Authors
Dr. Ankit Mittal, Dr. Gaurav Sharma
Abstract
Drowning, a phenomenon typically occurring in aquatic settings, continues to be a significant public health issue, transcending socioeconomic boundaries. A substantial portion of water-related fatalities are the result of accidental drownings, with a smaller yet notable percentage being attributed to suicidal or homicidal acts. Additionally, some drowning incidents are compounded by factors such as injury, intoxication, or exposure to extreme environmental conditions. Diagnosing death by drowning in forensic medicine is particularly challenging, especially when the body is discovered in a state of decomposition, as traditional signs may not be evident. A comprehensive forensic examination, encompassing external, internal, and laboratory analyses, is crucial for determining the cause of death. This case report presents an unusual instance where the autopsy surgeon faced a diagnostic dilemma, having to discern whether the cause of death was drowning or another external event leading to a fatal outcome. Keywords: Drowning, injury, intoxication, decomposition, autopsy surgeon, fatal outcome.
Introduction
Drowning is a significant public health concern, frequently reported in India. Accidental drowning is the most common type, often involving fishermen, bathers, dock workers, intoxicated individuals, and those with epilepsy. Suicidal drowning is more prevalent among women, sometimes involving self-restraining measures such as tying limbs or attaching weights. Homicidal drowning, however, is extremely rare (Rao, 2010).
Globally, drowning is the third leading cause of unintentional injury-related death. In the United States alone, it accounts for nearly 4,000 deaths annually, ranking as the tenth most common injury-related fatality. In forensic investigations, determining how and why a body became submerged and why the individual could not escape is critical in establishing the cause and manner of death. Key forensic topics include postmortem diagnosis, environmental factors, and the estimation of the time of death. Research and case studies on drowning incidents contribute to expanding knowledge and improving medico-legal death investigations. Investigating water-related deaths presents unique challenges.
Not all deaths in water result from drowning; factors such as extreme temperatures, intoxication, or underlying medical conditions may be primary causes. Examining submerged bodies often requires coordination among multiple agencies, including emergency responders, law enforcement, forensic scientists, and medical examiners. Upon body recovery, assessment for vital signs, injuries, and other forensic indicators is crucial. Law enforcement officials collaborate with first responders to document the scene and assess potential criminal involvement. Continuous analysis and dissemination of data from drowning cases help improve public health strategies and resource allocation, ultimately aiding in the prevention of water-related fatalities (Armstrong and Erskine, 2018).
References
Armstrong, Erica J, and Kevin L Erskine. “Investigation of Drowning Deaths: A Practical Review.” Academic forensic pathology vol. 8,1 (2018): 8-43.
Rao Nageshkumar. “Textbook of Forensic Medicine and Toxicology.” 2nd ed. Jaypee Brothers Medical Publishers (P) Ltd, 2010. p. 211-7.
Sharma, Sk, and Ram Chandra Bajpai. “Cases of ‘Drowning’ Not Backed by Autopsy and Diatoms Test (Drowning Mess a Result of Lack of Vision).” International Journal of Medical Toxicology & Legal Medicine, vol. 16, Jan. 2013, pp. 45–51.
Vij, Krishan. “Textbook of Forensic Medicine and Toxicology: Principles & Practice.” 5th ed. Elsevier; 2011. p. 134-44
How to cite this article?
| APA Style | Mittal, Dr. Ankit, & Sharma, Dr. Gaurav. (2025). A Case Report: Determining the Cause of Death in a Decomposed Body - Traumatic Injury or Drowning?. Academic Journal of Anthropological Studies, 08(01), 01-04. |
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