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. 2023 May 16;30(1):86–96. doi: 10.15388/Amed.2023.30.1.10

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