Forensic investigation of electrocution: Examining electrical injury profiles in Hyderabad, Pakistan

Authors

  • Salman Ahmed Kazi Department of Forensic Medicine and Toxicology, Isra University, Hyderabad, Pakistan
  • Naveed Ali Qadir Department of Forensic Medicine and Toxicology, Isra University, Hyderabad, Pakistan
  • Amna Mangi Department of Forensic Medicine and Toxicology, Isra University, Hyderabad, Pakistan
  • Ishrat Bibi Department of Forensic Medicine and Toxicology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Waheed Ali Nahyoon Department of Forensic Medicine and Toxicology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Muhammad Owais Qurni Department of Molecular Biology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Kumail Raza Department of Molecular Biology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

DOI:

https://doi.org/10.53685/jshmdc.v6i1.319

Keywords:

Forensic Medicine, Electric Injury, Profiles

Abstract

Background: Electrocution-related deaths in Pakistan are a significant public health concern, demonstrating the interplay of electrical safety, infrastructural issues, and socioeconomic status.

Objective:  To investigate the forensic characteristics of electrical injuries.

Methods: This cross-sectional study examined 175 electrocution death cases that were autopsied at the Civil Hospital, Hyderabad, Pakistan, mortuary in one year from November 2023 to December 2024. We gathered and examined information on burn patterns, anatomical distribution of injuries, voltage levels, wound sites, injury types, cause of mortality, and gender differences. Information was obtained from eyewitness statements, police inquest documents, and autopsy results using a structured information proforma and checklist.    

Results: Out of 175 dead bodies examined, the majority were males (90.3%), and 34.8% were between 21 and 30 years of age. The results indicate a predominance of upper limb injuries (37.8%) and a high incidence of low-voltage injuries (78.3%). Cardiac arrest has emerged as the leading cause of mortality (41.7%), underscoring the critical role of infection in post-injury complications. The gender wise differences of injury location, degree of burns, and mortality cause were found statistically significant (p<0.05).

Conclusion: Electrical injuries, particularly those involving low-voltage sources, have a significant impact on specific body areas, notably the upper limbs, and are linked with a high risk of septic complications that can ultimately lead to death.

References

Alqassim M, Ewiss R, Al Ali H. the role of forensic engineering in the diagnosis of electrocution fatalities: Two case reports. Saf Health Work. 2023; 14(1): 124-130.

Sharma N, Khanna K, Dagar T, Giri SK, Pal V, Kumar K, et al. Electric injury: a case series. Int J Res Med Sci. 2022; 10: 2924-2928. DOI: https://doi.org/10.18203/2320-6012.ijrms20223100

Chen J, Wang Y. Characteristics and risk factors for electrical burn injuries: A study based on World Health Organization Global Burn Registry. Burns. 2024; 50(5): 1116-1121. DOI: https://doi.org/10.1016/j.burns.2024.01.014

Mathew D, Thakral S, Setia P. The investigation of an accident site with an atypical electrocution exit wound and burn in an unusual location: A rare case report and review of literature. Acad Forensic Pathol. 2023; 13(3-4): 110-115. DOI: https://doi.org/10.1177/19253621231214293

Sanober A, Siddique AS, Shaikh S, Irshad S, Qureshi PNAA, Sangrasi H, et al. Clinical pattern of limb loss in electrical burn injuries: Limb loss in electrical burn injuries. Pak J Health Sci. 2025: 87-91. DOI: https://doi.org/10.54393/pjhs.v6i1.2628

Sundaragiri S, Kumaran MS, Janarthanan V, Mittal C, S GPD. Electro-Amputation of lower limbs due to a high-voltage shock: Report of an unusual case. Cureus. 2024; 16(2): e53808. DOI: https://doi.org/10.7759/cureus.53808

Rao D. An autopsy study of fatal electrocution. IP Int J Forensic Med Toxicol Sci. 2023; 7(2): 56-9. DOI: https://doi.org/10.18231/j.ijfmts.2022.013

Alqassim M, Ewiss R, Al Ali H. The role of forensic engineering in the diagnosis of electrocution fatalities: Two case reports. Saf Health Work. 202; 14(1): 124-130. DOI: https://doi.org/10.1016/j.shaw.2022.11.002

Rehan M, Ain QT, Iqbal T, Tariq MH, Khan MS, Waheed U, et al. Electrical burn injuries: disabling lives even in 2022. Eur J Plast Surg. 2023; 46(6): 1299-304. DOI: https://doi.org/10.1007/s00238-023-02088-8

