J Korean Med Sci.  2008 Feb;23(1):163-165. 10.3346/jkms.2008.23.1.163.

Evaporated Liquid Nitrogen-Induced Asphyxia: A Case Report

Affiliations
  • 1Department of Pathology, Pohang Hospital, Dongguk University College of Medicine, Pohang, Korea. withdhk@naver.com
  • 2Department of Obstetrics and Gynecology, Pohang Hospital, Dongguk University College of Medicine, Pohang, Korea.

Abstract

A 27-yr-old postgraduate student was found lying at the floor of an unsealed underground dry area, where a valve-opened empty cylinder of liquid nitrogen (150 L) was connected to a cap-removed empty Dewar-flask (10 L) via a copper infusion tube. No injury was found externally or internally. There were petechiae in the bilateral conjunctivae and periorbital skin. The dry area, measuring 300X130X260 cm, had a communication to the basement of the research building by a window measuring 90X60 cm in size at 130 cm above the floor. The scene reconstruction and atmosphere gas analysis revealed that the O2 concentration at 60 cm above the base dropped to 12.0% in 3 min and 10 sec, 10.0% in 8 min and 53 sec, 6.0% in 18 min and 40 sec, and 4.2% in 20 min and 28 sec. The primary cause of death was asphyxia by evaporated liquid nitrogen..

Keyword

Asphyxia; Liquid Nitrogen; Gas Analysis; Dry Area

MeSH Terms

*Accidents, Occupational
Adult
Asphyxia/*chemically induced
Cause of Death
Humans
Male
Nitrogen/*poisoning

Figure

  • Fig. 1 The accident site in the underground dry area showed a LN2 cylinder and a Dewar-flask that were linked to a copper tube in front of two O2 tanks in a corner.

  • Fig. 2 The scheme of the accident site displayed general dimensions of the dry area, the sites of cylinder and Dewar-flask, and a window communicated of the basement of the building, and indicated the level we measured atmosphere gas proportion on scene reconstruction.

  • Fig. 3 Petechiae (arrowheads) were revealed in periorbital areas of the decedent.

  • Fig. 4 On scene reconstruction, (A) a safe guard officer measured atmosphere gas proportion with XP- 302 II E (New Cosmos Electric Co., Osaka, Japan). (B) The dry areas are filled with a lot of N2 fume evaporated from LN2.

  • Fig. 5 The graph showed rapid decreasing O2 concentration according to time course in the dry area on scene reconstruction. Temporary increase of O2 concentration (arrow) after 06:25 should attribute to the change of wind direction and velocity.


Cited by  1 articles

[secondary publication] Asphyxia due to Oxygen Deficiency by Evaporated Liquid Nitrogen
Jong Hyeok Park, Mia Kwon, Hyun Jee Kim, Byung-Tae Choi
Korean J Leg Med. 2015;39(3):88-91.    doi: 10.7580/kjlm.2015.39.3.88.


Reference

1. Air Products. Safetygram-7, Liquid Nitrogen. 1998. 1–4.
2. Safety Department, Imperial College London. Guidance Note 015, Liquid Nitrogen-Storage, Use and Transportation within College Premises. 2004. 1–15.
3. Gill JR, Ely SF, Hua Z. Environmental gas displacement: Three accidental deaths in the workplace. Am J Forensic Med Pathol. 2002. 23:26–30.
4. Kernbach-Wighton G, Kijewski H, Schwanke P, Saur P, Sprung R. Clinical and morphological aspects of death due to liquid nitrogen. Int J Legal Med. 1998. 111:191–195.
Article
5. Tabata N, Funayama M, Ikeda T, Azumi J, Morita M. On an accident by liquid nitrogen-histological changes of skin in cold. Forensic Sci Int. 1995. 76:61–67.
6. Wilkenfeld M. Rom WN, editor. Simple asphyxants. Environmental and occupational medicine. 1992. 2nd ed. USA: Lippincott Williams & Wilkins;535–538.
7. Ely SF, Hirsch CS. Asphyxial deaths and petechiae: a review. J Forensic Sci. 2000. 45:1274–1277.
Article
8. Di Maio VJM, Dana SE. Asphyxia. Handbook of Forensic Pathology. 1998. Texas, USA: Landes Bioscience;137.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr