scholarly journals Study on pattern of medicolegal cases in casualty of government medical college KolhapurMaharashtra

2021 ◽  
Vol 6 (3) ◽  
pp. 74-76
Author(s):  
Manoj B Patekar ◽  
Nikhil Jagtap
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Care Hospital ◽  
Law Enforcement Agencies ◽  
Legal Cases ◽  
Medical Practitioners ◽  
Medical College ◽  
Legal Case ◽  
Time Period

Medico-legal case is any quite case where the accompanying registered medical practitioners (RMP), after obtaining a detail history and examining the patient, thinks that some investigation or procedure by law enforcement agencies is required to establish and the responsibility for the case in accordance with the law or legal ground. This study is run to hunt out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to spotlight the vulnerable gender, age, residence and the cause. This is often retrospective study during which all the MLC cases registered in MLC record during a period of two years (1 January 2018– 31 December 2020) were included. Non medico-legal were excluded. Variables such as gender, age, time period between injury and reporting to casualty, were considered Findings were expressed in numbers and percentages. The total 2450 cases were registered as “medico-legal” out of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age bracket of 21-30 years i.e., 905 (36.93%). Most of the medico-legal cases registered were because of road traffic accidents 1154 (47.10%), fall (41.5%), and assault (6.73%) snake bite (6.4%), poisoning (14.81%)

scholarly journals A record based study of frequency and pattern of medico-legal cases reported at a tertiary care hospital in Miraj

2017 ◽  
Vol 4 (4) ◽  
pp. 1348 ◽  
Author(s):  
Tanuja R. Brahmankar ◽  
Sachin K. Sharma
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Legal Cases ◽  
Legal Case

Background: Medico-legal case (MLC) can be defined as a case of injury or ailment, etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the said injury or ailment. Medico-legal cases are an integral part of medical practice that is frequently encountered by medical officers working in casualty. Hence the present study is carried out to find out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to highlight the vulnerable gender, age, residence and the cause. Methods: It is a record based cross sectional study in which all the MLC cases registered in MLC record book during a period of 6 months (January 13– June 13) were included. Cases found non medico-legal were excluded. Variables considered were gender, age, residence and cause. Findings were expressed in numbers and percentages. Results: Total cases were 2350, of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age group of 21-30 years i.e., 828 (35.2%). 1440 (61.27%) were residents of urban area. Most of the medico-legal cases registered were due to assault (27.2%) followed by medical examination of prisoners(25.9%), road traffic accidents (19.7%), fall (6.9%), snake bite (6.6%), poisoning (4.3%), domestic injuries (4.3%), unknown bite (2.2%), unknown found at railway station (1.6%), brought dead (0.6%), burn (0.2%) & others (0.5%). Conclusions: Majority of the victims were males, young adults and urban inhabitants. Most common indication for medico-legal cases was assault followed by medical check-up of prisoners and road traffic accidents. 

scholarly journals ANALYSIS OF BLUNT ABDOMINAL TRAUMA CASES AT TERTIARY CARE HOSPITAL BIKANER (RAJASTHAN)

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Deepak Singh Panwar ◽  
Ashok Kumar
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Operative Management ◽  
Care Hospital ◽  
Young Males ◽  
Medical College ◽  
Blunt Abdominal Injury

Background: In view of increasing number of vehicles and consequently road traffic accidents, this dissertation has been chosen to study the cases of blunt abdominal trauma with reference to the patients presenting at P.B.M. hospital, attached to S.P. Medical College, Bikaner. Methods: Prospective hospital-based study was conducted on all the patients of blunt abdominal injury admitted in the department of surgery, S.P. Medical College and P.B.M. Hospital, Bikaner. Results: Majority of the patients presented with abdominal pain (86%) and abdominal tenderness (81%). Conclusion: We concluded that young Males are predominantly affected.  Road traffic accident forms the most common mode of injury.  Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment. Keywords: Blunt trauma, Age, Sex

MEDICOLEGAL CASE PROFILE OF A CENTRAL TERTIARY HOSPITAL IN CHHATTISGARH

2021 ◽  
pp. 51-52
Author(s):  
Rupjyoti Medhi ◽  
Kavyesh Sahu ◽  
Jyotish Guria ◽  
Bhoj Kumar Sahu
Keyword(s):  
Tertiary Care ◽  
Age Groups ◽  
Tertiary Hospital ◽  
Clinical Forensic Medicine ◽  
Care Hospital ◽  
Legal Cases ◽  
Medical Practitioners ◽  
Legal Implications ◽  
Time Period ◽  
Proper Training

