Sie sind auf Seite 1von 13

INFORME PERICIAL DE NECROPSIA MDICO LEGAL N__________________-20____

Sede : _____________________________
Ministerio Pblico
Instituto de Medicina Legal

Datos del Fallecido:


Cadver
Identificado:

Feto
SI

Datos de Interes:
Restos Humanos
NN

Restos seos

Entidad que realiza el Levantamiento


Fiscala y/o Juzgado

PNP

IML

Datos Personales:
Nombre(s)

Fec. Nac.

Apellido Paterno

Da

Mes

Lugar del Hecho

Ao

Pas ____________ Departamento ___________________________


Provincia __________________________________________________

Edad aproximada:
Semanas de
Gestacion
Hora(s)
Da (s)
Mes(es)
Ao(s)

Apellido Materno y/o casada

Documento de Identidad
DNI
LM
Pasaporte
Partida de Nac.
Carnet Extranjeria
Sin Documento
Otros
Detallar:__________________

Sexo

Raza

Masc.
Fem.
Indeterminado.

Blanca

Distrito

__________________________________________________

Urb./ AAHH./ PPJJ __________________________________________


Tipo/Via: Av.

Jr.

Mz.

Calle

____________________________________________ N _____
Lugar Av. / Calle
Lugar de Fallecimiento

Mestiza
Negra
Amarilla
Indeterm.
Indoamericana

Pas ____________ Departamento ___________________________


Provincia __________________________________________________
Distrito

__________________________________________________

Urb./ AAHH./ PPJJ __________________________________________

N Doc.

Tipo/Via: Av.

Estado Civil

_____________________________________________ N _____

Grado de Instruccin

Ocupacin

Jr.

Mz.

Calle

Lugar Av. / Calle


Soltero

Analfabeto

Ama de casa

Casado
Conviviente
Separado
Divorciado
Viudo
Ignorado

Alfabeto
Prim. Incompleta
Prim. Completa
Sec. Incompleta
Sec. Completa
Sup. Tcnica incompleta
Sup. Tcnica completa
Sup. Universitaria incompleta
Sup. Universitaria completa
Postgrado
Ignorado

Empleado prof.
Empleado tc.
Emp. No prof/tec.
Empresario
Trabaj. Sexual
Trabaj. Indep.
Trab. Del Hogar
Estudiante
Obrero
Taxista
Cambista
Jubilado
Desocupado
Ignorado

Antecedentes Patolgicos
SI

NO

Documentos Recibidos al Ingreso


Levantamiento Mdico Legal
Acta Levantamiento Fiscal o Judicial
Levantamiento Policial
Procede de Servicio de Salud:

VIH/SIDA

Diabetes
Tuberculosis
Pat. Cardiaca
Insf. Renal

Hepatitis
Cncer
Enf. Mental
Enf. respiratorias
Otros
______________________________________

Epicrisis
SI

NO

PNP

Privado

Institucin
MINSA

ESSALUD

FF.AA.

Otros

Nombre del Establecimiento:


_________________________________________________________
Fecha y Hora del Fallecimiento:________________________________

No Sabe

Hipertensin

Historia Clnica

NECROPSIA:
Practicado Por : Dr(a) ______________________________________________
Colegio Medico N ______________________
Y Por: Dr(a) ______________________________________________________

Fecha y Hora de Ingreso:

Colegio Medico N ______________________

Datos Generales:
Autoridades Presentes:

Autoridad que Solicita la Necropsia

Juez

Otros

Detallar: __________________________________________________________

Nombre de la Autoridad Titular

_________________________________________________________________

Motivo de Solicitud de Necropsia:


Necropsia de Ley

Fiscal

Tcnico de Apoyo:
Nombres y Apellidos:

Necropsia Ley Post-exhumacin

_________________________________________________________________

Necropsia Clnica
Otras Autoridades : _________________________________________________

Persona que Interna el Cadver:

