Pankaj Kumar Jain, Ravi Kumar Verma, Sachin Kumar, Kamal Rachhoya, Rajesh Yadav, Junior Resident
Objective: To study Clinico-epidemiological parameters of adult acute poisoning at tertiary care centre in Hadoti region of Rajasthan. Methodology: A prospective cross sectional was conducted on 50 patients, presenting to the Government medical college and associated group of hospitals of Kota, Rajasthan. The data about demography and laboratory parameters were collected after admission of the patient and analyzed. Results: The mean age of patients was 28.4(13.0-58.0) years. The proportion of male was 62%. Most common mode of poisoning was ingestion(98%). suicidal circumstance was in 45 (90%) (Male:Female=2:1) and accidental in 5 (10%) patients (Male:Female=1:4). Most of the suicidal poisoning cases (34%) from the age group 20 to 29 years. Insecticidal poisoning was the most common poisoning. In drug poisoning most common from sedative group or benzodiazepine group, in corrosive poisoning most common was Phenyl. The most common symptom was Vomiting (90%). 48 patients were successfully discharged from ward or ICU and 2 were expired from ICU. Conclusion: Study has provided a comprehensive overview of poisoning in Rajasthan, focusing on hospital data. The findings indicate that male gender and longer delays in seeking treatment at primary care facilities are associated with lower survival rates. The study highlights the need for increased public awareness about the importance of promptly transferring poisoning cases to hospitals, calling for attention from planners and policy-makers.
{"title":"Clinico-Epidemiological Study Of Adult Acute Poisoning At Tertiary Care Centrein Hadoti Region: A Cross Sectional Study","authors":"Pankaj Kumar Jain, Ravi Kumar Verma, Sachin Kumar, Kamal Rachhoya, Rajesh Yadav, Junior Resident","doi":"10.37506/p2wwq297","DOIUrl":"https://doi.org/10.37506/p2wwq297","url":null,"abstract":"Objective: To study Clinico-epidemiological parameters of adult acute poisoning at tertiary care centre in Hadoti region of Rajasthan.\u0000Methodology: A prospective cross sectional was conducted on 50 patients, presenting to the Government medical college and associated group of hospitals of Kota, Rajasthan. The data about demography and laboratory parameters were collected after admission of the patient and analyzed.\u0000Results: The mean age of patients was 28.4(13.0-58.0) years. The proportion of male was 62%. Most common mode of poisoning was ingestion(98%). suicidal circumstance was in 45 (90%) (Male:Female=2:1) and accidental in 5 (10%) patients (Male:Female=1:4). Most of the suicidal poisoning cases (34%) from the age group 20 to 29 years. Insecticidal poisoning was the most common poisoning. In drug poisoning most common from sedative group or benzodiazepine group, in corrosive poisoning most common was Phenyl. The most common symptom was Vomiting (90%). 48 patients were successfully discharged from ward or ICU and 2 were expired from ICU.\u0000Conclusion: Study has provided a comprehensive overview of poisoning in Rajasthan, focusing on hospital data. The findings indicate that male gender and longer delays in seeking treatment at primary care facilities are associated with lower survival rates. The study highlights the need for increased public awareness about the importance of promptly transferring poisoning cases to hospitals, calling for attention from planners and policy-makers.\u0000 \u0000 ","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"23 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141661956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Age estimation plays a vital role in various medico legal cases including both civil and criminal litigations. Assessment of age of an individual by examination of teeth is one of the universally accepted methods of age estimation. In the present study we observed the patterns of dental eruption in Coimbatore. In this study we considered the eruption pattern of all permanent teeth (Molar 1 teeth, Central Incisor teeth, Lateral Incisor teeth, Pre Molar 1, Pre Molar 2, Canine and Molar 2). Material and Methods: The present study was a community based cross sectional study conducted in C.R.R. Matric Higher Secondary School, Ondipudur. C.R.R.Mat.Hr.Sec.School (CMHSS) located at Coimbatore S.S.Kulam, Ondipudur, The study was conducted among 1000 study participants Results: The mean age for complete eruption of the first molar teeth and central incisor was observed to be between 75.9 to 77.9 months and 80.8 to 84 months respectively. Lateral Incisor teeth was completely erupted among all the study participants aged between 105.2 and 107.4 months of age. The mean age for complete eruption of the first premolar was observed to be between 109.58 to 112.6 months. The mean age for complete eruption of the second pre molar was observed to be between 131.0 to 133.8 months. Complete eruption of Canine and second molar was observed to be between 142.6 to 144.8 months and 174.5 – 178.6 months of age respectively. Conclusion: First Pre Molar, Second Pre Molar, Canine and the second molar appears to be earlier on left side as compared to the left side. The eruption of the second molar tooth was significantly earlier in the female study participants as compared to the male study participants. The dental eruption patterns should be studied in detail to assess the role off various associated factors like nutrition, oral hygiene.
