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Erschienen in: Forensic Science, Medicine and Pathology 2/2011

01.06.2011 | Case Report

Unique drowning in an atypical medium: paraffin wax in the setting of a motor vehicle crash—case report and literature survey

verfasst von: Theresa M. Mullan, Eric Lee Vey

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 2/2011

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Abstract

Among the various modes of death due to asphyxiation, drowning is unique. Unlike other types of suffocation associated with occluding airway obstructions (i.e. choking and smothering); with drowning, there is typically filling and involvement of the majority of the tracheobronchial tree and aerodigstive tract. Although the usual drowning medium is water, it can also occur in other media. Moreover, although drowning sometimes occurs in the setting of a motor vehicle accident, an element of vehicular submersion or immersion is usually operative in such instances. The case presented here is that of a motor vehicle crash which resulted in drowning where no immersion of the vehicle occurred. Moreover, the drowning medium was paraffin wax, rather than water. Other cases in the literature of drowning in atypical media and also those which are reported in the concomitant presence of a motor vehicle accident are presented.
Literatur
5.
Zurück zum Zitat Bierens JJ. Handbook on Drowning: Prevention, Rescue, Treatment. New York: Springer; 2006.CrossRef Bierens JJ. Handbook on Drowning: Prevention, Rescue, Treatment. New York: Springer; 2006.CrossRef
11.
Zurück zum Zitat Spiers M, Finnegan OC. Near death due to inhalation of slurry tank gases. Ulster Med J. 1986;55:181–3.PubMed Spiers M, Finnegan OC. Near death due to inhalation of slurry tank gases. Ulster Med J. 1986;55:181–3.PubMed
13.
Zurück zum Zitat Capovilla M, Durigon M, de la Grandmaison GL. An original cause of drowning in an industrial environment. Am J Forensic Med Pathol. 2007;28:91–3.PubMedCrossRef Capovilla M, Durigon M, de la Grandmaison GL. An original cause of drowning in an industrial environment. Am J Forensic Med Pathol. 2007;28:91–3.PubMedCrossRef
14.
Zurück zum Zitat Azmak D. Asphyxial deaths: a retrospective study and review of the literature. Am J Forensic Med Pathol. 2006;27:134–44.PubMedCrossRef Azmak D. Asphyxial deaths: a retrospective study and review of the literature. Am J Forensic Med Pathol. 2006;27:134–44.PubMedCrossRef
15.
Zurück zum Zitat Patetta MJ, Biddinger PW. Characteristics of drowning deaths in North Carolina. Public Health Rep. 1988;103:406–11.PubMed Patetta MJ, Biddinger PW. Characteristics of drowning deaths in North Carolina. Public Health Rep. 1988;103:406–11.PubMed
16.
Zurück zum Zitat Agócs MM, Trent RB, Russell DM. Activities associated with drownings in Imperial County, CA, 1980–90: implications for prevention. Public Health Rep. 1994;109:290–5.PubMed Agócs MM, Trent RB, Russell DM. Activities associated with drownings in Imperial County, CA, 1980–90: implications for prevention. Public Health Rep. 1994;109:290–5.PubMed
17.
Zurück zum Zitat Smith GS, Langley JD. Drowning surveillance: how well do E codes identify submersion fatalities. Inj Prev. 1998;4:135–9.PubMedCrossRef Smith GS, Langley JD. Drowning surveillance: how well do E codes identify submersion fatalities. Inj Prev. 1998;4:135–9.PubMedCrossRef
18.
Zurück zum Zitat Wintemute GJ, Kraus JF, Teret SP, Wright MW. Death resulting from motor vehicle immersions: The nature of the injuries, personal and environmental contributing factors, and potential interventions. Am J Public Health. 1990;80:1068–70.PubMedCrossRef Wintemute GJ, Kraus JF, Teret SP, Wright MW. Death resulting from motor vehicle immersions: The nature of the injuries, personal and environmental contributing factors, and potential interventions. Am J Public Health. 1990;80:1068–70.PubMedCrossRef
19.
Zurück zum Zitat Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1979–1998. CDC WONDER On-line Database, compiled from Compressed Mortality File CMF 1968–1988, Series 20, No. 2A, 2000 and CMF 1989–1998, Series 20, No. 2E, 2003. http://wonder.cdc.gov/cmf-icd9.html Accessed on 13 May 2010. Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1979–1998. CDC WONDER On-line Database, compiled from Compressed Mortality File CMF 1968–1988, Series 20, No. 2A, 2000 and CMF 1989–1998, Series 20, No. 2E, 2003. http://​wonder.​cdc.​gov/​cmf-icd9.​html Accessed on 13 May 2010.