_________________________________________________________________

Nombres y apellidos ________________________________________


Cargo:__________________________

N de C.I._______________

Fecha y Hora de Inicio de Necropsia: ___________________________________

Dependencia :______________________________________________

-1-

Descripcin de prendas de vestir y objetos del fallecido:


PRENDAS DE VESTIR: ( Describir Tipo, Color, Material )
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________

Objetos: ( Describir Tipo, Color, Estado )


________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________

Fenmenos Cadavricos :
Rigidez:

Fenmenos Oculares:
Pupilas: Miosis

Midriasis

Corneas: Transparente

Opacas

Tensin:

Hipertnica

Normal

Instalado

Parcial

Flacida

Mandbula
Cuello

Hipotnica

Miembros sup.

Observaciones ____________________________________________________

Miembros inf.

Obs :___________________________________________
Livideces:

Modificable

Poco Modificable

No Modificable

_______________________________________________

Dorsales Ventrales
Laterales derecho

Temperatura:

Laterales

Ambiental ... C

Izquierdo

Cadavrica Rectal .......................................................... C

En

pantaln

Cadavrica Heptica C

Observaciones: ___________________________________________________

Obs :___________________________________________

_______________________________________________
Putrefaccin:
Fase Cromtica

Fase Enfisematoso

Colicuativa

Fenmenos de Conservacin Cadavrica:

Observacines: ___________________________________________________

Adipocira

________________________________________________________________

Corificacin
Momificacin

Presencia de Flora y Fauna: ________________________________________

Obs:____________________________________________

________________________________________________________________

________________________________________________

Tiempo Aprox. De Muerte:


Horas

Das

Semanas

Meses

Aos

EXAMEN EXTERNO :
Talla:
mt
Tipo Constitucional.

Peso:

Leptosmico

Atltico

Kg.

Pcnico

Dismrfico

Normosmico

Observaciones: _________________________________________________________________________________________________________

Estado de Nutricin :
Estado de Hidratacin:

Bueno

Malo
Hidratado

Regular
Deshidratado

Caquctico

Caractersticas Identificatorias:
Tatuajes

Nevos

Cicatrices

Deformidades

Observaciones : ________________________________________________________________________________________________________

-2-

PIEL:
Caractersticas: (Color, Elasticidad, Higiene, Pniculo Adiposo, y Observaciones )
_____________________________________________________________________________________________________________________
_
_____________________________________________________________________________________________________________________
_
Lesiones

CABEZA:

SI

NO

Permetro Ceflico:

cm

Forma: Mesocrneo

Dolicrneo

Cabello: Negro puro


Negrusco
Rubio Oscuro

Braquicrneo

Castao
Caf Oscuro

Rubio Claro
Rubio Cenizo

Pelirrojo
Cenizo

Blanco
Pardo

Castao Oscuro
Caf
Rojizo
Pardo Claro

Rubio

Entrecano

Otros: _______________________________________________

Caractersticas: (Tamao, forma, cantidad y Alteraciones) ______________________________________________________________________


_____________________________________________________________________________________________________________________

CARA
Tipo Facial: Ovalado

Recto

Romboidal

Triangular

Redondo

Alargado

Pentagonal

Anguloso

Trapezoidal

Caractersticas (Frente, color, simetra y Alteraciones)__________________________________________________________________________


_____________________________________________________________________________________________________________________
Ojos:
Color: Negro
Caf
Nariz:

Pardos Oscuros
Miel

Tamao :

Grande

Pardos Claros
Verdes
Pequea

Azules
Otros:

Gris Verdoso
Gris
_________________________________________________

Mediana

Caractersticas: (Forma, Simetra, y alteraciones) _____________________________________________________________________________


_____________________________________________________________________________________________________________________
Boca:

Grande

Mediana

Pequea

Labios: (Forma, Color, Volumen, Hidratacin, y Alteraciones) ___________________________________________________________________


