Forensic and clinical carbon monoxide (CO) poisonings in Turkey: A detailed analysis

Karapirli, Mustafa; Kandemir, Eyüp; Akyol, Sümeyya; Kantarci, Muhammed Nabi; Kaya, Mehmet Cemal; Akyol, Ömer

doi:10.1016/j.jflm.2012.04.031

Cited by 24 publications

(22 citation statements)

References 27 publications

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“…Another notable finding was that the autopsy rate reported in the present study (6.41%; N = 10) was lower than those in European nation such as Denmark [10], also lower than Turkey [3]. The reason for such is that the policy in the mainland China requires autopsy to be performed only on homicide cases (not including homicide-suicide cases), but not mandatory on cases declared as suicides and accidents unless it is necessary to distinguish suicide or accident from homicide.…”

Section: Discussioncontrasting

confidence: 54%

“…It has a 200 to 270-time greater affinity for hemoglobin than oxygen [1][2][3]. Improperly installed heaters, motor vehicles, appliances that use carbon fuels, and household fires are the main sources for CO gas [4].…”

Section: Introductionmentioning

confidence: 99%

“…The CO poisoning cases are well reported in empirical studies and case reports that sampled Western populations. The manners of CO poisoning deaths, derived from the Western samples, can be classified as either accident or suicide; with homicide is rarely reported [3,[6][7][8][9][10][11][12]. In the East Asia, CO poisoning deaths are reported in South Korea, Hong Kong, and Taiwan in the form of empirical studies and case reports [13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Carbon monoxide poisoning as a cause of death in Wuhan, China: A retrospective six-year epidemiological study (2009–2014)

Li¹,

Chan²,

Liu³

et al. 2015

Forensic Science International

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Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Carbon monoxide poisoning as a cause of death in Wuhan, China: A retrospective six-year epidemiological study (2009–2014)

Li¹,

Chan²,

Liu³

et al. 2015

Forensic Science International

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“…This finding correlates with a study in Turkey. 16 The level of detected COHb ranged between 15% and 77%. The severity of poisoning depends on the concentration of inspired CO, length of exposure and the general health status of the individual.…”

Section: Carbon Monoxide Toxicitymentioning

confidence: 98%

Carbon monoxide toxicity in Dammam, KSA: Retrospective study

Aldossary

Almadni

Kharoshah

et al. 2015

Egyptian Journal of Forensic Sciences

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Carbon monoxide (CO) toxicity is one of the common types of poisoning, and the aim of this study is to evaluate CO poisoning during 2004-2013. The study was based on autopsy samples sent to the forensic chemistry laboratory in Dammam during the study period. The findings showed that 68 out of 894 autopsy cases were diagnosed as acute CO toxicity; 91% of the cases were classified as accidental; 83% of cases were male while only 11% were female. The highest rate was in the winter months (50%), and highest age group was between 40 and 50 years, followed by 31-40. The average carbon monoxide percentage was 49%. Carbon monoxide toxicity in Dammam is not a very common occurrence; however, this study may help control and prevent carbon monoxide toxicity for protection of the society. ª 2014 Hosting by Elsevier B.V. on behalf of The International Association of Law and Forensic Sciences (IALFS).

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“…Intoxications are most commonly encountered in winter and windy weathers as the carbon compounds in the structure of charcoal don't burn completely and CO develops during burning. Another source of exposure is the exhaust fumes of cars (39,40). In a study consisting of 250 children diagnosed with acute CO intoxication, it has been reported that intoxications develop most commonly due to exhaust fumes and incompletely burned charcoal (41).…”

Section: Carbon Monoxidementioning

confidence: 99%

Evaluation of Common Non-pharmacological Chemical Substance Poisonings in Childhood

Ünüvar¹

2017

jpr

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Songül Ünüvar ABS TRACTÖz Acute intoxications in adolescents and adults are mostly associated with intentional or accidental ingestions. Intoxications are commonly seen in children aged between 1 and 5 years and most of the cases are associated with accidental intake. In most of the children, no clinical symptoms related to intoxication are observed or only mild effects can develop. The main route of drug elimination is through kidneys. Absolute clearance in children is often lower than in adults but weight-adjusted clearance is higher. Depending on more rapid elimination in children the plasma half-life of the drug might be shorter in children than in adults. A shorter elimination half-life means that plasma steady-state is achieved with repeated doses. It is important to prevent childhood intoxications, and the use of child-resistant packaging and adequate supervision together with the secure storage of household substances are the basis of prevention of accidental childhood intoxications. Intoxications represent one of the most common medical emergencies in children, and epidemiological characteristics vary in different countries. Therefore, special epidemiological surveillance is necessary for each country to determine the problem according to which preventive measures should be taken. Early awareness and taking appropriate therapeutic measures seems to be effective in the reduction of mortality rate. The major and most common non-pharmacological chemical intoxications in childhood have been reviewed here with the intent of helping health-care professionals, particularly pediatricians to recognize and reduce the risk of harmful childhood intoxications. Keywords: Childhood, intoxication, child health, antidote Ergen ve yetişkinlerdeki akut zehirlenmeler çoğunlukla kasıtlı veya kazara alımlar ile ilişkilidir. Bir ve beş yaş arasındaki çocuklarda zehirlenmeler yaygın görülmektedir ve olguların çoğu kazara alımlara bağlıdır. Çocukların çoğunda zehirlenmeye bağlı hiçbir klinik belirti gözlenmez veya sadece hafif etkiler gelişebilir. İlaç eliminasyonu esas olarak böbrekler aracılığı ile olur. Çocuklarda mutlak klerens yetişkinlere göre genellikle daha düşüktür, fakat vücut ağırlığına göre hesaplanan klerens daha yüksektir. Çocuklarda daha hızlı eliminasyona bağlı olarak, ilacın plazma yarı ömrü yetişkinlere kıyasla daha kısa olabilir. Eliminasyon yarı-ömrünün daha kısa olması, plazma kararlı durumuna tekrarlanan dozlarda ulaşıldığı anlamına gelir. Çocukluk çağı zehirlenmelerinin önlenmesi önemlidir, çocuk emniyeti olan ambalaj kullanılması ve evsel ürünlerin kontrollü olarak güvenli muhafaza edilmeleri, kazara oluşan çocukluk çağı zehirlenmelerinin önlenmesinin esasını oluşturur. Zehirlenmeler, çocukluk çağında en sık görülen acil tıbbi durumlardan biridir ve epidemiyolojik özellikleri ülkeden ülkeye farklılık göstermektedir. Bu nedenle, sorunu belirlemek için hangi önleyici tedbirlerin alınabileceği konusunda her ülke için özel epidemiyolojik takip gereklidir. Zehirlenmelerde erken farkındalık ve uygun terapötik ...

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Forensic and clinical carbon monoxide (CO) poisonings in Turkey: A detailed analysis

Cited by 24 publications

References 27 publications

Carbon monoxide poisoning as a cause of death in Wuhan, China: A retrospective six-year epidemiological study (2009–2014)

Carbon monoxide poisoning as a cause of death in Wuhan, China: A retrospective six-year epidemiological study (2009–2014)

Carbon monoxide toxicity in Dammam, KSA: Retrospective study

Evaluation of Common Non-pharmacological Chemical Substance Poisonings in Childhood

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