20.
Zurück zum Zitat Stjernbrandt A, Oström M, Eriksson A, Björnstig U. Land motor vehicle-related drownings in Sweden. Traffic Inj Prev. 2008;9:539–43.PubMedCrossRef Stjernbrandt A, Oström M, Eriksson A, Björnstig U. Land motor vehicle-related drownings in Sweden. Traffic Inj Prev. 2008;9:539–43.PubMedCrossRef
21.
Zurück zum Zitat Winek CL, Wahba WW, Winek CL Jr, Balzer TW. Drug and chemical blood-level data 2001. Forensic Sci Int. 2001;122:107–23.PubMedCrossRef Winek CL, Wahba WW, Winek CL Jr, Balzer TW. Drug and chemical blood-level data 2001. Forensic Sci Int. 2001;122:107–23.PubMedCrossRef
22.
Zurück zum Zitat DiMaio VJ, DiMaio DJ. Asphyxia. In: DiMaio VJ, DiMaio DJ, editors. Forensic pathology. 2nd ed. Boca Raton: CRC Press; 2001. p. 229–77. DiMaio VJ, DiMaio DJ. Asphyxia. In: DiMaio VJ, DiMaio DJ, editors. Forensic pathology. 2nd ed. Boca Raton: CRC Press; 2001. p. 229–77.
23.
Zurück zum Zitat Knight B, Saukko P. Suffocation and ‘asphyxia’. In: Knight B, Saukko P, editors. Forensic pathology. 2nd ed. New York: Oxford University Press; 1996. p. 352–67. Knight B, Saukko P. Suffocation and ‘asphyxia’. In: Knight B, Saukko P, editors. Forensic pathology. 2nd ed. New York: Oxford University Press; 1996. p. 352–67.
24.
Zurück zum Zitat Knight B. Immersion and drowning. In: Knight B, editor. Simpson’s forensic medicine. 11th ed. New York: Oxford University Press; 1997. p. 96–9. Knight B. Immersion and drowning. In: Knight B, editor. Simpson’s forensic medicine. 11th ed. New York: Oxford University Press; 1997. p. 96–9.
25.
Zurück zum Zitat Adelson L. Homicide by cervical compression and homicide by drowning–“asphyxial deaths”. In: Adelson L, editor. The pathology of homicide: a vade mecum for pathologist, prosecutor and defense counsel. Springfield: Charles C. Thomas; 1974. p. 521–75. Adelson L. Homicide by cervical compression and homicide by drowning–“asphyxial deaths”. In: Adelson L, editor. The pathology of homicide: a vade mecum for pathologist, prosecutor and defense counsel. Springfield: Charles C. Thomas; 1974. p. 521–75.
26.
Zurück zum Zitat Reay DT. Mechanical asphyxia. In: Froede RC, editor. Handbook of forensic pathology. 2nd ed. Northfield: College of American Pathologists; 2003. p. 189–93. Reay DT. Mechanical asphyxia. In: Froede RC, editor. Handbook of forensic pathology. 2nd ed. Northfield: College of American Pathologists; 2003. p. 189–93.
27.
Zurück zum Zitat Lunetta P, Modell JH, Sajantila A. What is the incidence and significance of “dry-lungs” in bodies found in water? Am J Forensic Med Pathol. 2004;25:291–301.PubMedCrossRef Lunetta P, Modell JH, Sajantila A. What is the incidence and significance of “dry-lungs” in bodies found in water? Am J Forensic Med Pathol. 2004;25:291–301.PubMedCrossRef
28.
Zurück zum Zitat DiMaio VJ, DiMaio DJ. Death by drowning. In: DiMaio VJ, DiMaio DJ, editors. Forensic pathology. 2nd ed. Boca Raton: CRC Press; 2001. p. 399–407. DiMaio VJ, DiMaio DJ. Death by drowning. In: DiMaio VJ, DiMaio DJ, editors. Forensic pathology. 2nd ed. Boca Raton: CRC Press; 2001. p. 399–407.
29.
Zurück zum Zitat Knight B, Saukko P. Immersion deaths. In: Knight B, Saukko P, editors. Forensic pathology. 2nd ed. New York: Oxford University Press; 1996. p. 395–411. Knight B, Saukko P. Immersion deaths. In: Knight B, Saukko P, editors. Forensic pathology. 2nd ed. New York: Oxford University Press; 1996. p. 395–411.
