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@drjikhokhar1980 ALL MY FORENSIC MEDICINE LECTURES LINK / @drjikhokhar1980 YOU CAN FOLLOW ME ON FOLLOWING LINKS ALSO FACEBOOK: / drjikhokhar TWITTER: / drjikhokhar INSTAGRAM: / drjikhokhar MANUAL STRANGULATION Bansdola This is a form of strangulation, in which neck is compressed between two sticks or hard objects, usually sticks or bamboos. Bansdola One is placed in front & one behind. These are tightly fastened to each other with rope, and victim is strangled to death. Bansdola Sometimes bamboo is placed in front of neck & assailant stands on it with foot on each side, squeezing neck. In case where one stick is used, there is a bruise in front of the neck in the centre. When two sticks are used, one in front & other at the back, there will be corresponding mark at the nape if the neck also, sparing the sides. Bansdola Where a foot is used, there is irregular wide spread bruise, with local injuries to the neck depending upon the force. A foot with boot on, will cause abrasion and laceration, Whereas a bare foot will cause contusions only. Traumatic Asphyxia or Crush Asphyxia Traumatic asphyxia or crush asphyxia is a form of asphyxia resulting from trauma to the chest or external pressure on the chest, abdomen or back. It prevents normal respiratory movement. It is also known as STAMPEDE. It is also seen when the person is entrapped under the debris of falling building Traumatic Asphyxia or Crush Asphyxia Traumatic asphyxia or crush asphyxia is a form of asphyxia resulting from trauma to the chest or external pressure on the chest, abdomen or back. Traumatic Asphyxia or Crush Asphyxia It prevents normal respiratory movement. It is also known as STAMPEDE. It is also seen when the person is entrapped under the debris of falling building It may also occur due to, a) Penetrating trauma (Stab Injury) to the chest associated with air entry into the pleural cavity (Pneumothorax) leading to collapse of lungs. b) Non-penetrating trauma from run over accident, steering wheel injury. c) Pressure on the chest from uncontrolled movements of persons in the crowed, Stampede. The victim is unable to breath & dies of asphyxia. It may also occur due to, a) Penetrating trauma (Stab Injury) to the chest associated with air entry into the pleural cavity (Pneumothorax) leading to collapse of lungs. b) Non-penetrating trauma from run over accident, steering wheel injury. c) Pressure on the chest from uncontrolled movements of persons in the crowed, Stampede. The victim is unable to breath & dies of asphyxia. Mechanism Of Death; It is a combination of failure of respiration and interference with circulation. External Autopsy Findings; There is intense cyanosis and a Deep purple congestion of upper part of body up-to 3rd rib. This demarcation line is characteristic finding of Traumatic asphyxia. Face is swollen, petechiae are present & sub-conjunctival haemorrhages are present Autopsy Findings; In addition to generalised signs of asphyxia, there are three characteristic features, Deep cyanosis of face, Numerous Petechae A Demarcating line Non-specific asphyxial findings are intense because compression of chest displaces blood from superior vena cava & subclavian veins into the smaller veins of head & neck, which may be considerably engorged & pressure in them rises so rapidly as to burst. Therefore, the face and neck of the victims may be deeply cyanosed, almost black, The eyes blood shot & numerous petechae are found on scalp, face neck & shoulders. THE LEVEL OF COMPRESSION IS INDICATED BY A WELL DEMARKED LINE BETWEEN THE DARK UPPER PORTION OF BODY & NORMAL COLOURED LOWER PART. Injuries to the chest includes; a) Fractures of the ribs, which are usually bilateral, multiple and at their angles. b) Injuries to the lungs & heart. Due to inward penetrating injuries caused by broken ribs In a steering wheel injury, a transverse fracture of sternum at the junction of the manubrium with the body is also found. There will be also corresponding injuries to the internal organs of the chest.