New Delhi: The National Center for Disease Control (NCDC) has said the cause of death should be certified as heat stroke or hyperthermia, where the body temperature was more than 40.6 degrees Celsius at the time of collapse.
A set of guidelines issued by the NCDC, 'Autopsy Findings in Heat-Related Deaths', defines a heat-related death as a death in which exposure to high ambient temperatures either resulted in or involved loss of life. Important contribution was made.
The document states that when attempts have been made to cool prior to arrival at the hospital and/or when there is a clinical history of mental status changes and increased liver and muscle enzymes, as well as low body temperature If yes, then death can also be certified as heat. Stroke or hyperthermia. Section 'Criteria for heat stroke or heat-related death'.
It also states that in cases where body temperature cannot be established before death, but the environmental temperature was high at the time of collapse, an appropriate heat-related diagnosis should be considered as a significant contributory condition to death. Should be considered as.Must be listed as the reason. The criteria state, "A large number of these deaths will be people who had a pre-existing condition that was worsened by heat stress. These deaths may be certified as heat-related, including those with underlying health conditions." “Healthy people are also included.” conditions." It is considered a significant contributing condition, or vice versa."Where did it go?
The NCDC document states that identifying and confirming heat-related mortality has emerged as a challenge because different regions use different CAS definitions, assessment mechanisms, and related response measures that often lead to different estimates. Let's give. ,
"This highlights the importance of understanding the risk physiological factors influencing heat stress, illness and death, and the characteristics of the adaptation measures (behavioral, institutional) used," the guidelines state.
Stating that autopsy findings are not specific, the document recommended that autopsy not be mandatory in all cases of heat-related illnesses. Diagnosis of heat-related death is based primarily on investigative information; The autopsy findings are inconclusive.It says the decision to conduct an autopsy should be based on the circumstances of death, the age of the deceased, and available resources.
The NCD recommends that collection of blood, urine and vitreous humor for toxicology examination is highly desirable if body condition allows it, and states that when these samples are collected and preserved, resources should be available. But toxicological analysis can be done.
NCDC underlined that all pathologists and forensic pathologists should be aware of the criteria for labeling a death as heat-related/heat stroke. I said, necessary training and sensitization is necessary for pathologists and forensic pathologists. According to the document, acute, severe disruption of the body's water dissipation mechanisms following short-term or sustained heat exposure causes heat stroke.Physiological responses to heat gain from exposure to ambient heat or exertion also require the heart to pump harder and faster. For people with pre-existing heart disease, this may result from a mismatch between the heart muscle's high oxygen demand and low oxygen supply.
If sustained it can lead to cardiovascular collapse. Therefore, cardiovascular events are the primary pathway to high mortality in older adults. The existing burden of cardiovascular disease in the population and increased cardiovascular stress from heat stress make cardiovascular mortality the leading cause of death during extreme heat, the document said.Heat-induced lung damage, such as pulmonary edema and acute respiratory distress syndrome, combined with higher rates of people with pre-existing respiratory conditions, and increased pulmonary stress due to heat-related hyperventilation and increased air pollution during heatwaves , is to blame. The second largest source of mortality and morbidity during heat waves after cardiovascular disease.
Exposure to extreme heat also increases the risk of acute kidney injury, adverse pregnancy outcomes, mental health effects and non-accidental injury-related deaths, the NCDC document said.
A set of guidelines issued by the NCDC, 'Autopsy Findings in Heat-Related Deaths', defines a heat-related death as a death in which exposure to high ambient temperatures either resulted in or involved loss of life. Important contribution was made.
The document states that when attempts have been made to cool prior to arrival at the hospital and/or when there is a clinical history of mental status changes and increased liver and muscle enzymes, as well as low body temperature If yes, then death can also be certified as heat. Stroke or hyperthermia. Section 'Criteria for heat stroke or heat-related death'.
It also states that in cases where body temperature cannot be established before death, but the environmental temperature was high at the time of collapse, an appropriate heat-related diagnosis should be considered as a significant contributory condition to death. Should be considered as.Must be listed as the reason. The criteria state, "A large number of these deaths will be people who had a pre-existing condition that was worsened by heat stress. These deaths may be certified as heat-related, including those with underlying health conditions." “Healthy people are also included.” conditions." It is considered a significant contributing condition, or vice versa."Where did it go?
The NCDC document states that identifying and confirming heat-related mortality has emerged as a challenge because different regions use different CAS definitions, assessment mechanisms, and related response measures that often lead to different estimates. Let's give. ,
"This highlights the importance of understanding the risk physiological factors influencing heat stress, illness and death, and the characteristics of the adaptation measures (behavioral, institutional) used," the guidelines state.
Stating that autopsy findings are not specific, the document recommended that autopsy not be mandatory in all cases of heat-related illnesses. Diagnosis of heat-related death is based primarily on investigative information; The autopsy findings are inconclusive.It says the decision to conduct an autopsy should be based on the circumstances of death, the age of the deceased, and available resources.
The NCD recommends that collection of blood, urine and vitreous humor for toxicology examination is highly desirable if body condition allows it, and states that when these samples are collected and preserved, resources should be available. But toxicological analysis can be done.
NCDC underlined that all pathologists and forensic pathologists should be aware of the criteria for labeling a death as heat-related/heat stroke. I said, necessary training and sensitization is necessary for pathologists and forensic pathologists. According to the document, acute, severe disruption of the body's water dissipation mechanisms following short-term or sustained heat exposure causes heat stroke.Physiological responses to heat gain from exposure to ambient heat or exertion also require the heart to pump harder and faster. For people with pre-existing heart disease, this may result from a mismatch between the heart muscle's high oxygen demand and low oxygen supply.
If sustained it can lead to cardiovascular collapse. Therefore, cardiovascular events are the primary pathway to high mortality in older adults. The existing burden of cardiovascular disease in the population and increased cardiovascular stress from heat stress make cardiovascular mortality the leading cause of death during extreme heat, the document said.Heat-induced lung damage, such as pulmonary edema and acute respiratory distress syndrome, combined with higher rates of people with pre-existing respiratory conditions, and increased pulmonary stress due to heat-related hyperventilation and increased air pollution during heatwaves , is to blame. The second largest source of mortality and morbidity during heat waves after cardiovascular disease.
Exposure to extreme heat also increases the risk of acute kidney injury, adverse pregnancy outcomes, mental health effects and non-accidental injury-related deaths, the NCDC document said.
