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Mechanism of death in avalanche victims

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Summary

The autopsies of 12 victims from two snow avalanches in North-Norway are reported. Supportive evidence from non-autopsied and surviving victims is included. Consistent autopsy findings were prominent lung oedema, moderate cerebral oedema, extreme contraction of the left ventricle, petechiae in the superior vena cava drainage area, and acute congestion in lungs and kidneys. In four cases in whom no resuscitation was attempted, aortic oxygen pressure was in the range expected in pure asphyxial-type deaths in one and in pure cardiac-type deaths in three. No air pocket was seen in front of the mouth and nose in any of the fatal cases. Three fatal cases had fractures. It is concluded that the immediate cause of death in most cases was general body compression with acute respiratory and circulatory failure.

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References

  1. Althaus U, Aeberhard P, Schüpbach P, Nachbür BH, Mühlemann W (1982) Management of profound accidental hypothermia with cardiorespiratory arrest. Ann Surg 195:492–495

  2. Coe JI (1977) Postmortem chemistry of blood, cerebrospinal fluid, and vitreous humor. In: Tedeschi CG, Eckert WG, Tedeschi LG (eds) Forensic Medicine. A study in trauma and environmental hazards, vol 2. WB Saunders, Philadelphia, pp 1042–1043

  3. Cooley DA, Reul GJ, Wukasch DC (1972) Ischemic contracture of the heart: “stone heart”. Am J Cardiol 29:575–577

  4. Eliakis E (1974) La mort violente par avalanche. Mise au point médico-légale. Médecine Légale et Dommage Corporel 7:83–87

  5. Gray D (1987) Survival after burial in an avalanche. Br Med J 294:611–612

  6. Harries M (1986) Drowning and near drowning. Br Med J 293:122–124

  7. Haug AN, Schrøen IL, Berntsen P, Tellefsen T, Husby S, Due J, Lied K, Hansen G, Collett M (1986) Skredulykken i Vassdalen 5. mars 1986. NOU 1986:20. Universitetsforlaget, Oslo

  8. Hutchins GM, Silverman KJ (1979) Pathology of the stone heart syndrome. Am J Pathol 95:745–752

  9. Lapras A (1980) Pathologie des ensevelis. La Nouvelle Presse Médicale 9:3124–3130

  10. Lugger L, Unterdorfer H (1972) Obduktionsergebnisse bei Lawinenverunfallten. Ärztliche Praxis 24:28–31

  11. Markwalder K (1969) Medizinische Aspekte bei Lawinenunfällen. 66 Fälle aus den Schweizer Alpen von 1958 bis 1967. City-Druck AG, Zürich

  12. Markwalder K (1976) Die Pathophysiologie des Lawinenunfalles. In: Lawinen. Tagung über die medizinischen Aspekte des Lawinenunfalles. Juris Druck und Verlag, Zürich, pp 71–76

  13. Mithoefer JC, Mead G, Hughes JMB, Iliff LD, Campbell EJM (1967) A method of distinguishing death due to cardiac arrest from asphyxia. Lancet 2:654–656

  14. Quervain de M (1976) Für den Lawinenunfall wesentliche Lawineneigenschaften. In: Lawinen. Tagung über die medizinischen Aspekte des Lawinenunfalles. Juris Druck und Verlag, Zürich, pp 23–33

  15. Schild M (1976) Problemstellung, Statistik, Standortbestimmung. In: Lawinen. Tagung über die medizinischen Aspekte des Lawinenunfalles. Juris Druck und Verlag, Zürich, pp 13–21

  16. Schmid F (1981) Zur Pathogenese des Lungenödems nach Lawinenverschüttung. Schweiz Med Wochenschr 11:1441–1445

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Correspondence to Helge Stalsberg.

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Stalsberg, H., Albretsen, C., Gilbert, M. et al. Mechanism of death in avalanche victims. Vichows Archiv A Pathol Anat 414, 415–422 (1989). https://doi.org/10.1007/BF00718625

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Key words

  • Avalanche
  • Asphyxia
  • Autopsy
  • Accidents
  • Traumatology