Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open The study included 36 fire casualties that were submitted to post-mortem pathological and toxicological examination at the Departments of Forensic Medicine and Pharmacology, University of Iceland, during...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2009
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Online Access: | http://hdl.handle.net/2336/75256 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/75256 2023-05-15T16:52:47+02:00 Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða The role of carbon monoxide and ethanol in fire casualties: A retrospective study of carboxyhemoglobin and blood ethanol levels in fire victims Jakob Kristinsson Þorkell Jóhannesson Ólafur Bjarnason 2009-07-23 http://hdl.handle.net/2336/75256 is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 1994, 80(5):185-8 0023-7213 http://hdl.handle.net/2336/75256 Læknablaðið Eldsvoðar Slys Cause of Death Ethanol Fires Carbon Monoxide Poisoning Article 2009 ftlandspitaliuni 2022-05-29T08:21:23Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open The study included 36 fire casualties that were submitted to post-mortem pathological and toxicological examination at the Departments of Forensic Medicine and Pharmacology, University of Iceland, during the period 1971-1990. Twenty eight were males and eigth females. The mean age was 45.3 years (range 3-74 years). Carboxyhemoglobin levels ranged from 0-84%, mean 53.5% (fig. 1) and were considered fatal (> approximately 50%) in 24 cases. Fourteen victims with fatal carboxyhemoglobin levels had no significant burn injuries. Death was therefore attributed to carbon monoxide poisoning alone. In these cases carboxyhemoglobin levels (mean 65.5%, range 49-84) were lower than those found in cases of fatal car exhaust poisonings (mean 73.0%, range 47-87%) investigated by us in the same period (8). The difference was statistically significant (t-test, P<0.01). It supports the idea that combustion products, other than carbon monoxide, may contribute to the toxic effect of fires. Ethanol was found in blood in two thirds (24) of the cases. Blood ethanol levels were in the range 0.47-4.37%0 (mean 2.34%o). Blood ethanol levels and prevalence of inebriation were compared to those found in other fatal accidents investigated by us in the same period. Ethanol levels were significantly higher in the fire cases and inebriation more common than in the reference group (t-test, P<0.01; Chi-square, P<0.001, df=l). Although poisoning with carbon monoxide is of major importance in fire casualties it should not be disregarded that inebriation may often be an equally important factor. This was in fact strongly indicated by our results. Tilgangur rannsóknarinnar var að kanna þátt koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða hér á landi. Einnig var gerð tilraun til þess að meta hvort aðrar eitraðar lofttegundir, sem myndast ásamt koloxíði við bruna, kynnu að hafa átt hlut að máli. Rannsóknin er afturskyggn og nær til ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Bruna ENVELOPE(18.576,18.576,69.786,69.786) Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Eldsvoðar Slys Cause of Death Ethanol Fires Carbon Monoxide Poisoning |
spellingShingle |
Eldsvoðar Slys Cause of Death Ethanol Fires Carbon Monoxide Poisoning Jakob Kristinsson Þorkell Jóhannesson Ólafur Bjarnason Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða |
topic_facet |
Eldsvoðar Slys Cause of Death Ethanol Fires Carbon Monoxide Poisoning |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open The study included 36 fire casualties that were submitted to post-mortem pathological and toxicological examination at the Departments of Forensic Medicine and Pharmacology, University of Iceland, during the period 1971-1990. Twenty eight were males and eigth females. The mean age was 45.3 years (range 3-74 years). Carboxyhemoglobin levels ranged from 0-84%, mean 53.5% (fig. 1) and were considered fatal (> approximately 50%) in 24 cases. Fourteen victims with fatal carboxyhemoglobin levels had no significant burn injuries. Death was therefore attributed to carbon monoxide poisoning alone. In these cases carboxyhemoglobin levels (mean 65.5%, range 49-84) were lower than those found in cases of fatal car exhaust poisonings (mean 73.0%, range 47-87%) investigated by us in the same period (8). The difference was statistically significant (t-test, P<0.01). It supports the idea that combustion products, other than carbon monoxide, may contribute to the toxic effect of fires. Ethanol was found in blood in two thirds (24) of the cases. Blood ethanol levels were in the range 0.47-4.37%0 (mean 2.34%o). Blood ethanol levels and prevalence of inebriation were compared to those found in other fatal accidents investigated by us in the same period. Ethanol levels were significantly higher in the fire cases and inebriation more common than in the reference group (t-test, P<0.01; Chi-square, P<0.001, df=l). Although poisoning with carbon monoxide is of major importance in fire casualties it should not be disregarded that inebriation may often be an equally important factor. This was in fact strongly indicated by our results. Tilgangur rannsóknarinnar var að kanna þátt koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða hér á landi. Einnig var gerð tilraun til þess að meta hvort aðrar eitraðar lofttegundir, sem myndast ásamt koloxíði við bruna, kynnu að hafa átt hlut að máli. Rannsóknin er afturskyggn og nær til ... |
format |
Article in Journal/Newspaper |
author |
Jakob Kristinsson Þorkell Jóhannesson Ólafur Bjarnason |
author_facet |
Jakob Kristinsson Þorkell Jóhannesson Ólafur Bjarnason |
author_sort |
Jakob Kristinsson |
title |
Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða |
title_short |
Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða |
title_full |
Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða |
title_fullStr |
Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða |
title_full_unstemmed |
Þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða |
title_sort |
þáttur koloxíðeitrana og ölvunar í dauðsföllum af völdum eldsvoða |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2009 |
url |
http://hdl.handle.net/2336/75256 |
long_lat |
ENVELOPE(18.576,18.576,69.786,69.786) ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Bruna Smella |
geographic_facet |
Bruna Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 1994, 80(5):185-8 0023-7213 http://hdl.handle.net/2336/75256 Læknablaðið |
_version_ |
1766043175198130176 |