Pinchi V, Bartolini V, Bertol E, Focardi M, Mari F, Ricci U, Vanin S, Norelli G A
Department of Health Sciences, Section of Medical Forensic Sciences, University of Florence, Florence, Italy.
Department of Health Sciences, Forensic Toxicology Division, University of Florence, Florence, Italy.
J Forensic Odontostomatol. 2016 Dec 1;34(2):47-59.
The article presents a case of multiple casualties following a textile factory fire. The incident required a full DVI team similar to large mass-disaster because of the specific operational aspects and identification difficulties. The autopsy results were consistent with death by fire and the toxicological investigations revealed carbon monoxide poisoning in four cases (HbCO% ranging between 88,05 and 95,77), two deaths by cyanide intoxication (with concentrations between 5,17 and 8,85 mcg/ml), and in one case there was a synergistic effect of the two substances (carbon monoxide and cyanide). The identification, carried out in accordance with INTERPOL protocols, encountered serious difficulties in the AM phase primarily due to a language barrier and the lack of any dental or medical information relating to the victims. Secondary identifiers proved to be very useful in corroborating possible identities. As a result of the combined efforts of a team of experts the identity of each victim was determined and in all cases at least one primary identifier was used in the identification process. The deployment of DVI teams composed of forensic experts from different fields of expertise and well acquainted with DVI procedures, is essential in events involving multiple casualties that may also include foreign victims. The DVI team should intervene not only in PM examinations but also in the collection of AM data for those individuals not accounted for and by helping police in contacting families of missing people.
本文介绍了一家纺织厂火灾造成多人伤亡的案例。由于具体的操作方面和身份识别困难,该事件需要一个类似于大规模灾难事件的完整灾难受害者身份识别(DVI)团队。尸检结果与火灾致死情况相符,毒理学调查显示4例一氧化碳中毒(碳氧血红蛋白百分比在88.05至95.77之间),2例氰化物中毒死亡(浓度在5.17至8.85微克/毫升之间),还有1例存在两种物质(一氧化碳和氰化物)的协同作用。按照国际刑警组织的协议进行身份识别,在灾难发生后初期(AM阶段)遇到了严重困难,主要原因是语言障碍以及缺乏与受害者相关的任何牙科或医疗信息。辅助标识符在证实可能的身份方面被证明非常有用。经过一组专家的共同努力,确定了每名受害者的身份,并且在所有案例中,身份识别过程至少使用了一个主要标识符。部署由来自不同专业领域且熟悉DVI程序的法医专家组成的DVI团队,对于涉及多名伤亡人员(可能还包括外国受害者)的事件至关重要。DVI团队不仅应参与尸体解剖检验,还应收集那些身份不明人员的灾难发生后初期(AM)数据,并协助警方联系失踪人员的家属。