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잠수관련 사망의 부검을 위한 기술적 접근

Technical Approach for the Postmortem Examination of SCUBA Diving Fatality

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초록

Recreational diving is an exciting and adventurous sport, but is also potentially hazardous. Despite its inherent hazards, an increasing number of people enjoy SCUBA(self-contained underwater breathing apparatus) diving; the number of diving-relatedaccidents is therefore also likely to increase. Divers might face physical or psychologicalstresses from the unfamiliar or hostile underwater environment, which can lead tofatal accidents. To investigate deaths related to SCUBA diving, a forensic pathologistshould understand the types and mechanisms of injuries and illnesses unique toSCUBA diving. Postmortem examination of diving fatalities is therefore a formidabletask for most forensic pathologists because cases are sparse and the processrequires an understanding of diving physiology, diving equipment, and the underwaterenvironment. The primary aim of autopsies in SCUBA diving fatalities is to detect evidenceof pulmonary barotrauma, intravascular gas, or pre-existing illnesses. Standardautopsy protocol for SCUBA diving-related deaths should include methods to detectintravascular gas and gas accumulation in the tissue or body cavity through plain radiographsor Computerized Tomography (CT) scans. Analysis of the gas componentsis also helpful for determining the origin of the gas. Here, the author proposes a practicalmethod for performing an autopsy on a person who died while SCUBA diving.

Abstract

Recreational diving is an exciting and adventurous sport, but is also potentially hazardous. Despite its inherent hazards, an increasing number of people enjoy SCUBA(self-contained underwater breathing apparatus) diving; the number of diving-relatedaccidents is therefore also likely to increase. Divers might face physical or psychologicalstresses from the unfamiliar or hostile underwater environment, which can lead tofatal accidents. To investigate deaths related to SCUBA diving, a forensic pathologistshould understand the types and mechanisms of injuries and illnesses unique toSCUBA diving. Postmortem examination of diving fatalities is therefore a formidabletask for most forensic pathologists because cases are sparse and the processrequires an understanding of diving physiology, diving equipment, and the underwaterenvironment. The primary aim of autopsies in SCUBA diving fatalities is to detect evidenceof pulmonary barotrauma, intravascular gas, or pre-existing illnesses. Standardautopsy protocol for SCUBA diving-related deaths should include methods to detectintravascular gas and gas accumulation in the tissue or body cavity through plain radiographsor Computerized Tomography (CT) scans. Analysis of the gas componentsis also helpful for determining the origin of the gas. Here, the author proposes a practicalmethod for performing an autopsy on a person who died while SCUBA diving.

참고문헌 (23)

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