Page 49 - AEQUITAS VOL 2
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                                                               TOXICOLOGICAL                FINDINGS:           The
         Victim- 19-year-old male

         Incident  -assaulted  and  placed  head-              victim  was  confirmed  to  be  alcohol-
                                                               intoxicated at the time of death.
         down in the back of a car.
         Brush abrasions show that the victim                  CAUSE  OF  DEATH:  The  case  was
                                                               diagnosed  as  death  due  to  positional
         had  been  dragged  towards  the
         vehicle.                                              asphyxia,  as  asphyxia  resulting  from  an
                                                               unusual  body  position  that  interfered  with
         The  head  and  right  shoulder  were
                                                               breathing and pulmonary ventilation.
         wedged  into  the  footwell,  with  the
         rest of the body uppermost, creating                  Case  study  3:  Positional  asphyxia  death  in
         a     severely     restricted     breathing           Mangaluru, Karnataka

         posture.
                                                               SCENE  DESCRIPTION:  A  26-year-old
         AUTOPSY FINDINGS                                      male was found dead inside his residence in

              Marked  congestion  of  the  face,               Mangaluru,  Karnataka.  The  discovery  was
              neck, and upper chest                            made  early  in  the  morning  hours  after  he

              Petechiae (red or purple spots) in               failed  to  respond  to  repeated  calls.  He  was
              the eyes                                         last seen heavily intoxicated late the previous

              Bruising on the face and scalp                   night after a drinking session with friends.
              Subarachnoid hemorrhage                          The  body  was  located  in  an  unusual,  self-

              Cerebral swelling                                assumed  position  that  restricted  normal

                                                               respiratory  movement.  The  victim  was
         TOXICOLOGY: negative for alcohol                      partially  slumped,  with  his  torso  flexed

         and drugs
                                                               forward and his neck bent at an angle that
                                                               limited  airway  patency.  His  limbs  were

         CAUSE  OF  DEATH:  HIE(oxygen
                                                               awkwardly  positioned,  and  his  back  was
         supply  to  the  brain  is  reduced  or               pressed  against  a  low  surface,  further

         stopped)  resulting  from  positional
                                                               reducing chest expansion.
         asphyxia  due  to  unusual  body

         positioning.
                                                               AUTOPSY FINDINGS


                                                                    External  examination:  no  abrasions,

                                                                    lacerations, or contusions were found on
                                                                    the face, neck, etc. No ligature marks or
                                                                    restraint impressions were seen.
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