30.
Zurück zum Zitat Modell JH, Bellefleur M, Davis JH. Drowning without aspiration: is this an appropriate diagnosis? J Forensic Sci. 1999;44:1119–23.PubMed Modell JH, Bellefleur M, Davis JH. Drowning without aspiration: is this an appropriate diagnosis? J Forensic Sci. 1999;44:1119–23.PubMed
31.
Zurück zum Zitat Shepherd R. Asphyxia. In: Shepherd R, editor. Simpson’s forensic medicine. 12th ed. London: Hodder Arnold; 2003. p. 94–102. Shepherd R. Asphyxia. In: Shepherd R, editor. Simpson’s forensic medicine. 12th ed. London: Hodder Arnold; 2003. p. 94–102.
33.
Zurück zum Zitat Talwar V, Sood N, Verma PK. Drowning in concentrated syrup. Indian Pediatr. 2009;46:352–3.PubMed Talwar V, Sood N, Verma PK. Drowning in concentrated syrup. Indian Pediatr. 2009;46:352–3.PubMed
34.
Zurück zum Zitat Singh B. A case report of ‘drowning’ in a bitumen tank. Med Sci Law. 1982;22(1):51–2.PubMed Singh B. A case report of ‘drowning’ in a bitumen tank. Med Sci Law. 1982;22(1):51–2.PubMed
35.
Zurück zum Zitat Cameron JM. Drowning: Immersion. In: Camps FE, Robinson AE, Lucas B, editors. Gradwohl’s Legal Medicine. 3rd ed. Bristol: John Wright & Sons; 1976. p. 349–51. Cameron JM. Drowning: Immersion. In: Camps FE, Robinson AE, Lucas B, editors. Gradwohl’s Legal Medicine. 3rd ed. Bristol: John Wright & Sons; 1976. p. 349–51.
36.
Zurück zum Zitat James WR. A case of drowning in a vat of beer and two other short case reports. Med Sci Law. 1966;6:164–5.PubMed James WR. A case of drowning in a vat of beer and two other short case reports. Med Sci Law. 1966;6:164–5.PubMed
37.
Zurück zum Zitat Machi T, Nakazawa T, Nakamura Y, Okeie K, Horita Y, Hirai H, Miyamori H, Saito Y, Kitagawa S. Severe hypercalcemia and polyuria in a near-drowning victim. Intern Med. 1995;34:868–71.PubMedCrossRef Machi T, Nakazawa T, Nakamura Y, Okeie K, Horita Y, Hirai H, Miyamori H, Saito Y, Kitagawa S. Severe hypercalcemia and polyuria in a near-drowning victim. Intern Med. 1995;34:868–71.PubMedCrossRef
38.
Zurück zum Zitat Fromm RE Jr. Hypercalcemia complicating an industrial near-drowning. Ann Emerg Med. 1991;20:669–71.PubMedCrossRef Fromm RE Jr. Hypercalcemia complicating an industrial near-drowning. Ann Emerg Med. 1991;20:669–71.PubMedCrossRef
39.
Zurück zum Zitat Coombs CF. Printed circuits handbook. 6th ed. New York: McGraw-Hill; 2008. Coombs CF. Printed circuits handbook. 6th ed. New York: McGraw-Hill; 2008.
40.
Zurück zum Zitat Jubran A, Greenberg SD, Solomon MD, Noall MW, Tobin MJ. Aspiration injury due to polyacrylamide. Chest. 1992;101:576–8.PubMedCrossRef Jubran A, Greenberg SD, Solomon MD, Noall MW, Tobin MJ. Aspiration injury due to polyacrylamide. Chest. 1992;101:576–8.PubMedCrossRef
41.
Zurück zum Zitat Apic R, Gasparec Z, Weber K. Drowning in gasoline. Forensic Sci. 1976;7:181.CrossRef Apic R, Gasparec Z, Weber K. Drowning in gasoline. Forensic Sci. 1976;7:181.CrossRef
42.
Zurück zum Zitat Richmond AC. Commandant’s Action on Marine Board of Investigation; explosion and fire on board the SS Amoco Virginia, tank barges H.T. Co. No. 40 and 46 and Gissel 1601 and 2001, Houston ship channel, 8 November 1959 with loss of life. United States Coast Guard. August 22, 1960. www.uscg.mil/hq/cg5/docs/boards/amocovirginia.pdf. Accessed 13 June 2010. Richmond AC. Commandant’s Action on Marine Board of Investigation; explosion and fire on board the SS Amoco Virginia, tank barges H.T. Co. No. 40 and 46 and Gissel 1601 and 2001, Houston ship channel, 8 November 1959 with loss of life. United States Coast Guard. August 22, 1960. www.​uscg.​mil/​hq/​cg5/​docs/​boards/​amocovirginia.​pdf. Accessed 13 June 2010.
43.
Zurück zum Zitat Singh B. A case report of ‘drowning’ in a bitumen tank. Med Sci Law. 1982;22:51–2.PubMed Singh B. A case report of ‘drowning’ in a bitumen tank. Med Sci Law. 1982;22:51–2.PubMed
44.
Zurück zum Zitat Pedersen MB, Simonsen J. Accidental death in fermentation tanks: report of two cases. Med Sci Law. 1982;22:283–4.PubMed Pedersen MB, Simonsen J. Accidental death in fermentation tanks: report of two cases. Med Sci Law. 1982;22:283–4.PubMed
45.
Zurück zum Zitat Osbern LN, Crapo RO. Dung lung: a report of toxic exposure to liquid manure. Ann Intern Med. 1981;95:312–4.PubMed Osbern LN, Crapo RO. Dung lung: a report of toxic exposure to liquid manure. Ann Intern Med. 1981;95:312–4.PubMed
46.
Zurück zum Zitat Knoblauch A, Steiner B. Major accidents related to manure: A case series from Switzerland. Int J Occup Environ Health. 1999;5:177–86.PubMed Knoblauch A, Steiner B. Major accidents related to manure: A case series from Switzerland. Int J Occup Environ Health. 1999;5:177–86.PubMed
47.
Zurück zum Zitat Fahy JV, Walley T, Gibney RT, McCabe M, FitzGerald MX. “Slurry lung”: a report of three cases. Thorax. 1991;46:394–5.PubMedCrossRef Fahy JV, Walley T, Gibney RT, McCabe M, FitzGerald MX. “Slurry lung”: a report of three cases. Thorax. 1991;46:394–5.PubMedCrossRef
48.
Zurück zum Zitat Centers for Disease Control and Prevention (CDC). Fatalities attributed to entering manure waste pits–Minnesota, 1992. MMWR Morb Mortal Wkly Rep 1993;42:325–9. Centers for Disease Control and Prevention (CDC). Fatalities attributed to entering manure waste pits–Minnesota, 1992. MMWR Morb Mortal Wkly Rep 1993;42:325–9.
49.
Zurück zum Zitat Kadanoff LP. Built upon sand: theoretical ideas inspired by granular flows. Rev Mod Phys. 1999;71:435–44.CrossRef Kadanoff LP. Built upon sand: theoretical ideas inspired by granular flows. Rev Mod Phys. 1999;71:435–44.CrossRef
51.
Zurück zum Zitat Menon N, Durian DJ. Particle Motions in a Gas-Fluidized Bed of Sand. Phys Rev Lett. 1997;79:3407–10.CrossRef Menon N, Durian DJ. Particle Motions in a Gas-Fluidized Bed of Sand. Phys Rev Lett. 1997;79:3407–10.CrossRef
52.
Zurück zum Zitat Terasaki H, Higashi K, Takeshita J, Tanoue T, Morioka T. Resuscitation by extracorporeal lung assist of a patient suffocating after inhalation of sawdust particles. Crit Care Med. 1990;18:239–40.PubMedCrossRef Terasaki H, Higashi K, Takeshita J, Tanoue T, Morioka T. Resuscitation by extracorporeal lung assist of a patient suffocating after inhalation of sawdust particles. Crit Care Med. 1990;18:239–40.PubMedCrossRef
53.
Zurück zum Zitat Linegar AG, Hayhurst MD, Cooke R. Near-fatal asphyxiation in sawdust—an unusual tracheobronchial foreign body. S Afr Med J. 2001;91:221–2.PubMed Linegar AG, Hayhurst MD, Cooke R. Near-fatal asphyxiation in sawdust—an unusual tracheobronchial foreign body. S Afr Med J. 2001;91:221–2.PubMed
54.
