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Indian Journal of Forensic Medicine and Pathology

Volume  12, Issue 3, July-September 2019, Pages 201-208
 

Original Article

Medico-legal Evaluation of Burn Deaths in Southern Odisha

Bhakta Narayan Munda1, Sindhu Sudha Sahu2, Manoj Kumar Jena3

Professor, 3Professor, Department of Forensic Medicine & Toxicology, SLN Medical College and Hospital, Janiguda, Koraput, Odisha 764020, India. 2Assistant Professor,Department of Forensic Medicine & Toxicology, Fakir Mohan Medical College, Balasore, Odisha 756001, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.12319.7

Abstract

Thermal burns and related injuries are a major cause of death and disability affecting the entire world and more so to the developing countries like India. All the cases were analysed to find out different epidemiological factors, precipitating factors, circumstances, manner and cause of such deaths in southern region of the state. Majority of the victims (66.89%) were females and belonged to the age group of 11–40 years (77%). Majority of the victims (67.54%) were married, among which 57.36% deaths occurred within 7 years of marriage. 78.81% victims were from rural area. Maximum (82.11%) incidents took place in indoor between 6 PM and 9 PM (25.16%). Most of the cases were due to flame (91.39%) and bursting of kerosene pressure stove (19.21%) which was the most common source of fire. Extremities were involved in 98.57% cases. In 36.42% cases > 90% total body surface area is involved. Most of the victim (65.56%) died within 1 week when > 50% of TBSA is involved. Septicaemia was the leading cause of death (35.76%). Septicemia (27.15%) and Neurogenic shock (27.8%) were major contributors when > 50% TBSA involved. Maximum numbers of deaths (67.54%) were accidental in nature. > 90% of TBSA is burnt found in 48.18% of suicide cases and in 68.18% of homicide cases. Nearly one-fourth (24.44%) of dowry death cases were due to burns.

Keywords: Thermal burns; Flame; Kerosene; Septicaemia; Accidental; Dowry deaths.


Corresponding Author : Sindhu Sudha Sahu