{"title":"Permanent Teeth Eruption Pattern in the Age Group of 5 to 15 Years: A Cross-Sectional Study in Southern India","authors":"Vinoth Kumar. V, Rajkumar.G, Balavenkataperumal R, Jeyasingh.T","doi":"10.37506/vbrrrr41","DOIUrl":"https://doi.org/10.37506/vbrrrr41","url":null,"abstract":"Introduction: \u0000Age estimation plays a vital role in various medico legal cases including both civil and criminal litigations. Assessment of age of an individual by examination of teeth is one of the universally accepted methods of age estimation. In the present study we observed the patterns of dental eruption in Coimbatore. In this study we considered the eruption pattern of all permanent teeth (Molar 1 teeth, Central Incisor teeth, Lateral Incisor teeth, Pre Molar 1, Pre Molar 2, Canine and Molar 2). \u0000Material and Methods: \u0000The present study was a community based cross sectional study conducted in C.R.R. Matric Higher Secondary School, Ondipudur. C.R.R.Mat.Hr.Sec.School (CMHSS) located at Coimbatore S.S.Kulam, Ondipudur, The study was conducted among 1000 study participants \u0000Results: \u0000The mean age for complete eruption of the first molar teeth and central incisor was observed to be between 75.9 to 77.9 months and 80.8 to 84 months respectively. Lateral Incisor teeth was completely erupted among all the study participants aged between 105.2 and 107.4 months of age. The mean age for complete eruption of the first premolar was observed to be between 109.58 to 112.6 months. The mean age for complete eruption of the second pre molar was observed to be between 131.0 to 133.8 months. Complete eruption of Canine and second molar was observed to be between 142.6 to 144.8 months and 174.5 – 178.6 months of age respectively. \u0000Conclusion: \u0000First Pre Molar, Second Pre Molar, Canine and the second molar appears to be earlier on left side as compared to the left side. The eruption of the second molar tooth was significantly earlier in the female study participants as compared to the male study participants. The dental eruption patterns should be studied in detail to assess the role off various associated factors like nutrition, oral hygiene.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"83 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141662616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aditya Kidiyoor, Thumma Amar, Yp Girishchandra, S. Harish
Introduction: Suicide is an important health hazard across the world. The SDR (Suicidal Death Rate) observed in Indian females is over three times higher than the rate expected globally for regions with similar socio-demographic profile.Objectives: This study is aimed at analysing the pattern, probable motives, and socio-demographic factors of female suicidal deaths across all age groups subjected for autopsy to the Forensic Medicine department, M.S Ramaiah Medical College.Materials and Methods: Detailed information regarding the deceased and the circumstances of death were collected from the police and relatives by a standard proforma questionnaire. Data was analysed using computer software, Statistical Package for Social Sciences (SPSS) version 20.0.Results:Total of 93 cases of female suicides were autopsied in the study period, and the most common age group observed was 21-30 years (30%), commonly educated up to high school (32.2%), majority of cases falling within class IV socio-economic status with 38.7% cases (Modified Kuppuswamy’s classification). Married women comprised 41.9% cases. Hanging(76.3%) was the most often used method, commonly occurring at the time periods of 6AM-12PM and 6PM-12AM with 29 cases (31.18%) each. Frequently motivated by monetary reasons with 18.27% and mental illnesses accounting for16.12%.Conclusion: The increasing suicide rate creates a challenging obstacle for public health personnel. This study is a step toward a larger multi-centre study where deeper analysis and necessary interventions can be postulated.
