Adverse outcome in post-operative period (small-shot wound) from arrosive bleeding in forensic practice

Makarov I.Yu.; Shekera V.V.; Zbrueva Yu.V.; Bogomolov D.V.; Putintsev V.A.

doi:https://doi.org/10.17116/sudmed20216401144

Makarov I.Yu.

Russian Centre of Forensic Medical Expertise;
Moscow Academy of the Investigative Committee of the Russian Federation

ORCID: 0000-0003-4682-5027

Shekera V.V.

Russian Center for Forensic Medical Examination

Zbrueva Yu.V.

Astrakhan State Medical University

Bogomolov D.V.

Russian Center for Forensic Medicine

Putintsev V.A.

Russian Center for Forensic Medicine

Adverse outcome in post-operative period (small-shot wound) from arrosive bleeding in forensic practice

Authors:

Makarov I.Yu., Shekera V.V., Zbrueva Yu.V., Bogomolov D.V., Putintsev V.A.

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Journal: Forensic Medical Expertise. 2021;64(1): 44‑47

DOI: 10.17116/sudmed20216401144

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To cite this article:

Makarov IYu, Shekera VV, Zbrueva YuV, Bogomolov DV, Putintsev VA. Adverse outcome in post-operative period (small-shot wound) from arrosive bleeding in forensic practice. Forensic Medical Expertise. 2021;64(1):44‑47. (In Russ.)
https://doi.org/10.17116/sudmed20216401144

Подписка 2026 Судебно-медицинская экспертиза (Forensic Medical Expertise)

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Abstract:

The aim of this work is to draw the attention of forensic experts to the need to use new methodological approaches in postmortem morphological diagnostics of the lifetime injuries and the duration of death rate in forensic medical practice. A case of a fatal outcome from a small-shot gun wound complicated by arrosive bleeding in the postoperative period is considered. The missed opportunity to effectively use new methodological approaches in solving issues related to the completeness and timeliness of medical care is shown. The authors draw attention to the inadmissibility of using the nosological form with the code X94.9 ICD-10 «Attack by shooting from a small-shot gun» in the death certificate and suggest discussing the possibility to edit it for the 11th revision of the ICD.

Keywords:

smoothbore weapon

small-shot wounds

arrosive bleeding

thanatogenesis

haemorrhagic shock

timeliness of medical care

lifetime strangulation of application of tourniquet

Authors:

Makarov I.Yu.

Russian Centre of Forensic Medical Expertise;
Moscow Academy of the Investigative Committee of the Russian Federation

ORCID: 0000-0003-4682-5027

Shekera V.V.

Russian Center for Forensic Medical Examination

Zbrueva Yu.V.

Astrakhan State Medical University

Bogomolov D.V.

Russian Center for Forensic Medicine

Putintsev V.A.

Russian Center for Forensic Medicine

Received:

02.06.2020

Accepted:

01.07.2020

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References:

Kovalev AV. Poryadok provedeniya sudebno-meditsinskoi ekspertizy i ustanovleniya prichinno-sledstvennykh svyazei po faktu neokazaniya ili nenadlezhashchego okazaniya meditsinskoy pomoshchi. Metodicheskie rekomendatsii. Izd. 2-e. M.: RTsSME; 2017. (In Russ.).
Bogomolov DV, Baranova MYa, Bogomolova IN, Dzivina II. Opredelenie tipa i tempa tanatogeneza pri massivnoi krovopotere morfologicheskimi metodami. Materialy VI Vseross. s′ezda sudebnykh medikov. M.—Tyumen’. 2005. (In Russ.).
Pigolkin YuI, Dolzhanskii OV. Morfologicheskaya diagnostika ostroi krovopoteri v sudebnoi meditsine. Rukovodstvo dlya vrachei. M.: Izd-vo Pervogo Moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova; 2015. (In Russ.).
Putintcev VA, Bogomolov DV, Sundukov DV. Morphological characteristics of different rates of dying. Obshchaya reanimatologiya. Nauchno-prakticheskiy zhurnal. 2018;14(4):35-43. (In Russ.). https://doi.org/10.15360/1813-9779-2018-4-35-43
Putintsev VA. Sudebno-meditsinskaya otsenka dinamiki gistomorfologicheskikh izmenenii vnutrennikh organov pri kriticheskikh i terminal’nykh sostoyaniyakh: Dis. ... d-ra med. nauk. M. 2019. (In Russ.).
Entsiklopedicheskii slovar’ meditsinskikh terminov. T. 1. M.: Sovetskaya entsiklopediya; 1982. (In Russ.).
Kovalev AV, Makarov IYu, Kuprina TA, Kinle AF, Romanenko GKh. Osnovnye printsipy formulirovaniya sudebno-meditsinskogo diagnoza. Uchebnoe posobie (dlya ordinatorov i aspirantov). FGBU RTsSME Minzdrava Rossii, FGBOU DPO RMANPO Minzdrava Rossii, 2017. (In Russ.).
Mezhdunarodnaya statisticheskaya klassifikatsiya boleznei i problem, svyazannykh so zdorov’em. Desyatyi peresmotr (MKB-10): Per. s angl. Zheneva: VOZ. 1995—1998. (In Russ.).
Dzhuvalyakov PG, Bogomolov DV, Zbrueva YuV, Kabakova SS. Tanatogeneticheskiy analiz v patologii i sudebnoi meditsine. Astrakhan’: Leon; 2016. (In Russ.).
Fedulova MV, Kupriyanov DD. Reliability of the immunohistochemical estimation of vitality and injury age: analysis and perspectives for study. Sudebno-meditsinskaya ekspertiza. 2020;63(2):52-57. (In Russ.). https://doi.org/10.17116/sudmed20206302152
Bogomolov DV, Putintsev VA, Denisova OP, Pavlova AZ. Diagnostika prizhiznennosti strangulyatsionnoy asfiksii immunogistokhimicheskim metodom. Metodicheskie rekomendatsii. M.: FGBU «RTsSME»; 2018. (In Russ.).
Bogomolov DV, Zbrueva YuV, Putintsev VA, Denisova OP. Forensic medical diagnostics of intra-vitality of the strangulation mark by morphological methods. Sudebno-meditsinskaya ekspertiza. 2016;59(2):40-43. (In Russ.). https://doi.org/10.17116/sudmed201659240-43