Zurück zum Zitat Jurek T, Szleszkowski L, Maksymowicz K, Wachel K, Drozd R. Lethal accidents in storage equipment: a report of two cases. Ann Agric Environ Med. 2009;16:169–72.PubMed Jurek T, Szleszkowski L, Maksymowicz K, Wachel K, Drozd R. Lethal accidents in storage equipment: a report of two cases. Ann Agric Environ Med. 2009;16:169–72.PubMed
55.
Zurück zum Zitat Arneson M, Jensen A, Grewal H. A Kansas wheat harvest: near-fatal asphyxiation with wheat grains. J Pediatr Surg. 2005;40:1354–6.PubMedCrossRef Arneson M, Jensen A, Grewal H. A Kansas wheat harvest: near-fatal asphyxiation with wheat grains. J Pediatr Surg. 2005;40:1354–6.PubMedCrossRef
56.
Zurück zum Zitat Slinger P, Blundell PE, Metcalf IR. Management of massive grain aspiration. Anesthesiology. 1997;87:993–5.PubMedCrossRef Slinger P, Blundell PE, Metcalf IR. Management of massive grain aspiration. Anesthesiology. 1997;87:993–5.PubMedCrossRef
57.
Zurück zum Zitat West JB. Structure and function. In: West JB, editor. Respiratory physiology. 7th ed. Philadelphia: Lippincott, Williams & Wilkins; 2005. p. 1–11. West JB. Structure and function. In: West JB, editor. Respiratory physiology. 7th ed. Philadelphia: Lippincott, Williams & Wilkins; 2005. p. 1–11.
59.
Zurück zum Zitat Bonilla-Santiago J, Fill WL. Sand aspiration in drowning and near drowning. Radiology. 1978;128:301–2.PubMed Bonilla-Santiago J, Fill WL. Sand aspiration in drowning and near drowning. Radiology. 1978;128:301–2.PubMed
60.
Zurück zum Zitat Kettner M, Ramsthaler F, Horlebein B, Schmidt PH. Fatal outcome of a sand aspiration. Int J Legal Med. 2008;122:499–502.PubMedCrossRef Kettner M, Ramsthaler F, Horlebein B, Schmidt PH. Fatal outcome of a sand aspiration. Int J Legal Med. 2008;122:499–502.PubMedCrossRef
61.
Zurück zum Zitat Lothe F. “Drowning” in sand. Med Sci Law. 1964;4:128–9.PubMed Lothe F. “Drowning” in sand. Med Sci Law. 1964;4:128–9.PubMed
62.
Zurück zum Zitat Benomran FA, Hassan AI. Accidental fatal asphyxiation by sand inhalation. J Forensic Leg Med. 2008;15:402–8.PubMedCrossRef Benomran FA, Hassan AI. Accidental fatal asphyxiation by sand inhalation. J Forensic Leg Med. 2008;15:402–8.PubMedCrossRef
63.
Zurück zum Zitat Avital A, Springer C, Mogle P, Godfrey S. Successful treatment after ‘drowning’ in sand. Arch Dis Child. 1989;64:615–6.PubMedCrossRef Avital A, Springer C, Mogle P, Godfrey S. Successful treatment after ‘drowning’ in sand. Arch Dis Child. 1989;64:615–6.PubMedCrossRef
64.
Zurück zum Zitat Van Dyke JJ, Lake KB. Survival after asphyxia secondary to gravel aspiration. Arch Intern Med. 1976;136:471–3.PubMedCrossRef Van Dyke JJ, Lake KB. Survival after asphyxia secondary to gravel aspiration. Arch Intern Med. 1976;136:471–3.PubMedCrossRef
65.
Zurück zum Zitat Bergeson PS, Hinchcliffe WA, Crawford RF, Sorenson MJ, Trump DS. Asphyxia secondary to massive dirt aspiration. J Pediatr. 1978;92:506–7.PubMedCrossRef Bergeson PS, Hinchcliffe WA, Crawford RF, Sorenson MJ, Trump DS. Asphyxia secondary to massive dirt aspiration. J Pediatr. 1978;92:506–7.PubMedCrossRef
66.
Zurück zum Zitat Wales J, Jackimczyk K, Rosen P. Aspiration following a cave-in. Ann Emerg Med. 1983;12:99–101.PubMedCrossRef Wales J, Jackimczyk K, Rosen P. Aspiration following a cave-in. Ann Emerg Med. 1983;12:99–101.PubMedCrossRef
67.
