Thermal Injuries

7 Thermal Injuries




Burns


As a general principle, it is useful to remember that burns are often distributed asymmetrically or are localised, whereas a condition such toxic epidermal necrolysis has a symmetrical pattern and wide distribution. The shape of lesions may also be helpful in deciding on whether the lesions are burns. According to Gross et al (p 96)1Biologically abnormal patterns such as straight or angular borders, drip configurations or unusual symmetry’ may increase the index of suspicion of a burn.


Burns tend not to progress after about 5 days (unless there is repetitive injury) and this may be a useful feature in the differentiation from other skin lesions. The differential diagnosis of these types of lesion is addressed in standard dermatology texts.1,2


Traditionally, burns to domestic animals are divided into three categories.1






Burns caused by flame


Flames singe hair and feathers before more serious damage (charring) develops in the skin, nails, beaks and deeper tissues. Careful examination of the pattern of hair or feather damage can help establish the position adopted by the victim at the time of being burnt or engulfed in flame (Case studies 7.17.3, Figs 7.17.6).




Case study 7.2


A report was received of two men dousing a young pigeon in cigarette lighter fuel, or similar inflammable liquid, before setting the bird on fire. When questioned, the accused admitted setting the bird alight but claimed that the bird was dead, lying on her back. Burnt feathers showed that flames had extended over the back from the tail, the head, and along the under surface around the vent and posterior abdomen (but not the breast), and undersurface of the right wing. Extending the left wing (Fig. 7.2) revealed that the feathers at the wing tip, and over part of the back of the bird, were undamaged. These areas of burning indicate that the pigeon was resting on her chest with her right wing extended but the left wing held tightly against the body.


The marked hyperaemia of the right side of the head (Fig. 7.3) and of the left foot (Fig. 7.2) is a vital reaction and confirms that the bird survived the attack for a limited period. Internally there was no evidence of natural disease or other trauma that might account for disability or death of this bird.



Case study 7.3


History:


As part of an intimidation attack by a gang involved in serious crime, a bull terrier belonging to a member of a competing gang was seized. He was secured to a railing by his chain collar, cut and stabbed with a knife, and then burned to death on a fire set beneath him.


Findings:



2. Extensive laceration and splitting of skin had occurred over the anterior chest, left shoulder (Fig. 7.5) and anterior surface of the left foreleg between elbow and metacarpus.



Interpretation:


The blood in the frontal sinuses suggested that the skull fractures had occurred before death.


The blood, froth and carbon particles through the respiratory tract clearly indicated that the dog was alive whilst in the fire.


The splitting of the skin in burnt cadavers must be viewed with some caution. Splits are known to arise in the heated skin of burnt human corpses,3 particularly over extensor surfaces and joints; the same may be true for domestic animals. Such splits can mimic ante-mortem wounds and need to be differentiated from true wounds. This may be difficult if heat damage is considerable, but examination of deeper tissues may provide convincing evidence of ante-mortem wounding.

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Oct 7, 2016 | Posted by in GENERAL | Comments Off on Thermal Injuries

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