Analysis of fire deaths in Poland and influence of smoke toxicity

Forensic Sci Int. 2017 Aug:277:77-87. doi: 10.1016/j.forsciint.2017.05.018. Epub 2017 Jun 9.

Abstract

Dwelling fires have changed over the years because building contents and the materials used in then have changed. They all contribute to an ever-growing diversity of chemical species found in fires, many of them highly toxic. These arise largely from the changing nature of materials in interior finishes and furniture, with an increasing content of synthetic materials containing higher levels of nitrogen, halogen and phosphorus additives. While there is still a belief that carbon monoxide is the major lethal toxic agent in fires, the hydrogen cyanide and acid gases released from these additives are now well-recognised as major contributory causes of incapacitation, morbidity and mortality in domestic fires. Data for the total number of 263 fire death cases in the Mazowieckie region (mainly Warsaw area) of Poland between 2003-2011 for dwellings fires were obtained from pathologists, forensic toxicologists, fire fighters and analysed. Factors contributing to the death such as the findings of the full post mortem examination (age, sex, health status, burns), the toxicological analysis (carbon monoxide, alcohol etc.), and a thorough investigation of the scene (fire conditions, fuel, etc.) were taken into account and are summarised.

Keywords: Burns; Carbon monoxide; Dwellings; Fire; Fire deaths; Fire toxicity.

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Alcohol Drinking / epidemiology
  • Burns / mortality
  • Carbon Monoxide Poisoning / mortality
  • Carboxyhemoglobin / analysis
  • Female
  • Fires / statistics & numerical data*
  • Housing
  • Humans
  • Injury Severity Score
  • Male
  • Middle Aged
  • Poland / epidemiology
  • Sex Distribution
  • Smoke / adverse effects
  • Smoke / analysis
  • Smoke Inhalation Injury / mortality*
  • Soot / analysis
  • Young Adult

Substances

  • Smoke
  • Soot
  • Carboxyhemoglobin