Artifacts from medical intervention are frequently present in medicole
gal autopsies and must be distinguished from injuries of forensic inte
rest, particularly in deaths from trauma. In this case, burns resultin
g from incomplete skin contact of an electrosurgical ground pad during
surgery for multiple gunshot wounds were initially confused with abra
sions caused by impact of bullet fragments. Inspection of the decedent
's clothing and of the medical records revealed the true etiology of t
his injury.