{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:08:49Z","timestamp":1792541329403,"version":"4.5.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005743","name":"Universit\u00e0 Cattolica del Sacro Cuore","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005743","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Forensic Sci Med Pathol"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Elevator-related fatalities and injuries are rarely discussed. Falls have been identified as the first cause of mortality in the majority of these accidents. Evidence suggests that many elevator accidents may be attributed to inadequate equipment maintenance or malfunctions of the devices. This study examines a case involving an elevator maintenance worker found within an elevator shaft, using postmortem computed tomography (PMCT) along with a full autopsy. The autopsy revealed that the cause of death was severe polytrauma resulting from dragging, compression, and crushing mechanisms, which resulted in a dislocated skull and multiple thoraco-abdominal injuries, including exposed organs and viscera. Detailed examination identified a cranio-encephalic crush, leading to a significant alteration in the physiognomy of the facial structures. Additionally, PMCT revealed complex spinal fractures, such as a Jefferson fracture and a complete Chance fracture at the D6 vertebra, accompanied by spinal deviation proximal to the fracture site. Autopsy findings corroborated these PMCT results. A multidisciplinary approach, including PMCT, is proposed as a strategic method for the comprehensive reconstruction of such accidents, facilitating the collection of extensive data.<\/jats:p>","DOI":"10.1007\/s12024-024-00896-3","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T09:55:51Z","timestamp":1727171751000},"page":"1001-1006","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Postmortem CT and autopsy findings in an elevator-related death: a case report"],"prefix":"10.1007","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3071-6504","authenticated-orcid":false,"given":"Giovanni","family":"Aulino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Rega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittoria","family":"Rossi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Zedda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Oliva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"896_CR1","unstructured":"McCann M. Deaths and injuries involving elevators and escalators (2013). https:\/\/www.cpwr.com\/sites\/default\/files\/publications\/elevator_escalator_BLSapproved_2.pdf (accessed 17 Aug 2019)."},{"issue":"7","key":"896_CR2","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1177\/0009922807300232","volume":"46","author":"J O\u2019Neil","year":"2007","unstructured":"O\u2019Neil J, Steele GK, Huisingh C, Smith GA. Elevator-related injuries to children in the United States, 1990 through 2004. Clin Pediatr (Phila). 2007;46(7):619\u201325. https:\/\/doi.org\/10.1177\/0009922807300232.","journal-title":"Clin Pediatr (Phila)"},{"issue":"1","key":"896_CR3","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1097\/TA.0b013e3181b2302b","volume":"68","author":"GK Steele","year":"2010","unstructured":"Steele GK, O\u2019Neil J, Huisingh C, Smith GA. Elevator-related injuries to older adults in the United States, 1990 to 2006. 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Med Sci Law. 2020;60(1):54\u201362. https:\/\/doi.org\/10.1177\/0025802419883164.","journal-title":"Med Sci Law"},{"issue":"5","key":"896_CR6","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1007\/s13244-018-0633-2","volume":"9","author":"JB Coty","year":"2018","unstructured":"Coty JB, Nedelcu C, Yahya S, Dupont V, Roug\u00e9-Maillart C, Verschoore M, Ridereau Zins C, Aub\u00e9 C. Burned bodies: post-mortem computed tomography, an essential tool for modern forensic medicine. Insights Imaging. 2018;9(5):731\u201343. https:\/\/doi.org\/10.1007\/s13244-018-0633-2.","journal-title":"Insights Imaging"},{"issue":"2","key":"896_CR7","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1007\/s12024-018-0081-9","volume":"15","author":"C Hourscht","year":"2019","unstructured":"Hourscht C, Christe A, Diers S, Thali MJ, Ruder TD. Learning from the living to diagnose the dead - parallels between CT findings after survived drowning and fatal drowning. 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Informed consent is not necessary in this work because it was a judicial autopsy case. The report does not contain personal data. In any case, all data are covered by the Italian Law\u2014Data Protection Authority (Official Gazette no. 72 of March 26, 2012)\u2014for scientific research purposes.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}}]}}