_____________________________________________________________________________________________________________________
Dentadura: Completa
Orejas: Grandes

Incompleta
Medianas

Con Prtesis
Pequeas

Edentulo

Caractersticas (Simetra, Implantacin y Alteraciones) _________________________________________________________________________

CUELLO:
Largo

Corto

Mediano

Caractersticas: (Simetra, Forma y Alteraciones) _____________________________________________________________________________


_____________________________________________________________________________________________________________________
Lesiones:

SI

NO

TRAX:
Permetro Torxico:
En tonel

cm
Cifosis

Pectum Excavatum

Asimtrico Plano

Escoliosis

Ofoescoliosis
Cilndrico

Pectum Carinatum

Mediano

Alteraciones : _________________________________________________________________________________________________________
Lesiones: SI

NO

MAMAS: Caractersticas (Simetra, tamao, consistencia)


_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Pigmentacin areolar: SI
Secrecin mamaria:
SI

NO
NO

-3
-

ABDOMEN:
Permetro Abdominal:

cm

Cordn Umbilical:

Si

Forma: Plano

No

Excavado

Describir: _______________________________________________________________________
Globuloso

Caractersticas: (Tensin, simetra y Alteraciones)


Lesiones:

Si

Distendido

Batraciano

Normal

______________________________________________________________________________

No

PELVIS:
Asimtrico

Simtrico

GENITALES

Lesiones:

Lesiones :
Si

Si

No

No

Femenino
Vulva, Vagina, Introito Vaginal (Caractersticas) ________________________________________________________________________________
_______________________________________________________________________________________________________________________
Hmen: (Caractersticas) ___________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Lesiones : Si

No

Contenido Vaginal

Si

No

Detallar : _______________________________________________________________________________________________________________

Masculino
Pene, Bolsas escrotales (Caractersticas) _____________________________________________________________________________________
_______________________________________________________________________________________________________________________
Testculos: (Caractersticas) ________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Lesiones : Si

No

REGIN ANAL Y PERINEAL :

_______________________________________________________________________________________

_______________________________________________________________________________________________________________________
Lesiones : Si

No

MIEMBROS SUPERIORES (Simetra, trofismo, lechos ungeales, punturas y Alteraciones)


_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Lesiones: Si

No

MIEMBROS INFERIORES (Simetra, trofismo, lechos ungeales, punturas y Alteraciones)


_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Lesiones: Si

No

EXAMEN INTERNO
CABEZA
Bveda: _______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Lesiones: Si

No

-4-

Cuero Cabelludo (Cara Interna): ___________________________________________________________________________________________


_______________________________________________________________________________________________________________________
Lesiones: Si

No

Base de Crneo: ________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________
Lesiones: Si

No

Meninges Duramadre y Aracnoides: ________________________________________________________________________________________


_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Encfalo:

Peso:

gr

Medidas:

cm

cm

Descripcin (Color, Consistencia, Superficie, Simetra, Ventrculos, Cerebelo y Alteraciones)

cm

_____________________________________________

_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Lesiones : Si

No

Vasos: ________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Macizo Facial:

Lesiones: Si

No

CUELLO
Columna Cervical: ______________________________________________________________________________________________________
Lesiones:

Si

No

Faringe: _______________________________________________________________________________________________________________
Lesiones:

Si

No

Esfago: ______________________________________________________________________________________________________________
Lesiones:

Si

No

Laringe: _______________________________________________________________________________________________________________
Lesiones:

Si

No

Glotis: ________________________________________________________________________________________________________________
Lesiones:

Si

No

Epiglotis: ______________________________________________________________________________________________________________
Lesiones:

Si

No

Hioides: _______________________________________________________________________________________________________________
Lesiones:
Si
No
Traquea:_______________________________________________________________________________________________________________
Lesiones:

Si

No

Tiroides:

Peso:

gr

Medidas:

cm

cm

cm

Caractersticas: (Color, Consistencia, Superficie, Simetra y Alteraciones) ___________________________________________________________

Vasos: ________________________________________________________________________________________________________________

-5-

TORAX
Columna dorsal y parrilla costal : ________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Lesiones: Si

No

Pleuras y Cavidades
Descripcin : (Adherencias, Contenido y Alteraciones) : ________________________________________________________________________
_____________________________________________________________________________________________________________________
Mediastino: __________________________________________________________________________________________________________
Timo

Peso:

gr

Medidas:

cm

cm

cm

Descripcin : _________________________________________________________________________________________________________

Pulmn Derecho:

Peso:

gr

Medidas:

cm

cm

cm

Pulmn Izquierdo: Peso:


gr
Medidas:
cm
X
cm
X
cm
Descripcin: (Color, Consistencia, Superficie, Textura y Alteraciones) ____________________________________________________________

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Lesiones: Si

No

Pericardio
Contenido: (Detallar)___________________________________________________________________________________________________
Lesiones:
Corazn:

Si

Lesiones:

Si

No
Peso:

gr

Medidas:

cm

cm

cm

No

Caractersticas: (Forma, Color, Consistencia, Superficie, Cavidades y Alteraciones) _________________________________________________


____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Paredes Ventriculares: ________________________________________________________________________________________________
Vlvula Artica

Mide:

mm.

Vlvula Pulmonar

Mide:

mm.

Vlvula Mitral:

Mide:

mm.

Vlvula Tricspide

Mide:

mm.

Caractersticas: _______________________________________________________________________________________________________
Arterias Aorta/Pulmonar: ______________________________________________________________________________________________
____________________________________________________________________________________________________________________

Arterias Coronarias: __________________________________________________________________________________________________

-6-

ABDOMEN PELVIS
Columna Lumbosacra y Esqueleto Plvico: _______________________________________________________________________________
Lesiones: Si

No

Pared Peritoneal: _____________________________________________________________________________________________________


Lesiones: Si

No

Cavidad Peritoneal:

Libre

Contenido

Detallar: ___________________________________________________________________________ con volumen de ___________ cm. 3 Aprox.

Diafragma: _____________________________________________________________________________________ Lesiones Si


Epiplones: _____________________________________________________________________________________ Lesiones Si

No
No

Mesenterio: ____________________________________________________________________________________ Lesiones:

No

Si

Estmago: Caractersticas (Distensin, Serosa, Mucosa y Alteraciones) __________________________________________________________


_____________________________________________________________________________________________________________________
Contiene: _____________________________________________________________________________________________________________
Lesiones: Si
No
Intestino Delgado: (Distensin, Serosa, Mucosa y Alteraciones)________________________________________________________________
______________________________________________________________________________________________ Lesiones:

Si

No

Intestino Grueso: (Distensin, Serosa, Mucosa y Alteraciones)_________________________________________________________________


______________________________________________________________________________________________ Lesiones:

Si

No

Apndice: ____________________________________________________________________________________________________________
Hgado:Peso:

gr

Medidas:

cm

cm

cm

Caractersticas: (Color, Consistencia, Superficie, Bordes y Alteraciones) ___________________________________________________________


_____________________________________________________________________________________________________________________
Lesiones: Si

No

Vescula y Vas Biliares : (Distensin, Serosa, Mucosa y Alteraciones)


_____________________________________________________________________________________________________________________
Litiasis
Bazo:

Si
No
Peso:

gr

Medidas:

cm

cm

cm

Caractersticas (Color, Consistencia, Superficie, Bordes y Alteraciones) ____________________________________________________________


_____________________________________________________________________________________________________________________
Lesiones: Si
No
Pncreas: Peso:

gr

Medidas:

cm

cm

cm

Caractersticas (Color, Consistencia, Superficie, Conducto Pancretico y Alteraciones) ________________________________________________


