Abstract
Objective: Electrical injuries represent a significant medico-legal problem, as exposure to electric current can lead to a wide spectrum of injuries depending on voltage level and exposure conditions. This study aims to evaluate electrical injuries within a forensic medical framework—specifically in terms of life-threatening condition, amenability to treatment by simple medical intervention, and the presence of fractures and internal organ damage—as well as in relation to associated risk factors.
Methods: A total of 123 cases identified as electrical injuries and reported as forensic cases in a secondary-level state hospital between 2023 and 2025 were analysed with respect to demographic characteristics, timing/location/origin of the injury, voltage type, source of contact, clinical findings, associated trauma, treatment, and medico-legal outcomes.
Results: Of the cases, 70.7% were male, with a mean age of 26.9±16.3 years. Injuries most frequently occurred in individuals aged 19–29 years, on weekdays, and between 08:00 and 16:00 hours, predominantly in domestic and indoor environments. Low-voltage exposure accounted for 87.8% of cases, whereas 12.2% involved high-voltage exposure. All cases were of accidental origin (56.1% occupational accidents; 41.5% domestic accidents). High-voltage exposure was significantly associated with the presence of entry/exit lesions, multitraumatic injuries, fractures, internal organ damage, and medico-legal outcomes including life-threatening condition and non-amenability to treatment by simple medical intervention (p<0.05–0.001).
Conclusion: The findings indicate that the voltage level of electrical exposure is a key prognostic and medico-legal determinant in electrical injuries. In low-voltage cases, case-specific evaluation based on clinical findings and standardized documentation are of critical importance.
References
Kılınç, O., Karagöz, Y., İlhan, M., & Bakan, H. U. (2024). Akdeniz Üniversitesi Adli Tıp Anabilim Dalı Tarafından 2010-2022 Yılları Arasında Elektrik Çarpması Sonucu Meydana Gelen Yaralanma Nedeniyle Adli Rapor Düzenlenen Olguların Değerlendirilmesi. Akdeniz Tıp Dergisi, 10(3), 450-456. https://doi.org/10.53394/akd.1327586
Keskiner, F. Z., & Atılgan, M. (2025). Antalya’da 2006-2015 Yılları Arasında Elektrik Çarpması Sonrası Meydana Gelen Ölümlerin Değerlendirilmesi. Adli Tıp Dergisi, 39(2), 167-174. https://doi.org/10.61970/adlitip.1592850
Dündar, A. S., Altın, İ., Aksöz, C., Sarın, A. B., & Özdemir, B. (2023). Deaths associated with electric shock injuries in children and adults: A 10‐year retrospective examination in Şanlıurfa, Southeast Turkey (2012–2022). Journal of forensic sciences, 68(6), 2076-2084. https://doi.org/10.1111/1556-4029.15351
Aksoy, M. E. (1997). Elektrik akımlarının neden olduğu yaralanmalar. The Bulletin of Legal Medicine, 2(1), 25-34.
Özdemir, Ç., Demirel, B., Akar, T., Odabaşı, A. B., & Dinç, A. H. (2007). Elektrik Akımı ile İntihar: Olgu Sunumu. Gazi Medical Journal, 18(2), 89-91.
Türkmen, N., Eren, B., Fedakar, R., & Durak, D. (2008). Deaths from electrical current injuries in Bursa city of Turkey. Turkish Journal of Trauma and Emergency Surgery, 14(1), 65-69.
Alqassim, M., Ewiss, R., & Al Ali, H. (2023). The role of forensic engineering in the diagnosis of electrocution fatalities: two case reports. Safety and Health at Work, 14(1), 124-130. https://doi.org/10.1016/j.shaw.2022.11.002
Korkmaz, M., & Uysal, C. (2021). Diyarbakır’da 2007-2014 yılları arasında otopsisi yapılmış elektrik akımına bağlı ölüm olgularının değerlendirilmesi. The Bulletin of Legal Medicine, 26(1), 27-32. https://doi.org/10.17986/blm.1473
Sheikhazadi, A., Kiani, M., & Ghadyani, M. H. (2010). Electrocution-related mortality: a survey of 295 deaths in Tehran, Iran between 2002 and 2006. The American journal of forensic medicine and pathology, 31(1), 42-45. https://doi.org/10.1097/PAF.0b013e3181c213f6
Dokov, W. (2010). Electrocution-related mortality: a review of 351 deaths by low-voltage electrical current. Ulus Travma Acil Cerrahi Derg, 16(2), 139-43.
Wick, R., Gilbert, J. D., Simpson, E., & Byard, R. W. (2006). Fatal electrocution in adults—a 30-year study. Medicine, science and the law, 46(2), 166-172.
Von Caues, S., Herbst, C. I., & Wadee, S. A. (2018). A retrospective review of fatal electrocution cases at Tygerberg Forensic Pathology Services, Cape Town, South Africa, over the 5-year period 1 January 2008-31 December 2012. South African Medical Journal, 108(12), 1042-1045. https://doi.org/10.7196/SAMJ.2018.V108I12.13131
Tirasci, Y., Goren, S., Subasi, M., & Gurkan, F. (2006). Electrocution-related mortality: a review of 123 deaths in Diyarbakir, Turkey between 1996 and 2002. The Tohoku journal of experimental medicine, 208(2), 141-145. https://doi.org/10.1620/tjem.208.141
Çomçalı, B., Ceylan, C., Özdemir, B. A., Ocaklı, S., Özel, H. P., & Yastı, A. Ç. (2022). Seasonal effects on the mechanisms of burn injuries. Turkish Journal of Surgery, 38(1), 5-10. https://doi.org/10.47717/TURKJSURG.2022.5377
Rautji, R., Rudra, A., Behera, C., & Dogra, T. D. (2003). Electrocution in South Delhi: a retrospective study. Medicine, science and the law, 43(4), 350-352. https://doi.org/10.1258/rsmmsl.43.4.350
Hind, J., Lahart, I. M., Jayakumar, N., Athar, S., Fazal, M. A., & Ashwood, N. (2020). Seasonal variation in trauma admissions to a level III trauma unit over 10 years. Injury, 51(10), 2209-2218. https://doi.org/10.1016/J.INJURY.2020.07.014
Behera, C., Sikary, A. K., Rautji, R., & Gupta, S. K. (2019). Electrocution deaths reported in South Delhi, India: a retrospective analysis of 16 years of data from 2002 to 2017. Medicine, Science and the Law, 59(4), 240-246. https://doi.org/10.1177/0025802419860288
Blumenthal, R. (2009). A retrospective descriptive study of electrocution deaths in Gauteng, South Africa: 2001–2004. Burns, 35(6), 888-894. https://doi.org/10.1016/j.burns.2009.01.009
Ding, H., Huang, M., Li, D., Lin, Y., & Qian, W. (2020). Epidemiology of electrical burns: a 10-year retrospective analysis of 376 cases at a burn centre in South China. Journal of International Medical Research, 48(3), 0300060519891325. https://doi.org/10.1177/0300060519891325
Aydogan, C., Erkent, M., Abali, E., Albayati, A., Gojayev, A., Safak, A., & Haberal, M. (2025). Electrical Burns: A Special Type of Burn Injury. Burn Care and Prevention, 2024/1: 10-19.
Sarın, A. B. (2023). Van Adli Tıp Grup Başkanlığı’nda elektrik çarpması sonucu ölen olguların adli-tıbbi incelemesi. Adli Tıp Dergisi, 37(3), 115-121. https://doi.org/10.61970/adlitip.1323118
Gurbuz K, Demir M. Patterns and Outcomes of High-Voltage vs Low-Voltage Pediatric Electrical Injuries: An 8-Year Retrospective Analysis of a Tertiary-Level Burn Center. Journal of Burn Care & Research. Oxford Academic; 2022;43(3):704–9. https://doi.org/10.1093/JBCR/IRAB178
Kazi, S. A., Qadir, N. A., Mangi, A., Bibi, I., Nahyoon, W. A., Qurni, M. O., & Raza, K. (2025). Forensic investigation of electrocution: Examining electrical injury profiles in Hyderabad, Pakistan. Journal of Shalamar Medical & Dental College-JSHMDC, 6(1), 09-15. https://doi.org/10.53685/jshmdc.v6i1.319
Ozdel S, Cakıcı EK, Sayli TR. (2019) Pediatric electrical injury in Turkey: Five year retrospective hospital-based study. Pediatrics International. Blackwell Publishing, 61(11):1155–8. DOI: 10.1111/PED.14008;PAGE:STRING:ARTICLE/CHAPTER
Fauzi, I. (2023). Fatal electrical injuries in Padang, Indonesia: a medicolegal investigation of circumstances and cause of death. Sriwijaya Journal of Forensic and Medicolegal, 1(2), 59-69. https://doi.org/10.59345/sjfm.v1i2.63
Yaggati, N., Shashikala, P., Rajashree, K., & Kamaradgi, P. N. (2023). Histomorphological changes of skin in electrocution deaths-A study in a tertiary care hospital. IP Archives of Cytology and Histopathology Research, 7(1), 47-53. https://doi.org/10.18231/j.achr.2022.009
277. Giri, S., Waghmode, A., & Tumram, N. K. (2019). Study of different facets of electrocution deaths: a 5-year review. Egyptian journal of forensic sciences, 9(1), 1. https://doi.org/10.1186/s41935-018-0103-5
Enache M, Jung H, Chinezu L, Hogea T, Carașca C, Croitorescu L, et al. Electrocution Deaths: Medico-Legal Implicatıons and Perspectives on A Standardized Protocol. Romanian Journal of Legal Medicine. Romanian Legal Medicine Society; 2025;33(2):101–12. https://doi.org/10.4323/RJLM.2025.101
Akcan, R., Karacaoğlu, E., Keten, A., Odabaşi, A. B., Kanburoğlu, Ç., TÜMER, A. R., & Alkurt-Alkan, H. (2012). Electrical fatalities in Ankara over 11 years. Turkish Journal of Medical Sciences, 42(3), 533-538. https://doi.org/10.3906/SAG-1010-1243
Durdu, T., Ozensoy, H. S., Erturk, N., & Yılmaz, Y. B. (2025). Impact of voltage level on hospitalization and mortality in electrical injury cases: a retrospective analysis from a Turkish emergency department. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 31, e947675. https://doi.org/10.12659/MSM.947675
Sudario-Lumague, R., Yang, J. C. S., Lin, C. C., Hsu, S. Y., & Hsieh, C. H. (2018). Analysis of electrical injury in a Level I southern Taiwan trauma center. Formosan Journal of Surgery, 51(1), 9-14. https://doi.org/10.4103/FJS.FJS_60_17
Akram, B., Khalid, F. A., Ishaq, U., Ali, S. S., Mehrose, M. Y., & Sajjad, Y. (2025). Clinical profile, management, and outcome of electric burn injuries at a tertiary care hospital. JPMA. The Journal of the Pakistan Medical Association, 75(8), 1194-1198. https://doi.org/10.47391/JPMA.11447
Şakrak, T., Mangır, S., Körmutlu, A., & Cemboluk, Ö. (2011). Elektrik Yaralanmalı Olgularımızın Retrospektif Analizi. Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi, 19(1), 1-4.
Balcı Y, Çolak B, Gürpınar K, Anolay NN. Türk Ceza Kanunu’nda tanımlanan yaralama suçlarının adli tıp açısından değerlendirilmesi rehberi. Adli Tıp Uzmanları Derneği, Adli Tıp Kurumu Başkanlığı, Adli Tıp Derneği. 2019
Aydın, F., Yavuz, M. S., Akın, U., & Kahraman, İ. (2018). Elektrik çarpması sonucu meydana gelen yaralanmaların adli-tıbbi değerlendirmesi. Ege Tıp Dergisi, 57(2), 116-118. https://doi.org/10.19161/ETD.41466

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