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Carbon monoxide poisoning is the leading cause of mortality and morbidity of toxic origin in the world. Its insidious and polymorphic symptomatology makes it difficult to diagnose. It occurs accidentally, because of non-supervised domestic fires, or in fire victims. In fire victims, in particular, the differential diagnosis between carbon monoxide gas poisoning, inhalation of other toxic products of combustion like cyanide, oxygen deprivation, thermal burns and shock due to burns as a cause of death is not an easy task. The authors examined 107 fire victims that were autopsied at the Forensic Medicine from Iasi, Romania, in the last 10 years (2007-2016). Most cases were males (69.16%), young (0-9 years) or older than 60 with a burned surface of 91-100% in 68.22% of cases. Blood samples from the cadavers were collected in all cases in order to analyse carboxyhaemoglobin concentration and haemolysis. Toxicological analysis revealed a carboxyhaemoglobin level of maximum 95% but the majority of cases (70.72%) had a concentration inferior to 50%. An inverse correlation was identified between carboxyhaemoglobin concentration and haemolysis, an indicator of heat dissociation. Our study proves that many fire victims may die because of carbon monoxide intoxication prior to the extent of burns at a lethal potential.

This paper aims to examine the types of medical responsibility and specific features of each type. In addition, the paper sums up the obligations of the expert commissions that analyze medical liability cases and categories that can be assigned, and their legal consequences.

In medical literature, existing studies show the opportunity to use fluorine for one�s health. The presence of this substance in the normal composition of all tissues and organs of the human body as well as deficiencies highlighted under certain circumstances support this aspect. They show both the positive effects of fluorine, such as the role of fluorine in increased calcium storing in the bones and teeth, and the negative effects, for example inhibition of phosphatases, (enzymes used in many metabolic processes). The double effect also appears in the use of fluorine in treatments, because when overcoming a critical threshold for the body it may produce adverse effects, sometimes leading to death. The present article analyzes these effects, the primary purpose being to raise awareness and identify the reactions of fluorine on the body.

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