Masud S, Hyder AA, Khan UR, Khan NU, Petrucka P. Epidemiology and perceptions of non-fatal burns among select youth (15-24 years old) from Peshawar Pakistan; a sequential explanatory mixed methods study. Burns Open. 2024; 8(2): 60-67. DOI: https://doi.org/10.1016/j.burnso.2024.01.003

Khalid A, Qayyum Sa, Tunio Ia, Memon Am, Mal S, Aziz I, et al. Study to assess the autopsy in relation with age and gender in tertiary care hospital of Hyderabad, Sindh, Pakistan. Pak J Med Health Sci. 2021; 18(38): 103. DOI: https://doi.org/10.53350/pjmhs211582151

Saini A, Khan S, Yadav A, Patel G. Observational study of electrical burn cases at a tertiary care centre in Central India. Int J Med Rev Case Rep. 2023; 6(22): 14-17.

Ijaz F, Zia A, Ahmed F, Haq ZU, Zafar A, Malik A. Original articles, is doing a complete autopsy aiding in reaching the cause of death in Pakistan? J Akhtar Saeed Med & Dent Coll. 2023; 5(04): 204-211. DOI: https://doi.org/10.51127/JAMDC5I4OA02

Prasad K, Vergia SV, Johry A, Sharma P, Singh K. Forensic analysis of electrical injury patterns: A study of electrocution fatalities at SMS medical college Jaipur. Indian J Forensic Med Toxicol. 2025; 19(1): 71-77. DOI: https://doi.org/10.37506/qp0zjw87

Zhao H, Lei Z, Yang M, Li X, Tang J, Dong Y, et al. Epidemiology and prognostic factors analysis of electrical injuries in Shaanxi, China: A single-center observational study of 385 cases. J Burn Care Res. 2025; 46(2): 285-293. DOI: https://doi.org/10.1093/jbcr/irae112

Goffeng LO, Skare Ø, Brinchmann BC, Bjørnsen LP, Veiersted KB. Low-voltage electrical accidents, immediate reactions and acute health care associated with self-reported general health 4 years later. Burns. 2023; 49(2): 329-343. DOI: https://doi.org/10.1016/j.burns.2022.04.007

Manjunatha K, Raghavendra R, Ravindra Kumar C N. Electrocution related deaths in catchment area of east point hospital: A 3-year retrospective study. Indian J Forensic Med Toxicol. 2024; 18(1): 67-71. DOI: https://doi.org/10.37506/8n1x6077

Giri S, Waghmode A, Tumram NK. Study of different facets of electrocution deaths: A 5-year review. Egypt J Forensic Sci. 2019; 9: 1-6. DOI: https://doi.org/10.1186/s41935-018-0103-5

Begum N, Ahmed T, Moni ZA, Kalam MA. Upper limb amputations following electric burn: Experience sharing from tertiary hospitals in Bangladesh. J Bangladesh Coll Phys Surg. 2022; 40(4): 279-286. DOI: https://doi.org/10.3329/jbcps.v40i4.61879

Dash S, Arumugam PK, Muthukumar V, Kumath M, Sharma S. Study of clinical pattern of limb loss in electrical burn injuries. Injury. 2021; 52(7): 1925-1933. DOI: https://doi.org/10.1016/j.injury.2021.04.028

Najmi Y, Kumar P. A retrospective analysis of electric burn patients admitted to King Fahad Central Hospital, Jizan, Saudi Arabia. Burns Open. 2019; 3(2): 56-61. DOI: https://doi.org/10.1016/j.burnso.2018.12.002

Jin X, Chen D, Li X, Zeng X, Xu L, Hu B, et al. Advances in forensic diagnosis of electric shock death in the absence of typical electrical marks. Int J Legal Med. 2021; 135(6): 2469-2478. DOI: https://doi.org/10.1007/s00414-021-02658-0

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Published

06/27/2025

How to Cite

[1]
Kazi , S.A., Qadir, N.A., Mangi, A., Bibi, I., Nahyoon, W.A., Qurni , M.O. and Raza, K. 2025. Forensic investigation of electrocution: Examining electrical injury profiles in Hyderabad, Pakistan. Journal of Shalamar Medical & Dental College - JSHMDC. 6, 1 (Jun. 2025), 09–15. DOI:https://doi.org/10.53685/jshmdc.v6i1.319.

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Original Articles