| Literature DB >> 33982160 |
Gennaro Baldino1, Chiara Stassi1, Cristina Mondello2, Antonio Bottari3, Stefano Vanin4, Elvira Ventura Spagnolo5.
Abstract
Since their discovery in ancient China, fireworks rapidly spread throughout the world, where they have always been used to celebrate either popular or private events. Their use is nonetheless related to several risks, especially within production factories, since several injuries or even death can occur following an accidental ignition. In cases of major disasters related to fireworks explosions, stating the accidental or intentional nature of the event might prove challenging, thus raising the need of a multidisciplinary approach. In this regard, we here discuss the case of an accidental explosion that occurred in a fireworks production factory, accountable for five deaths and two hospitalisations.Entities:
Keywords: Blast injuries; Explosions; Fireworks-related death; Forensic
Mesh:
Year: 2021 PMID: 33982160 PMCID: PMC8205882 DOI: 10.1007/s00414-021-02564-5
Source DB: PubMed Journal: Int J Legal Med ISSN: 0937-9827 Impact factor: 2.686
Fig. 1Satellite overview of the buildings of the fireworks factory (a), with a detail of buildings no. 7 (b) and 8 (c), destroyed by both the explosion and fire
Fig. 2a and b Detail of the buildings involved in the explosion, two of which (buildings no. 6 and 7) completely destroyed. The cadavers of subjects 1 and 2 were recovered, respectively, 12 m and 23 m from building no. 7; in between the two cadavers, a foot of subject 3 was also recovered. Other body remains of subject 3 were found within 30–40 m from building no. 8. c and d The bodies of subjects 1 and 2 as they were found at the site of the accident
Main circumstantial information, laboratory and toxicological findings in the five dead victims to evaluate the cause of death
| Subject | Sex | Age | Position at the disaster site | External examination | DNA profile matrix | HbCO% | Cause of death |
|---|---|---|---|---|---|---|---|
| 1 | M | 36 | Nearby buildings no. 6 and 7 | Smashed scalp; burns, bruises and abrasions all over the body surface | - | 8.2% | Explosion-related |
| 2 | M | 23 | Nearby buildings no. 6 and 7 | Head, neck and abdomen lacerations; burns, bruises and charred areas on the limbs | - | 5.3% | Explosion-related |
| 3 | M (confirmed by DNA profiling) | 34 | Remains spread in proximity of buildings no. 6, 7 and 8 | Dismembered body | Bone and muscle remains | - | Explosion-related |
| 4 | F | 71 | Nearby building no. 8 | Almost completely charred; burns and lacerations of the head | - | 8.2% | Explosion-related; charring |
| 5 | M | 39 | Dead while transported to the hospital | Burns and lacerations all over the body; exposed right tibial fracture | - | 4.3% | Explosion-related |
Fig. 3Subject no. 1: 3D CT scan (a) and details of the lesions detected on external inspection (b and c)
Fig. 4Subject no. 2: 3D CT scan (a) and details of the lesions detected on external inspection (b and c)
Main 3D CT, external inspection, main cadaveric inspection and histological findings
| Subject 1 | Subject 2 | Subject 3 | Subject 4 | Subject 5 | |
|---|---|---|---|---|---|
| 3D CT | - Cr and Mf – Frac - Rc Frac - FB in the Rc - UL – Frac - LL – Frac - Vc – Frac (D4) | - Cr Frac, FB retained in the cerebral parenchyma - Rc and LL Frac - Lac and FB in the AR - Small FBs in all districts | - | - Cr and Mf Frac - Rc Frac - Vc Frac (L2-L4-L5) - LL Frac | - Cr Frac - Rc Frac - UL Frac - LL Frac |
| External inspection | - BSD - DB and Ab - Smashed scalp with brain residues split outside - Extruded right eye bulb - Lost anatomical facial profile | - BSD - Cr Frac and FB; - H in the temporo-parietal areas - Lac of the left latero-cervical region - Lac in the AR - B and Ab in LL - B in UL - Ch LL | - Cr Frag - Mandibular bone with 2 dental elements - Mf Frag - Rc Frag - Vc Frag - UL Frag - LL Frag - Small Frag of muscular tissue - P parenchyma Frag | - Diffuse Ch; - Fighter attitude; - Burnt hair; - Mf Dis; - Cr Lac and H; - Small plastic object, roughly round-shaped, moulded within the parietal bone | - BSD; - LoS helix and anti-helix; - Mf B and Dis; - B throughout the body; - Cr Lac and B; - Mf, UL and LL Ab and grazes; - Lac and Frac LL |
| Cadaveric inspection | - Rupture of the right ventricle anterior wall - Multiple lac of lungs, liver and spleen | - Multiple subcutaneous and muscle HI - Sub-pleural E - Rc HI - Sub-epicardial HI - Residues of yellowish, pulpy, material in the oesophagus | - | - Cr HI - LoS left parietal hemisphere - Rotated mandibular arch - Rc HI - Pleural adhesions - Vy | - Black-smoky dirt was found in the oral cavity and airways - Cr HI - Pleural effusion - P parenchymal thickening |
| Histological findings | - Cerebral Oe - Er of glottis and trachea tunica propria and submucosa - P Co and Oe - P H and PE - Right ventricle subepicardial H - Cardiac Mif with focal contracture bands - Nec of the proximal renal cortical convolutes | - Diffuse subarachnoid H - Neuronal Oe - P S and Oe - Focal DA - MH - Splenic Hyp - Acute tubular Nec of renal cortex | - Hyperkeratotic seborrheic keratosis upon removal of the foot skin - H Oe and DA, with siderocytes in its context | - Subarachnoid H - Neuronal Oe - Brain stem acute S - MH associated with replacement, perivascular fibrosis and fibromuscular dysplasia of the small intramural coronary vessels - Slight Er of glottis and trachea tunica propria and submucosa - PE - Steatosis - Tubular Nec of the renal cortex | - Acute brain S and brain stem H - MH and Mif - P—H and Oe with DA - FE - Muciparous metaplasia of the bronchial epithelium - Spinal micro-embolism - Acute liver S with small outbreaks of turbid pathosis - Acute tubular Nec of the renal cortex and acute medullary S |
Ab = Abrasions; AR = Abdominal region; B = Burns; BSD= Body surface dirty, with debris, combustion particles and foliage; Co = Congestion; Ch = Charring; Cr = Cranial; DA = Desquamative alveolitis; DB = Diffuse burns; Dis = De-epithelialization; E= Ecchymoses; Er = Erosion; FB = Foreign bodies; FE= Focal emphysema; Frac = Fractures; Frag = Fragments; H= Haemorrhage; Hyp = Hyperplasia; I= Infiltration; HI = Haemorragic infiltration; Lac = Lacerations; LL= lower limbs; LoS = loss of substance; Mif = Myofibrillolysis; Mf = Maxillo-facial; MH = Myocytes hypertrophy; Nec = Necrosis; Oe = Oedema; P = Pulmunary; PE= Pan-lobular emphysema; Rc = Rib cage; S = Stasis; UL = Upper limbs; Vc = Vertebral column; Vy = Ventricular concentric hypertrophy