Amadasi A, Schönfeld C, Etzold S
Gewaltschutzambulanz - Institute of Legal Medicine and Forensic Sciences, Charité- Universitätsmedizin Berlin, Turmstrasse 21, 10559, Berlin, Germany.
Gewaltschutzambulanz Bremen, Klinikum Bremen Mitte, Gesundheit Nord, Sankt- Jürgen-Straße 1, 28205, Bremen, Germany.
Forensic Sci Med Pathol. 2025 Jun;21(2):773-778. doi: 10.1007/s12024-024-00875-8. Epub 2024 Aug 13.
Contact burns in children are not uncommon and are often due to accidental contact. Medico-legal assessment is of paramount importance in these contexts to identify cases of abuse. In three cases of burns caused by contact with radiators or a portable heater -two accidental and one deliberate- thorough medico-legal assessment, combined with on-site event reconstruction, enabled accurate diagnoses. Accidental burns displayed a 'pattern' compatible with the incandescent instrument but were more irregular, with different depths and in different parts of the body. In contrast, intentional burns were uniform in depth, distribution and localisation, inconsistent with accidental events. In this context, the on-site inspection and direct evaluation of the objects involved were crucial in the medico-legal assessment. These are indispensable elements for a thorough analysis and abuse recognition.
儿童接触性烧伤并不罕见，通常是由于意外接触所致。在这些情况下，法医学评估对于识别虐待案件至关重要。在三起因接触散热器或便携式加热器导致的烧伤案例中——两起意外烧伤和一起故意烧伤——通过全面的法医学评估，并结合现场事件重建，得以做出准确诊断。意外烧伤呈现出与炽热器具相符的“模式”，但更不规则，深度不同且分布于身体不同部位。相比之下，故意烧伤在深度、分布和位置上较为均匀，与意外事件不符。在此背景下，对涉案物品进行现场检查和直接评估在法医学评估中至关重要。这些是进行全面分析和识别虐待行为不可或缺的要素。