{"title":"Profile of Suicidal Deaths in Females Brought to a Tertiary Care Centre in North Bangalore","authors":"Aditya Kidiyoor, Thumma Amar, Yp Girishchandra, S. Harish","doi":"10.37506/1x234x91","DOIUrl":"https://doi.org/10.37506/1x234x91","url":null,"abstract":"Introduction: Suicide is an important health hazard across the world. The SDR (Suicidal Death Rate) observed in Indian females is over three times higher than the rate expected globally for regions with similar socio-demographic profile.Objectives: This study is aimed at analysing the pattern, probable motives, and socio-demographic factors of female suicidal deaths across all age groups subjected for autopsy to the Forensic Medicine department, M.S Ramaiah Medical College.Materials and Methods: Detailed information regarding the deceased and the circumstances of death were collected from the police and relatives by a standard proforma questionnaire. Data was analysed using computer software, Statistical Package for Social Sciences (SPSS) version 20.0.Results:Total of 93 cases of female suicides were autopsied in the study period, and the most common age group observed was 21-30 years (30%), commonly educated up to high school (32.2%), majority of cases falling within class IV socio-economic status with 38.7% cases (Modified Kuppuswamy’s classification). Married women comprised 41.9% cases. Hanging(76.3%) was the most often used method, commonly occurring at the time periods of 6AM-12PM and 6PM-12AM with 29 cases (31.18%) each. Frequently motivated by monetary reasons with 18.27% and mental illnesses accounting for16.12%.Conclusion: The increasing suicide rate creates a challenging obstacle for public health personnel. This study is a step toward a larger multi-centre study where deeper analysis and necessary interventions can be postulated.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"26 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141659818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rajiv Ratan Singh, Santosh Kumar, R. Rupani, Pradeep kumar Yadav, Richa Choudhary, A. Verma, Tauheed Anwar, Case Study
The deceased, a 55-year-old male, arrived at our mortuary after succumbing to multiple honeybee stings. Initial examination disclosed pronounced facial swelling and urticarial eruptions. The deceased, who was engaged in gardening, experienced a rapid onset of symptoms following numerous bee stings. Surprisingly, his medical history showed no prior severe allergic reactions to bee stings. This suggested an acute anaphylactic response, highlighting the unpredictability of such reactions. The absence of previous hypersensitivity underscores the sudden and fatal nature of the incident, emphasizing the need for prompt medical intervention in cases of unexpected severe allergic reactions.
{"title":"Postmortem Analysis of Lethal Honeybee Stings- A Case Report","authors":"Rajiv Ratan Singh, Santosh Kumar, R. Rupani, Pradeep kumar Yadav, Richa Choudhary, A. Verma, Tauheed Anwar, Case Study","doi":"10.37506/k8eefc87","DOIUrl":"https://doi.org/10.37506/k8eefc87","url":null,"abstract":"The deceased, a 55-year-old male, arrived at our mortuary after succumbing to multiple honeybee stings. Initial examination disclosed pronounced facial swelling and urticarial eruptions. The deceased, who was engaged in gardening, experienced a rapid onset of symptoms following numerous bee stings. Surprisingly, his medical history showed no prior severe allergic reactions to bee stings. This suggested an acute anaphylactic response, highlighting the unpredictability of such reactions. The absence of previous hypersensitivity underscores the sudden and fatal nature of the incident, emphasizing the need for prompt medical intervention in cases of unexpected severe allergic reactions.\u0000 ","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"31 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The sweat pore is helpful in terms of identification like minutiae. This research aims to study the differences in the number of sweat pores, types of sweat pores, and the size of sweat pores in male and female volunteers of Myanmar and Cambodian nationality. The researcher has studied the differences in sweat pores data to explore differences between the genders. This research consists of 100 volunteers aged 20-60 years. The results found no significant differences between the genders of the two nationalities. This research revealed that men had more sweat pores than females. In Myanmar nationality, males have an average number of sweat pores at 112.8±1.6, while females have 110.6±0.9 sweat pores. In Cambodian nationality, males found an average number of 131.2±0.8 sweat pores and 130.72±1.9 in females. Studies on the types of sweat pores have found them to be more closed than open sweat pores. Except for female volunteers of Myanmar nationality, more open sweat pores were found than closed sweat pores. Besides, the size of sweat pores in Myanmar was small in both genders, followed by medium and large. Meanwhile, the Cambodian found similar findings in male volunteers. The exception was female volunteers with the same small and medium-sized sweat pores and found the least large sweat pores. Studying data on sweat pores on the palms of different nationalities is very important in forensic science.
