Table 2. Specific features of antemortem and postmortem burning.
Features |
Antemortem |
Postmortem |
---|---|---|
Toxicological analysis (4,7–11) |
Lethal dose of CO-Hb >50%* *In case of severe CVD 10–30% |
CO-Hb < 50% |
Lividity (11) |
Cherry-red |
Bluish-purple |
Soot, thermal burns of organs (4–7) |
Soot in the respiratory tract Thermal burns in the airways |
Absent |
Heat-hematoma or epidural hematoma caused by trauma (4,15) |
CO-Hb concentration in hematoma blood is similar to peripheral blood; PMCT: low density, crescent shaped, crossing the midline, detaching the venous sinus |
CO-Hb is absent or less than peripheral blood; PMCT: dense, convex and lens shaped |
Fractures (13,14) |
May include deeper body areas Bilateral and symmetrical involvement Longitudinal trans-diploic fractures |
Superficial areas Usually asymmetrical Perpendicular disruption to the bone surface |
Burns (1–3) |
Line of redness around the burn area; Blisters: red base, full of serous fluid; Histopathological examination: small areas of hemorrhages, PMN infiltration |
No line of redness; Blisters (if present): pale, yellow without a red base, filled with air and clear fluid; Histopathological examination: no characteristic changes |
CO-Hb – carboxyhemoglobin; CVD – cardiovascular disease; PMN – polymorphonuclear