Serum biochemical markers in drowning: Diagnostic efficacy of Strontium and other trace elements

Pérez-Cárceles, María D.; Pozo, S. del; Sibon, Amaury; Noguera, José Antonio; Osuna, Eduardo; Vizcaya, M. A.; Luna, A.

doi:10.1016/j.forsciint.2011.07.047

Cited by 24 publications

(21 citation statements)

References 29 publications

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“…The obtained concentrations of strontium in the ventricles and the differences in concentrations between the ventricles were not as high as the “typical drowning” definition of Azparren et al. However, they were within the cutoff ranges supporting the diagnosis of drowning, especially since the bodies had been recovered from seawater within 24 h .…”

Section: Discussionmentioning

confidence: 51%

“…Strontium was considered just as a supportive parameter for the diagnosis of drowning as many different factors reported in the literature can be effective on strontium concentrations. The obtained concentrations of strontium in the ventricles and the differences in concentrations between the ventricles were not as high as the "typical drowning" definition of Azparren et al However, they were within the cutoff ranges supporting the diagnosis of drowning, especially since the bodies had been recovered from seawater within 24 h (34)(35)(36)(37)(38)(39)(40)(41)(42).…”

Section: Discussionmentioning

confidence: 61%

See 1 more Smart Citation

Simultaneous Homicide–Suicide: A Case Report of Double Drowning

Melez

Avşar

Başpınar

et al. 2014

Journal of Forensic Sciences

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Homicide-suicide is a tragic phenomenon which typically does not result in a criminal charge or trial. However, correct diagnosis and classification of homicide-suicide cases are important to determine the perpetrators and dynamics of each category properly. The deaths in the homicide-suicide acts can be divided into two categories with respect to the number of involved individuals: dyadic deaths and triple or multiple deaths. These two categories can also be divided into two subgroups according to the chronology of the incidents: simultaneous deaths and consecutive deaths. Herein, a simultaneous homicide-suicide case of a father and daughter where both deaths occurred through drowning which was not found in the selected literature review and where the victim was a child is presented. The article aims to clarify the term discrepancies about multiple death cases in the literature and to discuss the pathological and psychosocial characteristics of the simultaneous dyadic death cases.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 61%

Simultaneous Homicide–Suicide: A Case Report of Double Drowning

Melez

Avşar

Başpınar

et al. 2014

Journal of Forensic Sciences

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“…The protective effects of mild hypothermia are due to a decrease in basal metabolism, which leads to decreased levels of calcium ions and inflammation markers, decreased blood-brain barrier permeability, and inhibits the biosynthesis of reactive oxygen species. 5 Also, it limits the consumption of glucose and oxygen, decreasing the risk of energy failure, and the biosynthesis of lactic acid in the blood and cerebrospinal fluid.…”

Section: Discussionmentioning

confidence: 99%

Influence of Hypothermia on the Clinical and Molecular Status of a Freshwater Drowning Victim with Severe Trauma. A Case Report

Bedreag

Păpurică

Rogobete

et al. 2016

Journal of Interdisciplinary Medicine

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Drowning in freshwater kills many people around the world. Complications are multiple and sometimes impossible to treat. Fluid and electrolyte resuscitation is difficult because of all the physiological, biophysical and biochemical changes that decrease the rate of survival. Extreme lung injury and cardiovascular disorders are responsible for tissue hypoxia, increased production of inflammation markers, biosynthesis of reactive oxygen species and finally, multiple organ damage. Hypothermia, frequently associated with drowning, provides multiple benefits to this type of patients. Various studies have developed the idea that hypothermia protects the brain from biochemical mediators, thereby preventing neuronal cell destruction. In this case report we present the biological parameters and evolution of a patient drowned in freshwater, and also the benefits of hypothermia to the clinical picture.

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“…To date, the gold standard to substantiate ''true drowning'' remains diatom investigation, although certain critics and technical difficulties need to be taken into account [14]. Detection of chemical substances (found in water) in the blood of drowned victims, such as strontium and other markers has also been done, but is nevertheless also endowed with difficulties [15,16].…”

Section: Introductionmentioning

confidence: 99%