Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents

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Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents. / Vinkel, Julie; Bak, Peter; Juel Thiis Knudsen, Peter; Hyldegaard, Ole.

I: Journal of Forensic Sciences, Bind 63, Nr. 1, 2018, s. 299-304.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Vinkel, J, Bak, P, Juel Thiis Knudsen, P & Hyldegaard, O 2018, 'Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents', Journal of Forensic Sciences, bind 63, nr. 1, s. 299-304. https://doi.org/10.1111/1556-4029.13526

APA

Vinkel, J., Bak, P., Juel Thiis Knudsen, P., & Hyldegaard, O. (2018). Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents. Journal of Forensic Sciences, 63(1), 299-304. https://doi.org/10.1111/1556-4029.13526

Vancouver

Vinkel J, Bak P, Juel Thiis Knudsen P, Hyldegaard O. Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents. Journal of Forensic Sciences. 2018;63(1):299-304. https://doi.org/10.1111/1556-4029.13526

Author

Vinkel, Julie ; Bak, Peter ; Juel Thiis Knudsen, Peter ; Hyldegaard, Ole. / Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents. I: Journal of Forensic Sciences. 2018 ; Bind 63, Nr. 1. s. 299-304.

Bibtex

@article{b069b76274644610b88984cbee2be742,

title = "Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents",

abstract = "Immersion Pulmonary Edema (IPE) reduces the transport of gases over the respiratory membrane due to edema in the interstitium and respiratory zones. IPE has previously been described in both swimmers and divers, with a few known fatal cases. We have reviewed 42 SCUBA and snorkeling-related drowning deaths, and through a thorough analysis of each case, including both diving physiology and forensic pathology, we present IPE as a differential diagnosis to drowning in four cases. Our findings propose that; absence of watery content in the stomach and conducting airways, and liquid filled lungs without hyperexpansion, may be compatible with IPE. We suggest that IPE should be considered in cases where witness testimony reveals; no obvious signs of aspiration and rapid respiratory deterioration despite continuous breathing through an appropriate air source. The diagnosis should be based on the overall impression, including both the autopsy findings and the circumstances regarding the accident.",

keywords = "case study, death causes, diving, drowning, forensic pathology, forensic science, pulmonary edema",

author = "Julie Vinkel and Peter Bak and {Juel Thiis Knudsen}, Peter and Ole Hyldegaard",

year = "2018",

doi = "10.1111/1556-4029.13526",

language = "English",

volume = "63",

pages = "299--304",

journal = "Journal of Forensic Sciences",

issn = "0022-1198",

publisher = "Wiley-Blackwell",

number = "1",

}

RIS

TY - JOUR

T1 - Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents

AU - Vinkel, Julie

AU - Bak, Peter

AU - Juel Thiis Knudsen, Peter

AU - Hyldegaard, Ole

PY - 2018

Y1 - 2018

N2 - Immersion Pulmonary Edema (IPE) reduces the transport of gases over the respiratory membrane due to edema in the interstitium and respiratory zones. IPE has previously been described in both swimmers and divers, with a few known fatal cases. We have reviewed 42 SCUBA and snorkeling-related drowning deaths, and through a thorough analysis of each case, including both diving physiology and forensic pathology, we present IPE as a differential diagnosis to drowning in four cases. Our findings propose that; absence of watery content in the stomach and conducting airways, and liquid filled lungs without hyperexpansion, may be compatible with IPE. We suggest that IPE should be considered in cases where witness testimony reveals; no obvious signs of aspiration and rapid respiratory deterioration despite continuous breathing through an appropriate air source. The diagnosis should be based on the overall impression, including both the autopsy findings and the circumstances regarding the accident.

AB - Immersion Pulmonary Edema (IPE) reduces the transport of gases over the respiratory membrane due to edema in the interstitium and respiratory zones. IPE has previously been described in both swimmers and divers, with a few known fatal cases. We have reviewed 42 SCUBA and snorkeling-related drowning deaths, and through a thorough analysis of each case, including both diving physiology and forensic pathology, we present IPE as a differential diagnosis to drowning in four cases. Our findings propose that; absence of watery content in the stomach and conducting airways, and liquid filled lungs without hyperexpansion, may be compatible with IPE. We suggest that IPE should be considered in cases where witness testimony reveals; no obvious signs of aspiration and rapid respiratory deterioration despite continuous breathing through an appropriate air source. The diagnosis should be based on the overall impression, including both the autopsy findings and the circumstances regarding the accident.

KW - case study

KW - death causes

KW - diving

KW - drowning

KW - forensic pathology

KW - forensic science

KW - pulmonary edema

U2 - 10.1111/1556-4029.13526

DO - 10.1111/1556-4029.13526

M3 - Journal article

C2 - 28464277

AN - SCOPUS:85018776839

VL - 63

SP - 299

EP - 304

JO - Journal of Forensic Sciences

JF - Journal of Forensic Sciences

SN - 0022-1198

IS - 1

ER -

ID: 214461310