1
1Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini 12, 27100 Pavia, Italy.
Journal of Forensic and Legal Medicine
|January 26, 2016
Summary
Silicon (Si) in ventricular blood can help diagnose drowning. Measuring the difference in silicon levels between heart ventricles (Si ΔL-R) shows promise as a complementary tool for fresh water drowning cases.
Area of Science:
- Forensic Toxicology
- Environmental Chemistry
- Biomarker Discovery
Background:
- Drowning diagnosis relies on various methods, but chemical markers in blood are continuously explored.
- Silicon (Si) in drowning media presents a potential avenue for developing new diagnostic tools.
Purpose of the Study:
- To evaluate silicon concentration in human whole ventricular blood as a potential chemical marker for drowning diagnosis.
- To investigate the utility of silicon difference between left and right ventricular blood (Si ΔL-R) in differentiating drowning cases.
Main Methods:
- Acidic and alkaline digestion methods were used to extract and determine soluble and total silicon in blood.
- Analysis was performed on 29 suspected drowning cases (24 fresh water, 5 seawater).
- Silicon difference between left and right ventricular blood (Si ΔL-R) was measured.
Main Results:
- Alkaline Si ΔL-R showed potential as a complementary tool for fresh water drowning diagnosis.
- The insoluble silicon fraction's stability against hemo-dilution/concentration supports its reliability.
- A good correlation was observed between silicon analysis results and autoptic findings.
Conclusions:
- Silicon concentration in ventricular blood, particularly the alkaline Si ΔL-R, may serve as a valuable complementary marker in forensic drowning investigations.
- The method shows promise for aiding in the diagnosis of fresh water drowning.
- Further investigation with a larger case number is warranted to solidify these findings.