_____________________________________________________________________________________________________________________
Lesiones: Si
Rin Derecho:

No
Peso:

gr

Medidas:

cm

cm

cm

Rin Izquierdo:

Peso:

gr

Medidas:

cm

cm

cm

Caracteristicas: (Color, Consistencia, Superficie Capsular y Cortical, Alteraciones) ___________________________________________________


_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Lesiones: Si

No

Suprarrenales: ________________________________________________________________________________________________________

-7-

Vas de Excrecin Renal: (Pelvis Renal, Urteres, Vejiga y Uretra)


_____________________________________________________________________________________________________________________

Lesiones: Si

No

Vasos: ______________________________________________________________________________________________________________
Lesiones: Si

No

APARATO GENITAL
FEMENINO
Utero:

Peso:

gr

Medidas: cm

cm

cm

Carctersticas: (Forma, Direccin, Cuello, Orificio externo y Cuerpo) _____________________________________________________________


____________________________________________________________________________________________________________________
Cavidad Endometrial: Ocupada:
Placenta
Feto

Si

No
Otros

Edad Gestacional:

(Semanas)

Descripcin: __________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Anexos:
Ovario Derecho: Peso:

gr

Medidas:

cm

cm

cm

Ovario Izquierdo: Peso:

gr

Medidas:

cm

cm

cm

Caractersticas: _______________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Lesiones: Si

No

MASCULINO
Prstata:
Caractersticas: (Color, Consistencia, Superficie, y Alteraciones) _________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Lesiones: Si

No

ORGANOS ACOMPAANTES
Placenta

Cordn Umbilical

Caractersticas: _______________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

-8-

Descripcin Lesiones Traumticas Externas e Internas


________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________

-9-

PERENNIZACIN DE EVIDENCIAS (detalle)


Se realiz perennizacin de evidencias Si
Tipo :
Fotogrfico:

Foto-revelado

No
Digital

Vdeo: Cinta

Disc.compact

Memoria digital

Cdigo de las vistas tomadas:


_____________________________________________________________________________________________________________________
Responsable de capturar imagen
Nombres y Apellidos: ___________________________________________________________________________________________________
Se registro en cuadernillo de grficos Si

No

Detalle del Registro :____________________________________________________________________________________________________


Observaciones ________________________________________________________________________________________________________

DATOS REFERENCIALES (USO INTERNO)


_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________

EXAMENES AUXILIARES
EXAMEN ANTOMO PATOLGICO
Muestra(s) Remitida(s): ________________________________________________________________________________________________
Exmen(es) solicitado(s): _______________________________________________________________________________________________

EXAMEN TOXICOLGICO
Muestra(s) Remitida(s): ________________________________________________________________________________________________
Exmen(es) solicitado(s): _______________________________________________________________________________________________

EXAMEN BIOLOGICO
Muestra(s) Remitida(s): ________________________________________________________________________________________________
Exmen(es) solicitado(s): _______________________________________________________________________________________________

EXAMEN ESTOMATOLOGICO
Muestra(s) Remitida(s): ________________________________________________________________________________________________
Exmen(es) solicitado(s): _______________________________________________________________________________________________

EXAMEN ANTROPOLOGICO
Muestra(s) Remitida(s): ________________________________________________________________________________________________
Exmen(es) solicitado(s): _______________________________________________________________________________________________

DIAGNOSTICO POR IMGENES


Muestra(s) Remitida(s): ________________________________________________________________________________________________
Exmen(es) solicitado(s): _______________________________________________________________________________________________

- 10 -

DIAGNOSTICO PRESUNTIVO DE MUERTE:

ETIOLOGA MDICO LEGAL PRESUNTIVO:

( Ver anexo y

llenar causa probable con fines estadsticos en la ultima cara de formato)

Causa Presuntiva de Muerte:


Causa Final ______________________________________ FORMA _____________________________________________
Causa Intermedia _________________________________ AGENTE ____________________________________________
Causa Bsica ____________________________________ TIPO DE AGENTE ____________________________________
Agente Causante ______________________________________________________________________________________
Datos preliminares:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Fecha y Hora que se culmina la Necropsia:

____________________________
FIRMA

DIAGNOSTICO INTEGRADO: (DIAGNOSTICO


PRESUNTIVO + EXMENES DE LABORATORIO)

____________________________
FIRMA

ETIOLOGA MDICO LEGAL DEFINITIVO


( Ver anexo y llenar causa probable con fines estadsticos en la ultima cara de formato)

Causa Final ______________________________________ FORMA

____________________________________________

Causa Intermedia _________________________________ AGENTE ___________________________________________


Causa Bsica ____________________________________ TIPO DE AGENTE ____________________________________
Agente Causante _______________________________________________________________________________________
Conclusiones:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Fecha y Hora del cierre del Informe Pericial:

____________________________
FIRMA

____________________________
FIRMA
- 11 -

ANEXO DE PROBABLE ETIOLOGIA MEDICO LEGAL


para llenar con fines estadisticos
TIPOLOGIA DE

Agente causante

HEC HO

LA M UERTE

D E

A SFIX IA S

TR A N SITO
M EC A N IC A

INFECCIOSO

Sumersion

TBC

Sofocacion

Neumonia

Ahorcamiento

ETS

Estrangulamiento

V IH

Sepultamiento

Sepsis
Hepatitis

A R M

Otros

Arma

A S
Blanca

Arma de Fuego
DEGENERATIVO

Explosivos

Neoplasias

OTR OS

IM A
NATURAL

SU IC ID IO

E nf er m ed ad es d el c o lag eno

A gente Quimico

A r t er eo s c ler o s is s is t em ic a

Organos fosforados

Otros

Carbamatos
Drogas

CONGENITO

Alcohol

TOTAL

Sin Informacion

M ETABOLICO
D iab et es M .

A gente Fisico

T ir o id es

Electricidad

otros

Quemadura

IDEOPATICO

A gente contuso
OTR OS

HECHO DE TRANSITO
C o nd uc t o r

A SFIX IA S M EC A N IC A

P as ajer o

Sumercion

P eat o n

Sofocacion

C ic lis t a

Estrangulamiento

ASFIXIAS M ECANICA

Sepultamiento

S um er s io n ( A ho g am ient o )

Asfixia por obstruccion de vias


aereas

S o f o c ac io n

A R M

A ho r c am ient o

Arma

E s t r ang ulam ient o

Arma de Fuego

S ep ult am ient o

Explosivos

A s f ix ia p o r o b s t r uc c io n d e v ias
aer eas

Otros

Agente Quimico

HEC HO D E TR A N SITO

O r g ano s f o s f o r ad o s

Conductor

C ar b am at o s
M UERTE

D r o g as

ACCIDENTAL

A lc o ho l

A S
Blanca

HOM IC ID A

Pasajero
Peaton
Ciclista

S in Inf o r m ac io n

A gente Quimico

ARM AS

Organos fosforados

A r m a B lanc a

Carbamatos

A r m a d e F ueg o

Drogas

E x p lo s iv o s
Otros

Alcohol

ACC. AEREO

Sin Informacion

ACC. M ARITIM O

A gente

INTOXICACION POR
M ONOCIDO DE CARBONO

Electricidad-Electrocucin,
Fulguracin

Fisico

Quemadura

AGENTE CONTUNDENTE
DURO

A GEN TE
D U R O

Agente Fisico
E lec t r ic id ad - E lec t r o c uc i n,
F ulg ur ac i n

C ON TU N D EN TE

M .Sub.Lactante

Q uem ad ur a

M .Sub.A dulto

OTROS

ODETERMINADAImprecisable-PutrefaccionOtros

- 12 -

Das könnte Ihnen auch gefallen