Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/84188
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Type: Journal article
Title: Issues in the diagnosis of hypothermia: a comparison of two geographically separate populations
Author: Bright, F.
Winskog, C.
Tsokos, M.
Walker, M.
Byard, R.
Citation: Journal of Forensic and Legal Medicine, 2014; 22:30-32
Publisher: Churchill Livingstone
Issue Date: 2014
ISSN: 1752-928X
1878-7487
Statement of
Responsibility: 
Fiona M. Bright, Calle Winskog, Michael Tsokos, Melissa Walker, Roger W. Byard
Abstract: A review of hypothermic deaths was undertaken using cases from the Charité University, Berlin, Germany and Forensic Science South Australia, Australia. There were 16 cases from Berlin (age range 38-96 years; average 68 years; M:F = 13:3) Wischnewski spots were present in all 16 cases (100%), skin discolouration in nine (56%), and acute pancreatitis and muscle haemorrhage in one case each (6%). There were 62 Australian cases (age range 30-89 years; average 67 years; M:F = 13:18). Wischnewski spots were present in 57 (92%), skin discolouration in seven (11%), vacuolization of renal cells in six (10%), and acute pancreatitis in one (2%). Reporting of the pathological findings in hypothermia may vary among jurisdictions influenced by the location and nature of these deaths and also by reliance on particular features to make the diagnosis. In addition, it is possible that the aetiology of these markers is quite complex and involves not only a significant reduction in core temperature, but the variable and poorly-understood interaction of a number of other factors.
Keywords: Hypothermia; Wischnewski spots; Pancreatitis; Diagnosis; Death
Rights: Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
RMID: 0020135745
DOI: 10.1016/j.jflm.2013.10.020
Appears in Collections:Pathology publications

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