Spa-drain entrapment complicated by suspicions of nonaccidental trauma and epilepsy onset

Furter, Matthias; Germerott, Tanja; Thali, Michael J (2011). Spa-drain entrapment complicated by suspicions of nonaccidental trauma and epilepsy onset. Pediatrics, 128(4), e1008-12. Elk Grove Village, Ill.: American Academy of Pediatrics 10.1542/peds.2010-1177

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We present here the case of an adolescent female near-drowning victim who was reportedly discovered submerged and unconscious by family members in a whirlpool spa. Physical examination revealed extensive posterior soft tissue bruising, which raised the suspicion of nonaccidental trauma. Detailed forensic evaluation of the injuries and the scene proved that the soft tissue findings represented an unusual manifestation of whirlpool-spa suction-vent injury. Medical evaluation indicated that epilepsy onset might have contributed to the near-drowning, although forensic evaluation of this possibility was less convincing. In this article we review these rare but important injuries, which have the potential to be confused with child abuse, and detail the atypical presentation and clinically presumed etiologic event in our case.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Service Sector > Institute of Legal Medicine
UniBE Contributor:	Furter, Matthias, Germerott, Tanja
ISSN:	0031-4005
Publisher:	American Academy of Pediatrics
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 14:22
Last Modified:	05 Dec 2022 14:06
Publisher DOI:	10.1542/peds.2010-1177
PubMed ID:	21930543
Web of Science ID:	000295406800029
URI:	https://boris.unibe.ch/id/eprint/7426 (FactScience: 212687)