FORENSIC MEDICINE & TOXICOLOGY NOTES
4. Suffocation
DEFINITION
Suffocation means a group of conditions of violent asphyxiation, where the passage of air
between the atmosphere and lung is prevented by mechanical ways other than constriction of
neck or drowning.
Types & Clinical Classifications
TYPE DEFINITION CAUSE FINDINGS
① Smothering Respiration is ACCIDENTAL EXTERNAL FINDINGS
prevented by closure e.g., Children playfully There will be abrasion or
of mouth & nasal covering their head and contusion over and around
opening. mouth with polythene the face and nose.
bag. In case of smothering with
HOMICIDAL mother's breast, the
delicate tissue of the infant
Covering the face and
will be compressed and
nose by towel or pillow.
pale.
SUICIDAL
INTERNAL FINDINGS
e.g., Arranging self-
Petechial hemorrhages
burial under a heap of
spots on under surface of
mattresses on bed.
pleura.
MASOCHISTIC PRACTICE
Smothering during
masochistic practice →
Nude picture, porn
books etc. will be
present.
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TYPE DEFINITION CAUSE FINDINGS
② Traumatic Forceful compression 1. House collapse EXTERNAL FINDINGS
Asphyxia of chest which 2. Stampeded by crowd 1. Abrasion
prevents respiratory 2. Bruise
3. By being run over by
movement of chest
a vehicle 3. Haemorrhagic spots
wall.
4. Collapse of wall INTERNAL FINDINGS
inside mine In case of house collapse —
5. When held between Inhalation of dust & debris.
buffers of two bogies
of train
③ Choking Air passage is 1. Asphyxia Signs of asphyxia both
occluded either by 2. Vagal inhibition externally & internally.
some foreign material "Cafe Coronary"
or due to pathology in
neighbouring
structure.
ANATOMICAL & MECHANICAL PATHOPHYSIOLOGY
Smothering vs. Choking Mechanisms Traumatic Asphyxia Mechanics
SMOTHERING
(External Blockage)
Block
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