{"title":"Gender Differences On Data Of Palm Sweat Pores In Myanmar And Cambodian Nationality.","authors":"Rungrat Urapen, Woratouch Witchuvanit","doi":"10.37506/hxejzd32","DOIUrl":"https://doi.org/10.37506/hxejzd32","url":null,"abstract":"The sweat pore is helpful in terms of identification like minutiae. This research aims to study the differences in the number of sweat pores, types of sweat pores, and the size of sweat pores in male and female volunteers of Myanmar and Cambodian nationality. The researcher has studied the differences in sweat pores data to explore differences between the genders. This research consists of 100 volunteers aged 20-60 years. The results found no significant differences between the genders of the two nationalities. This research revealed that men had more sweat pores than females. In Myanmar nationality, males have an average number of sweat pores at 112.8±1.6, while females have 110.6±0.9 sweat pores. In Cambodian nationality, males found an average number of 131.2±0.8 sweat pores and 130.72±1.9 in females. Studies on the types of sweat pores have found them to be more closed than open sweat pores. Except for female volunteers of Myanmar nationality, more open sweat pores were found than closed sweat pores. Besides, the size of sweat pores in Myanmar was small in both genders, followed by medium and large. Meanwhile, the Cambodian found similar findings in male volunteers. The exception was female volunteers with the same small and medium-sized sweat pores and found the least large sweat pores. Studying data on sweat pores on the palms of different nationalities is very important in forensic science.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"18 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Planned complex suicide constitutes a very rare mode of suicide. They are highly likely to be mistaken for murder. We report a case of a 22-year-old female that was brought dead to RIMS mortuary after being reported dead at her home, An Autopsy conducted showed a ligature mark which was suggestive of hanging. Greenish-colored fluid in the stomach with wall congestion at places with erosions and bleeding suggestive of Copper Sulphate poisoning (paint ingestion). An in-utero dead fetus was also found when the enlarged uterus was thoroughly examined. Suicides and suicide attempts are a big public health problem that have progressed in the last two decades and are ever increasing since then. Planned complex suicides, therefore indicate the mental dropout of individuals and social failure. Role of depression hovering around people nowadays cannot be denied. When people die committing such suicide, surviving family is left with shock, anger, grief, symptoms of depression and anxiety and may even experience thoughts of suicide themselves.
{"title":"A Case Report of Complex Suicide in a Pregnant Female","authors":"Jaideep Kumar Choudhary, Prerna","doi":"10.37506/fy5kqm04","DOIUrl":"https://doi.org/10.37506/fy5kqm04","url":null,"abstract":"Planned complex suicide constitutes a very rare mode of suicide. They are highly likely to be mistaken for murder. We report a case of a 22-year-old female that was brought dead to RIMS mortuary after being reported dead at her home, An Autopsy conducted showed a ligature mark which was suggestive of hanging. Greenish-colored fluid in the stomach with wall congestion at places with erosions and bleeding suggestive of Copper Sulphate poisoning (paint ingestion). An in-utero dead fetus was also found when the enlarged uterus was thoroughly examined. Suicides and suicide attempts are a big public health problem that have progressed in the last two decades and are ever increasing since then. Planned complex suicides, therefore indicate the mental dropout of individuals and social failure. Role of depression hovering around people nowadays cannot be denied. When people die committing such suicide, surviving family is left with shock, anger, grief, symptoms of depression and anxiety and may even experience thoughts of suicide themselves.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The global prevalence of two-wheelers is experiencing a notable surge, particularly evident in developing countries, attributed to their economical price points and widespread accessibility. Their compact dimensions, manoeuvrability, and user-friendly nature have solidified their status as among the most prevalent forms of transportation worldwide. In the context of this study, we undertook a comprehensive examination of spinal injuries observed in post-mortem assessments of individuals involved in motorized two-wheeler accidents. Our findings underscore a significant trend: cervical spine injuries emerge as the most prevalent type of injury across both helmeted and non-helmeted riders. This analysis sheds light on the critical importance of understanding the specific injury patterns associated with two-wheeler accidents, serving as a foundational resource for informing public policy initiatives aimed at enhancing safety measures and mitigating the risks associated with this increasingly prevalent mode of transportation. By elucidating the prevalence and characteristics of spinal injuries in such incidents, this research contributes valuable insights towards fostering safer road environments and reducing the toll of two-wheeler accidents on individuals and communities worldwide. It is intended that the data provided by this study would serve to cover the information gap in this area and contribute to known facts, facilitating policy planning and guiding necessary measures.
{"title":"An Analysis of Spine Injuries Seen In Fatal Motorized Two-Wheeler Accidents","authors":"Mrityunjay Tomar, Ashish Jain, Anil Mangeshkar, Saagar Singh","doi":"10.37506/fmrmcz34","DOIUrl":"https://doi.org/10.37506/fmrmcz34","url":null,"abstract":"The global prevalence of two-wheelers is experiencing a notable surge, particularly evident in developing countries, attributed to their economical price points and widespread accessibility. Their compact dimensions, manoeuvrability, and user-friendly nature have solidified their status as among the most prevalent forms of transportation worldwide. In the context of this study, we undertook a comprehensive examination of spinal injuries observed in post-mortem assessments of individuals involved in motorized two-wheeler accidents. Our findings underscore a significant trend: cervical spine injuries emerge as the most prevalent type of injury across both helmeted and non-helmeted riders. This analysis sheds light on the critical importance of understanding the specific injury patterns associated with two-wheeler accidents, serving as a foundational resource for informing public policy initiatives aimed at enhancing safety measures and mitigating the risks associated with this increasingly prevalent mode of transportation. By elucidating the prevalence and characteristics of spinal injuries in such incidents, this research contributes valuable insights towards fostering safer road environments and reducing the toll of two-wheeler accidents on individuals and communities worldwide. It is intended that the data provided by this study would serve to cover the information gap in this area and contribute to known facts, facilitating policy planning and guiding necessary measures.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"15 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the emergency department, swift and comprehensive management is crucial for a patient with a history of suicidal hanging due to the potential life-threatening consequences. Upon arrival exhibiting signs of unconsciousness and gasping respirations, the individual indicates severe hypoxia and impending respiratory failure. Immediate assessment is essential to address hanging-related injuries and potential increased intracranial pressure (ICP). The initial focus includes securing the airway, ensuring oxygenation, and providing circulatory support. Point-of-care ultrasound (POCUS) emerges as a vital tool for rapid identification of structural brain abnormalities, aiding in the assessment of raised ICP. Addressing raised ICP involves integrating therapeutic interventions guided by POCUS findings, including measures to reduce cerebral edema, optimize perfusion, and prevent secondary brain injury. POCUS's portability and immediacy seamlessly integrate into emergency resuscitation, providing valuable insights for tailored therapeutic strategies. Emphasizing a rapid and multidisciplinary approach is essential for optimal patient outcomes.
{"title":"Point of Care Ultrasound in Suicidal Hanging Scenario- A Case Report","authors":"Rajiv Ratan Singh, Varnika Agrawal, R. Rupani, Pradeep kumar Yadav, Richa Choudhary","doi":"10.37506/851k7d07","DOIUrl":"https://doi.org/10.37506/851k7d07","url":null,"abstract":"In the emergency department, swift and comprehensive management is crucial for a patient with a history of suicidal hanging due to the potential life-threatening consequences. Upon arrival exhibiting signs of unconsciousness and gasping respirations, the individual indicates severe hypoxia and impending respiratory failure. Immediate assessment is essential to address hanging-related injuries and potential increased intracranial pressure (ICP). The initial focus includes securing the airway, ensuring oxygenation, and providing circulatory support. Point-of-care ultrasound (POCUS) emerges as a vital tool for rapid identification of structural brain abnormalities, aiding in the assessment of raised ICP. Addressing raised ICP involves integrating therapeutic interventions guided by POCUS findings, including measures to reduce cerebral edema, optimize perfusion, and prevent secondary brain injury. POCUS's portability and immediacy seamlessly integrate into emergency resuscitation, providing valuable insights for tailored therapeutic strategies. Emphasizing a rapid and multidisciplinary approach is essential for optimal patient outcomes.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"13 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141659023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kapil Yadav, Manpreet Singh Tewatia, Tony Jowel, Rajeev kumar, H. Chawla, Renu Yadav
Background: Poisoning is acknowledged as a significant contributing factor to deaths in most of the low-income and middle income countries. Even though poisoning is regarded as a global burden, different parts of the world may experience different types of poisoning. For the purpose of creating and implementing appropriate policies to address this acknowledged public health issue, it is imperative to understand the epidemiology of poisoning cases in a given area. Material & Method: The present study was a retrospective study of poisoning deaths that were brought for medico-legal autopsy at a tertiary care facility in southern Haryana between January 2018 and December 2023. A total of 264 medico-legal autopsies for poisoning deaths were performed during the study period. Relevant information and subjective data like age, gender, marital status and occupation have been collected from medico-legal autopsy register from January 2018 to December 2013. Results: It was observed that out of 264 cases female outnumbered male in ratio 1.3:1. Majority of the victims belonged to the second and third decade of life. Married couples were more vulnerable and the majority of the victims (64.77%) had accidentally consumed poison. Conclusion: The epidemiology of poisoning is highlighted in the study, which shows that poisoning fatalities accounted for almost 30% of total autopsies. Since the region is heavily dependent on agriculture, to control deaths caused by poisoning awareness programs should be implemented vigorously to educate and nurture the character of young people.
{"title":"An Epidemiological Profile of Poisoning: A Retrospective Study","authors":"Kapil Yadav, Manpreet Singh Tewatia, Tony Jowel, Rajeev kumar, H. Chawla, Renu Yadav","doi":"10.37506/dshy4c20","DOIUrl":"https://doi.org/10.37506/dshy4c20","url":null,"abstract":"Background: Poisoning is acknowledged as a significant contributing factor to deaths in most of the low-income and middle income countries. Even though poisoning is regarded as a global burden, different parts of the world may experience different types of poisoning. For the purpose of creating and implementing appropriate policies to address this acknowledged public health issue, it is imperative to understand the epidemiology of poisoning cases in a given area.\u0000Material & Method: The present study was a retrospective study of poisoning deaths that were brought for medico-legal autopsy at a tertiary care facility in southern Haryana between January 2018 and December 2023. A total of 264 medico-legal autopsies for poisoning deaths were performed during the study period. Relevant information and subjective data like age, gender, marital status and occupation have been collected from medico-legal autopsy register from January 2018 to December 2013.\u0000Results: It was observed that out of 264 cases female outnumbered male in ratio 1.3:1. Majority of the victims belonged to the second and third decade of life. Married couples were more vulnerable and the majority of the victims (64.77%) had accidentally consumed poison.\u0000Conclusion: The epidemiology of poisoning is highlighted in the study, which shows that poisoning fatalities accounted for almost 30% of total autopsies. Since the region is heavily dependent on agriculture, to control deaths caused by poisoning awareness programs should be implemented vigorously to educate and nurture the character of young people.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"29 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Murali Mohan, Mahalaxmi Karlawad, GN PramodKumar, Gajanan H. Nayak, Raja Suriya Varman
Background: Cannabis is among the earliest mind-altering drugs known to man and has been around for at least 4000 years. Today it is world’s most commonly used illicit drug, with more than 300 million regular users. The aim of the study is detection of tetrahydrocannabinol (THC) in urine using immunochromatographic assay- a qualitative method. Materials and method: Retrospective study was done based on the report of urine tests conducted in the Dept. of Forensic Medicine in one year from July 2022 to June 2023. Consent from the individual brought for examination by the police. Results and Conclusion: Total 118 cases were studied; all were males among which 93 were positive and 25 negative. It is a preliminary screening test for cannabis substance abuse which will help the Police for further investigation.
{"title":"Rapid Competitive Immunochromatographic Assay For The Detection Of Tetrahydrocannabinol In Human Urine","authors":"Murali Mohan, Mahalaxmi Karlawad, GN PramodKumar, Gajanan H. Nayak, Raja Suriya Varman","doi":"10.37506/jzxg0s02","DOIUrl":"https://doi.org/10.37506/jzxg0s02","url":null,"abstract":"Background: Cannabis is among the earliest mind-altering drugs known to man and has been around for at least 4000 years. Today it is world’s most commonly used illicit drug, with more than 300 million regular users. The aim of the study is detection of tetrahydrocannabinol (THC) in urine using immunochromatographic assay- a qualitative method.\u0000Materials and method: Retrospective study was done based on the report of urine tests conducted in the Dept. of Forensic Medicine in one year from July 2022 to June 2023. Consent from the individual brought for examination by the police.\u0000Results and Conclusion: Total 118 cases were studied; all were males among which 93 were positive and 25 negative. It is a preliminary screening test for cannabis substance abuse which will help the Police for further investigation.","PeriodicalId":516766,"journal":{"name":"Indian Journal of Forensic Medicine & Toxicology","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141662204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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