DTH ASPHX Flashcards
Definition of asphyxia
general term applied to all forms of violent death which results primarily from the interference with the process of respiration or the condition in which the supply of oxygen has been reduced below normal levels
Associated with the failure of the arterial blood to become normally saturated with oxygen
Anoxic death
Due to decreased capacity of the blood to carry oxygen
Anemic anoxic death
Brought about by failure of circulation
Stagnant anoxic death
Due to the failure of cellular oxidative process
Histotoxic Anoxic death
Phases of asphyxia:
due to lack of oxygen and retention of CO2
dyspneic phase
Phases of asphyxia:
Due to stimulation of the CNS by CO2. Examination of visceral organs show Tardieu spots
Convulsive phase
Phases of asphyxia:
Apnea is due to paralysis of the respiratory centers
Apneic phase
Asphyxia by hanging where ligature runs from the midline above the thyroid cartilage
Typical
Asphyxia by hanging where the tie/noose is present on one side of the neck in front or behind the ear, or on the chin
Atypical
Asphyxia by hanging in which body is completely suspended
Complete
Asphyxia by hanging in which the victim is kneeling, reclining, sitting
Partial
Asphyxia by hanging when the knot is at the midline of the body
Symmetrical
Asphyxia by hanging when the knot is not in the midline but on one side
Asymmetrical
Subpleural or subcardial punctiform hemorrhages
Tardieu spots
The following suggest homicide EXCEPT
a. doors and windows forcibly opened
b. signs of struggle
c. unusual position of the body when found
d. presence of defense wounds
e. AOTA (all are false)
f. NOTA (all are true)
C;
Homicidal hanging practiced by americans against negroes
Lynching
T/F signs of vital reaction in the ligature marks around the neck suggests suicide
T
Compression of the neck by means of ligature which is tightened by a force other than the weight of the body
Strangulation
The following suggest strangulation EXCEPT
a. Hyoid bone spared
b. Usually, ligature mark is horizontal and knot is on the same horizontal plane
c. ligature above the larynx
d. no vertebral injury
C;
Hanging: hyoid bone injured, inverted v shape ligature mark, ligature at level of hyoid bone, (+) vertebral injury
Strangulation with ligature: hyoid bone frequently spared, ligature mark usually horizonta and knot is on the same horizontal plane, level of ligature below the larynx, no vertebral injury
Strangulation in which constricting force is applied on the neck by the hand
Manual strangulation or throttling
Caused by the calosing of external respiratory orifices either by the use of the hand or by some other means
Smothering