Zurück zum Zitat Conroy C, Stanley C, Eastman AB, Vaughan T, Vilke GM, Hoyt DB, Pacyna S, Smith A. Asphyxia: a rare cause of death for motor vehicle crash occupants. Am J Forensic Med Pathol. 2008;29:14–8.PubMedCrossRef Conroy C, Stanley C, Eastman AB, Vaughan T, Vilke GM, Hoyt DB, Pacyna S, Smith A. Asphyxia: a rare cause of death for motor vehicle crash occupants. Am J Forensic Med Pathol. 2008;29:14–8.PubMedCrossRef
68.
Zurück zum Zitat Conroy C, Eastman AB, Stanley C, Vilke GM, Vaughan T, Hoyt DB, Pacyna S. Fatal positional asphyxia associated with rollover crashes. Am J Forensic Med Pathol. 2007;28:330–2.PubMedCrossRef Conroy C, Eastman AB, Stanley C, Vilke GM, Vaughan T, Hoyt DB, Pacyna S. Fatal positional asphyxia associated with rollover crashes. Am J Forensic Med Pathol. 2007;28:330–2.PubMedCrossRef
69.
Zurück zum Zitat Vega RS, Adams VI. Suffocation in motor vehicle crashes. Am J Forensic Med Pathol. 2004;25:101–7.PubMedCrossRef Vega RS, Adams VI. Suffocation in motor vehicle crashes. Am J Forensic Med Pathol. 2004;25:101–7.PubMedCrossRef
70.
Zurück zum Zitat Centers for Disease Control and Prevention (CDC). Flood-related mortality–Georgia, July 4–14, 1994. MMWR Morb Mortal Wkly Rep 1994;43:526–30. Centers for Disease Control and Prevention (CDC). Flood-related mortality–Georgia, July 4–14, 1994. MMWR Morb Mortal Wkly Rep 1994;43:526–30.
71.
Zurück zum Zitat Yale JD, Cole TB, Garrison HG, Runyan CW, Ruback JK. Motor vehicle-related drowning deaths associated with inland flooding after hurricane Floyd: a field investigation. Traffic Inj Prev. 2003;4:279–84.PubMedCrossRef Yale JD, Cole TB, Garrison HG, Runyan CW, Ruback JK. Motor vehicle-related drowning deaths associated with inland flooding after hurricane Floyd: a field investigation. Traffic Inj Prev. 2003;4:279–84.PubMedCrossRef
72.
Zurück zum Zitat Dunagan DP, Cox JE, Chang MC, Haponik EF. Sand aspiration with near-drowning. Radiographic and bronchoscopic findings. Am J Respir Crit Care Med. 1997;156:292–5.PubMed Dunagan DP, Cox JE, Chang MC, Haponik EF. Sand aspiration with near-drowning. Radiographic and bronchoscopic findings. Am J Respir Crit Care Med. 1997;156:292–5.PubMed
73.
Zurück zum Zitat Jougon J, Minniti A, Velly JF. Acute respiratory distress caused by gravel blocking the bronchial tree. Eur J Cardiothorac Surg. 2005;28:768.PubMedCrossRef Jougon J, Minniti A, Velly JF. Acute respiratory distress caused by gravel blocking the bronchial tree. Eur J Cardiothorac Surg. 2005;28:768.PubMedCrossRef
74.
Zurück zum Zitat Hanson KA, Gilbert JD, James RA, Byard RW. Upper airway occlusion by soil—an unusual cause of death in vehicle accidents. J Clin Forensic Med. 2002;9:96–9.PubMedCrossRef Hanson KA, Gilbert JD, James RA, Byard RW. Upper airway occlusion by soil—an unusual cause of death in vehicle accidents. J Clin Forensic Med. 2002;9:96–9.PubMedCrossRef
78.
Zurück zum Zitat Nishino T, Hiraga K. Coordination of swallowing and respiration in unconscious subjects. J Appl Physiol. 1991;70:988–93.PubMedCrossRef Nishino T, Hiraga K. Coordination of swallowing and respiration in unconscious subjects. J Appl Physiol. 1991;70:988–93.PubMedCrossRef
Metadaten
Titel
Unique drowning in an atypical medium: paraffin wax in the setting of a motor vehicle crash—case report and literature survey
verfasst von
Theresa M. Mullan
Eric Lee Vey
Publikationsdatum
01.06.2011
Verlag
Springer US
Erschienen in
Forensic Science, Medicine and Pathology / Ausgabe 2/2011
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-010-9194-5

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