TY - JOUR T1 - The Common Effect Of Dysbarism-Related Diffuse Arterial Air Embolism and Rare CO Toxicity During SCUBA Diving TT - SCUBA Dalışı Sırasında Disbarizme Bağlı Yaygın Arteriyel Hava Embolisi ve Nadir CO Toksisitesinin Ortak Etkisi AU - Özesen, Toygün Anıl AU - Erdem, Ziyaettin AU - Yaşat Aksay, Ebru AU - Kaya, Kenan PY - 2024 DA - December Y2 - 2024 JF - Adli Tıp Dergisi JO - ATD PB - Adli Tıp Kurumu WT - DergiPark SN - 1018-5275 SP - 262 EP - 266 VL - 38 IS - 3 LA - en AB - Due to the pressure changes during a dive, various traumatic effects can range from mild paresis to death, affecting organs and tissues containing air, especially the middle ear, lung, and sinuses. In this case, the autopsy of a male experienced diver, who was found floating prone on the sea surface and was unresponsive when transported to the hospital, was conducted. After evaluating all the findings, it was concluded that the cause of death was the combined effect of rare carbon monoxide (CO) toxicity and diffuse arterial air embolism due to dysbarism. KW - Diving Fatalities KW - Gas Embolism Autopsy KW - Decompression sickness N2 - Dalış sırasında basınç değişimine bağlı olarak orta kulak, akciğer ve sinüsler başta olmak üzere hava içeren organ ve dokularda hafif pareziden ölüme kadar değişen çeşitli travmatik etkiler ortaya çıkmaktadır. Olgumuzda, deniz yüzeyinde yüzüstü pozisyonda bulunan ve hastaneye nakledildiğinde yaşam bulgusu olmayan deneyimli erkek dalgıcın otopsisi tarafımızdan yapılmıştır. Tüm bulgular birlikte değerlendirildiğinde; ölüm nedeninin nadir görülen karbonmonoksit toksisitesinin ortak etkisi ve disbarizme bağlı diffüz arteriyel hava embolisi olduğu sonucuna varılmıştır. CR - Koca E, Sam B, Arican N, Toklu AS. Evaluation of fatal diving accidents in Turkey. Undersea & hyperbaric medicine: journal of the Undersea and Hyperbaric Medical Society, Inc. 2019;45(6):633-638. CR - Strauss MB, Borer Jr RC. Diving medicine: contemporary topics and their controversies. The American journal of emergency medicine. 2001;19(3):232-238. CR - Edmonds C. Diving medicine for scuba divers. Divinig and Hyperbaric Medicine. 2012;42(2):108-108. CR - Karacaoğlu E, Akçan R, Odabaşı Balseven A, Tümer AR. Disbarizm kaynaklı ölüm olgularına adli tıbbi yaklaşım. Adli Tıp Dergisi. 2011;25(1):41-48. CR - Weaver LK. Carbon monoxide poisoning. New England Journal of Medicine. 2009;360(12):1217-1225. CR - Kim YS. Forensic Review of Underwater Diving-Related Death. Korean Journal of Legal Medicine. 2002;26(1):17-26. CR - Muth C, Shank E, Larsen B. Severe diving accidents: physiopathology, symptoms, therapy. Der Anaesthesist. 2000;49(4):302-316. CR - Aktaş Ş. Yüksek basınçla ilişkili patolojilere yaklaşım. Yoğun Bakım Dergisi. 2005;5(4):208-220. CR - Denoble P, Caruso J, de L Dear G, Pieper CF, Vann R. Common causes of open-circuit recreational diving fatalities. Undersea & Hyperbaric Medicine. 2008;35(6):393. CR - Richardson D. Training scuba divers: a fatality and risk analysis. 2010:119. CR - Denoble PJ, Pollock NW, Vaithiyanathan P, Caruso JL, Dovenbarger JA, Vann RD. Scuba injury death rate among insured DAN members. Diving and Hyperbaric Medicine. 2008;38(4):182-188. CR - Lippmann J. Review of scuba diving fatalities and decompression illness in Australia. Diving Hyperb Med. 2008;38(2):71-8. CR - Lawrence C, Cooke C. Autopsy and the investigation of scuba diving fatalities. Diving and Hyperbaric Medicine- South Pacific Underwater Medicine Society. 2006;36(1):2. CR - Caruso J. The forensic investigation of recreational diving fatalities. Recreational Diving Fatalities Proceedings of the Divers Alert Network 2010 April. 2011:8-10. UR - https://dergipark.org.tr/tr/pub/adlitip/issue//1399842 L1 - https://dergipark.org.tr/tr/download/article-file/3576853 ER -