Background: Medicolegal cases accounts for an important and crucial bulk in any hospital. It involves meticulous handling in both examination and paper-work. Categorization of MLC cases under certain groups is vital for understanding the trending pattern. These parameters help the concerned authorities to formulate policies and norms accordingly. Methods:Aretrospective study was carried out in the Clinical Forensic Medicine Unit of a tertiary care hospital in Raipur, Chhattisgarh, India. All cases during the period from 1st January 2019 to 31st December 2019 were considered and evaluated. Non MLC and MLC cases with incomplete records were excluded. Both percentage and numbers of the evaluated data are mentioned. Results: st st A total number of 1488 cases were reported during 1 January to 31 December 2019. Among the 1488 cases reported, 33.06% were among the age group 21-30 years followed by 20.56 % and 15.66 % in the age groups 31-40 years and 11-20 years respectively. Most of the medico legal cases registered were of are males (77.15 %). Highest number of MLC cases were recorded (37.70 %) during the time period of 06:00 pm to 12:00 Midnight. Road Trafc accidents accounted for 59.07% of the cases followed by brought dead cases (8.40 Percent). Conclusion: Study of the Medicolegal Cases pattern requires keen and exhaustive observation skills. Proper training of Registered Medical Practitioners is vital in today's practice so that the fallacies and mistakes can be reduced, thus aiding the Law of the country and its legal implications.

scholarly journals Epidemiology of Fatal Injuries reported in the mortuary of a tertiary care hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 633
Author(s):  
Subrat Kumar Pradhan ◽  
Himansu Prasad Acharya ◽  
Rudra Prasanna Mishra ◽  
Jay Kumar Panda ◽  
Durga Madhab Satapathy ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Adult Population ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Care Hospital ◽  
Age Group ◽  
Microsoft Excel ◽  
Mortality And Morbidity ◽  
Fatal Injuries

Background: Injuries are an increasingly recognized global, preventable public health problem and are an important cause of mortality and morbidity in adult population. The major causes of injury related deaths may be intentional and unintentional. The major unintentional or “accidental” causes are road traffic accidents (RTAs), falls and drowning whereas the leading intentional causes are suicide and homicide. A robust Surveillance System for Injury Mortality is almost non-existent in our country due to which the data for the same is not available and haphazard. Keeping these factors in mind, the following study was under taken to identify the various epidemiological factors related to fatal injury cases.Methods: A record based retrospective study was conducted in the Department of Community Medicine, VSSIMAR, Burla, Odisha. The data were collected from the autopsy reports preserved at the Dept of FM & T, VSSIMSAR. Variables like age, sex, number of injury cause of death, place of death etc. were collected. Data were entered in Microsoft Excel and analysed using proportions and percentages.Results: The age group 25-44 years recorded the maximum number of deaths (37.49%). Males suffered the highest casualty accounting for 61.85% of deaths. Unintentional fatal injuries constituted 63.58% of deaths. The most number of fatal injuries resulting in deaths were RTAs (36.41%).Conclusions: The age group 25-44 years recorded maximum deaths. Males were the major death victims. RTAs constituted maximum of deaths among unintentional fatal injuries. Homicidal injuries constituted maximum of deaths due to intentional fatal injuries.

scholarly journals Incidence of Benign Paroxysmal Positional Vertigo in Head Injury Patients

2021 ◽  
pp. 188-194
Author(s):  
Celastina Synthia ◽  
. Rameshwar
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Benign Paroxysmal Positional Vertigo ◽  
Road Traffic ◽  
Tertiary Care ◽  
Care Hospital ◽  
Female Ratio ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Background: Traumatic brain injury is a common secondary cause of  Benign Paroxysmal  Positional Vertigo(BPPV). Objective: To determine the incidence and clinical profile of patients with BPPV in mild and moderate head injury. Materials and Methods: A prospective observational study done in patients admitted with  mild and moderate head injury who developed BPPV from January 2020 to March 2020 in a tertiary care hospital of  South India. Demographic and clinical parameters were noted and were treated with canalith repositioning procedures. Results: Among 42 patients admitted with mild and moderate head injury, 9(21.4%) were diagnosed with BPPV in the follow up. The male female ratio was 2.5:1. The mean age was 44 ±21.4years.Two wheeler accidents contributed to nearly half of (55.6%) traumatic BPPV. Posterior canal was commonly involved in 7(77.8%) followed by horizontal in 2 (22.2%).The type of head injury was mild in 7 (77.8%) and moderate in 2 (22.2%) in traumatic BPPV patients. 5 (55.6%) patients with BPPV had abnormal findings in neuroimaging. 4 (44.4%) patients developed recurrent BPPV in our cohort. Conclusion: The incidence of traumatic BPPV was 21.4% in our study. Road traffic accidents due to two wheeler accidents were the common mode of head trauma. Posterior canal was commonly involved in three fourth of cases. Recurrence of vertigo was documented in 4 (44.4%).

scholarly journals An epidemiological study of road traffic accidents among patients admitted in a tertiary care hospital in Puducherry

2018 ◽  
Vol 5 (8) ◽  
pp. 3362
Author(s):  
Muthukumar T. ◽  
Zile Singh ◽  
Vishnu Prasad R. ◽  
Abel K. Samuel ◽  
Raja T. K.
Keyword(s):  
Large Scale ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Seat Belt ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Modifiable Factors

