CARBON MONOXIDE RELATED DEATHS IN ALQURAYYATE, SAUDI ARABIA FROM 2004 TO 2018
Attaia, M., Elmorsy, E., Alshaman, A., Elzahed, H., Albalawei, A. (2020). CARBON MONOXIDE RELATED DEATHS IN ALQURAYYATE, SAUDI ARABIA FROM 2004 TO 2018. EKB Journal Management System, 20(4), 43-54. doi: 10.21608/ejfsat.2019.17021.1096
Medhat Attaia; Ekramy Elmorsy; Amirah Alshaman; Hanaa Elzahed; Abdulrahman Albalawei. "CARBON MONOXIDE RELATED DEATHS IN ALQURAYYATE, SAUDI ARABIA FROM 2004 TO 2018". EKB Journal Management System, 20, 4, 2020, 43-54. doi: 10.21608/ejfsat.2019.17021.1096
Attaia, M., Elmorsy, E., Alshaman, A., Elzahed, H., Albalawei, A. (2020). 'CARBON MONOXIDE RELATED DEATHS IN ALQURAYYATE, SAUDI ARABIA FROM 2004 TO 2018', EKB Journal Management System, 20(4), pp. 43-54. doi: 10.21608/ejfsat.2019.17021.1096
Attaia, M., Elmorsy, E., Alshaman, A., Elzahed, H., Albalawei, A. CARBON MONOXIDE RELATED DEATHS IN ALQURAYYATE, SAUDI ARABIA FROM 2004 TO 2018. EKB Journal Management System, 2020; 20(4): 43-54. doi: 10.21608/ejfsat.2019.17021.1096

CARBON MONOXIDE RELATED DEATHS IN ALQURAYYATE, SAUDI ARABIA FROM 2004 TO 2018

The Egyptian Journal of Forensic Sciences and Applied Toxicology
Article 5, Volume 20, Issue 4, December 2020, Page 43-54  XML PDF (300.32 K)
Document Type: Original Article
DOI: 10.21608/ejfsat.2019.17021.1096
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Authors
Medhat Attaia1; Ekramy Elmorsy email 2; Amirah Alshaman3; Hanaa Elzahedorcid 4; Abdulrahman Albalawei5
1Forensic Medicine Center, Alqurayyate Principality health affairs, Saudi Arabia
2Faculty of Medicine and Applied Medical Sciences
3Tabouk Poison Control Center, Tabouk Principality Health Affairs, Saudi Arabia
4Forensic Medicine and Toxicology Department, faculty of Medicine, Cairo University, Egypt. Tabouk Poison Control Center, Tabouk Principality Health Affairs, Saudi Arabia,
5Tabouk Poison Control Center, Tabouk Principality Health Affairs, Saudi Arabia,
Abstract
The current work aimed to study carbon monoxide (CO) related deaths in Alqurayyate during the period from 2004-2018. Among 461 autopsied cases, 52 cases [11.3%] show carboxy-hemoglobin (COHb) levels≥ 10%. Higher COHb levels were significantly more common among males, young and elderly and Saudi people [0.012, 0.009, and 0.3 respectively]. was the cause of death in 19 cases [4.1%] while CO poisoning was suggested as a contributing factor in another 33 [7.2%] deaths. The mode of deaths was mainly accidental [78.8%]. Houses were the most common place of death [63.5%] and most CO related deaths happened in the winter months [73.1%]. The most common suggested source for exposure to CO among carbon monoxide poisoning (COP) deaths were car exhaust [36.8%], followed by charcoal heaters [31.6%]. Regarding autopsy findings, the external appearance revealed cherry red hypostasis in only 26.9% of CO related cases. The most common findings were pulmonary edema, cerebral edema, and congested lungs [96.2,82.7, and 80.8 % respectively]. Therefore, COP remains a common cause of death, inspite of the safety precautions. More public awareness programs about COP are recommended. Also, COHb levels should be routinely estimated in the autopsied cases, especially with suggestive history and death scene.
Keywords
Carbon monoxide poisoning; autopsy; carboxy hemoglobin; myocardial ischemia; poisoning, analytical toxicology
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