Electrocution refers to injury or death caused by electricity passing through the body.
For injury or death to happen, the body must complete an electrical circuit (i.e., current must enter and exit).
Common in domestic, industrial, and bathroom settings.
Can be accidental, suicidal, homicidal, or judicial (e.g., electric chair).
The extent of damage depends on:
Current (Amperage) — The amount of electricity flowing.
Most important factor in causing harm.
Voltage — The pressure that pushes current.
High voltage can break skin resistance.
Resistance (Ohms) — The body’s opposition to current.
Dry skin has high resistance.
Wet skin has low resistance (more dangerous).
Duration of Contact — Longer exposure = more injury.
Current Pathway — Determines which organs are affected.
Through heart or brain = high risk of death.
Entry Point: Usually the hand.
Internal Path: May cross chest, brain, or spine.
Exit Point: Usually opposite limb or the feet.
The “hand-to-foot” path crosses the heart and is the most lethal.
Ventricular fibrillation: Chaotic heart rhythm → death.
Can occur with only 50–80 mA (milliamperes) of AC (alternating current).
Seizures,
Loss of consciousness,
Brainstem paralysis → stops heart and breathing.
Paralysis of diaphragm and chest muscles.
Respiratory arrest can lead to secondary cardiac arrest.
Severe spasms → rhabdomyolysis (muscle breakdown).
Breakdown products can damage kidneys (renal failure).
Joule heating (conversion of electrical energy into heat) causes:
External burns,
Internal tissue coagulation.
Characteristic skin lesion at contact site.
May look:
Pale,
Dry and sunken,
Central crater,
Raised edge.
Microscopic metal deposits from conductor embedded in the skin.
Under microscope: skin cells show elongation in direction of current.
In some cases (e.g., wet skin, bath), no external sign is seen, yet death is due to electrocution.
Irregular heartbeat, especially ventricular fibrillation → sudden death.
Spasm of chest and diaphragm muscles → no breathing.
Seen in head-to-foot current.
Immediate arrest of breathing and heart.
Tetanic (spasmodic) muscle contraction locks victim’s grip.
Prolongs exposure.
Occurs more with AC than DC.
Blisters,
Nuclear streaming,
Vacuoles (tiny pockets of gas),
Metallization: Metal particle deposits from conductor.
Contraction bands in muscle fibers,
Wavy myocardial fibers.
Tiny hemorrhages (bleeds),
White matter tearing.
At entry or exit site.
Small, round, deep.
From electricity jumping across air.
May occur without touching the wire.
Superficial.
Caused by heat from arc, not current passing through.
Water lowers skin resistance,
Wet skin = high conductivity,
Metal taps/fixtures act as grounding,
Victim usually unclothed = no insulation.
Check for:
Electrical appliances,
Wiring,
Signs of water or grounding,
Suicide notes or tampering.
External:
Electrical marks (especially hands/feet),
Metallization,
Burns.
Internal:
Look for myocardial damage, respiratory muscle injuries.
Skin: streaming, metallization.
Heart: contraction bands.
Use scanning electron microscope (SEM) to detect:
Metal particles, trace conductors.
Natural high-voltage electrocution.
May cause:
Lichtenberg figures: Fern-like skin patterns,
Exploded clothing,
Internal organ damage.
SEM & X-ray analysis: Detect metal in skin.
Atomic absorption: For metallic trace elements.
PCR / DNA tests: Rule out other causes.
Histochemical stains: Detect changes in tissue structure.