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In the forensic assessment of a severely burned body the question of whether the victim was still alive when exposed to the fire, as well as establishing the cause of death, is of crucial importance. The examination of a burned body is often a challenge due to postmortem consumption by the fire, and the external findings are often inconclusive. Consequently the internal findings are all the more important. The most important internal signs of vitality are soot deposits in the respiratory tract, the esophagus and the stomach as well as elevated CO-Hb values in the blood. In toxicological investigations of cause of death, CO-Hb concentrations above 50 % are considered lethal. In some cases where the bodies are severely charred, it can be difficult to obtain a suitable specimen for CO-Hb testing. Post Mortem Computed Tomography (PMCT) has shown to be a valuable tool facilitating conventional autopsy also in fire fatalities [1-5]. In 2008 The Institute of Forensic Medicine in Aarhus obtained a Siemens Somatom Definition 64 slices CT-scanner and a full body scan before medico-legal autopsy is now a routine examination. Three routine scannings are performed: head, torso and extremities. Here we present two cases of fire fatalities where PMCT proved to be an important factor in establishing the cause of death.

Post Mortem Computed Tomography as an important tool in establishing a cause of death in fire fatalities