Naresh Karukutla, Sreedhar Reddy Surasani, V K V S Naga Kalyan, