ÖzetOto-resüsitasyon veya bilinen terminolojisi ile Lazarus fenomeni kardiyo-pulmoner canlandırma (CPR) çabasının sona erdirilmesinden bir süre sonra spontan dolaşım ve solunumun dış müdahale olmaksızın geri gelmesidir. Konu tıbbi literatürde çok az yer almaktadır. Bir görüşe göre hekimler tıbbi uygulama hatası iddialarına muhatap olmamak için olgu sunumu yapmakta isteksizdirler. Seyrek rastlanan ve ilgi çekici bir durum olduğundan gerçekleştiğinde basına da yansımaktadır. Adli Tıp incelemeleri açısından karar verilmesi gereken öncelikli konu ölüm veya zarara uğrama sebebinin dolaşım ve solunumun durmasına neden olan asıl patoloji olup olmadığıdır. Sunduğumuz vaka İstanbul Tabip Odası arşivlerinde retrospektif olarak tıbbi uygulama hatası iddiaları-nı araştırırken bulunmuştur. Lazarus fenomeni spekülatif olarak basına yansıdığı veya tıbbi kötü uygulama hatası iddialarına sebep olduğu zaman herhangi bir tıbbi uygulama kusuru olmasa dahi sorumlu hekimlerin mesleki ünleri için yıkıcı etkileri olmaktadır.Anahtar Kelimeler: Lazarus Fenomeni; Otoresüsitasyon; Adli Tıp. AbstractAuto-resuscitation or with the common name Lazarus phenomenon is unassisted return of spontaneous circulation after cardiac arrest. Lazarus phenomenon takes a little place in the medical literature. Doctors are reluctant to publish case reports because of apprehension of being sued due to medical malpractice. In the other hand Lazarus phenomenon is a rare and interesting topic for public media. In the forensic point of view, it's important that if a Lazarus phenomenon is connected with medical negligence or not. All "Lasarus" case reports in the literature are informing that a time interval between declaration of death and noticing spontaneous circulation-inhalation from a few second to 33 minutes. Possibly there are no other example of 3 hours time interval between death declaration and noticing auto-resuscitation rather than in our case report.

Caretta carettas, one of the members of Chelonidae family, live primarily in water, except the periods of their ovulation where they come out to the shores to lay their eggs. Following an incubation period of 50-60 days, the newborns return to sea water to continue their 10-12-year life. Studies using marking methodology of the animals have shown that females return to the same place for ovulation every 2-3 years. The development of molecular genetic studies gives us now opportunity to trace all these routes that Caretta carettas follow during their life cycle. One of the basic techniques that is used for identification in general is the polymorphic DNA microsatellite loci. These 2-4 base pair DNA segments are considered to be ideal for Caretta caretta identification also. In this study we tried to establish a protocol in order to identify both male and female carettas in tissue samples collected from animals in the Mediterranean shoreline in the southern Turkey once this shoreline is one of the main spots of them for ovulation. The sampling has been done from 89 locations (Dalyan, Dalaman, Fethiye, Patara, Kale, Kumluca, Belek, Kizilot, Demirtaş, Gazipaşa and Anamur) from 246 dead baby Caretta carettas. DNA was extracted using silica-based extraction technology from the tissue homogenates. Cc7 locus was selected for identification to be tested for its degree of polymorphic content and therefore power of discrimination in general. The methodology used is PCR, followed by polyacrilamide gel electrophoresis and silver staining.

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