Background: Road traffic accidents (RTA) are the only public health problem for which society and decision makers still accept death and disability among young people on a large scale. This study was undertaken to determine the various epidemiological factors influencing RTA with a view to suggest appropriate remedial measures for prevention of accidents.Methods: A hospital based prospective observational study was conducted at a tertiary care hospital in Puducherry. All the patients admitted in the hospital due to RTA from Jan to Dec 2014 were interviewed by using a pre-tested and pre-designed questionnaire. Data was entered in MS Excel and analysed using SPSS version 21.0. Institute ethics committee clearance was obtained.Results: Among 541 participants, 50% of the victims were in the productive age group of 20-40 yrs. The approximate speed of majority of the vehicles (55.6%) at the time of accident was 40-80 km/hr. Among the accident victims, 85.8% of the two wheeler riders did not use helmet and 70.9% of the car drivers did not wear seat belt at the time of accident. Around 39% of the drivers were under the influence of alcohol at the time of accident. Mobile phone is the major cause of distraction (51.9%) at the time of accident.Conclusions: Based on this study it is evident that prevention and control of most of the modifiable factors can bring about a change in the statistics that would ensure our future to be safer.

scholarly journals Male genital injuries attending a tertiary hospital in a western region of Nepal: A two-year snapshot.

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 337
Author(s):  
Alok Atreya ◽  
Suman Baral ◽  
Ritesh G Menezes ◽  
Samata Nepal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Medical College ◽  
Medical Issues ◽  
Clinical Scenarios ◽  
Male Genital ◽  
Genital Injuries

Background: Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention may lead to chances of loss of fertility due to infections and anatomical disruption of normalcy. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as lack of reporting by patients means cases are rare. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries.   Methods: A retrospective analysis of discharge summaries was carried out and the cases of male genital injuries were reviewed during June 2020. All the treated cases during the two-year period from April 2018 to April 2020 at Lumbini Medical College, Nepal were included in the study.  Results: There were eight cases of genital trauma admitted and treated during the study period. All the patients were males and age ranged from six to 71 years with a mean age of 33 ± 21.45 years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in the majority of cases.  Conclusion: Superficial injuries to the penis and scrotum do not require surgical exploration and could be managed conservatively. However, deeper and complicated injuries, testicular preservation, the functionality of the part and cosmetic issues are taken into consideration which might require a multi-disciplinary approach. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored.

scholarly journals Anticipatory Guidance in Childhood Safety: How do Parents Fare? A Survey from a Tertiary Hospital

2021 ◽  
pp. 974-981
Author(s):  
Kishore Narayan ◽  
Daniel Paul Pragasam ◽  
P. Kesavaraj ◽  
Balamma Sujatha ◽  
S. Rajesh
Keyword(s):  
Middle Class ◽  
Parent Education ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Statistical Correlation ◽  
Care Hospital ◽  
Study Population ◽  
Home Injuries

Unintentional home injuries are a major cause for childhood morbidity and mortality. Aims and Objective: To find the KAP among mothers about common home injuries and methods to prevent them. To assess how safe the houses of the study population is. Materials and Methods: 200 mothers attending the paediatric OPD of a tertiary care hospital in a sub-urban area of South India were enrolled. They were interviewed with a structured questionnaire. Details regarding socio-demographic aspects, knowledge, attitude and practices about common household accidents and ways to prevent were asked. The safety aspects of their homes were also noted down. The collected data were analysed with sigma plot 13(system software, USA). In the above statistical tools the probability value <0.05 was considered as significant. Result: The mean age of mother was 28.82 ± 4.93 years and age at marriage, 21.7 ± 3.55 years. 54% belonged to lower middle class and nearly 20% each in upper lower and upper middle class. Fall from height, Road traffic accidents followed by electrical injuries were the commonest accidents known by mothers. Socioeconomic status and educational levels had statistical correlation with few of the variables. Conclusion: Knowledge about home accidents is poor in the study population. Most of the houses are not child safe. Parent education about home injuries and training on first aid should be part of newborn follow up.

scholarly journals Male genital injuries treated at a tertiary hospital in the western region of Nepal: A two-year snapshot.

F1000Research ◽  
2022 ◽  
Vol 10 ◽  
pp. 337
Author(s):  
Alok Atreya ◽  
Suman Baral ◽  
Ritesh G Menezes ◽  
Samata Nepal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Medical College ◽  
Medical Issues ◽  
Clinical Scenarios ◽  
Male Genital ◽  
Genital Injuries

Background: Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention may lead to loss of fertility due to infections and anatomical disruption of normalcy. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as patients are hesitant to report such injuries. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries.   Methods: A retrospective analysis of discharge summaries of the cases of male genital injuries was reviewed during June 2020. All the treated cases during the two-year period from April 2018 to April 2020 at Lumbini Medical College, Nepal were included in the study.  Results: There were eight cases of genital trauma admitted and treated during the study period. All the patients were males and age ranged from six to 71 years with a mean age of 33 ± 21.45 years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in the majority of cases.  Conclusion: Superficial injuries to the penis and scrotum do not require surgical exploration and could be managed conservatively. However, deeper and complicated injuries, testicular preservation, the functionality of the part and cosmetic issues are taken into consideration which might require a multi-disciplinary approach. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored.

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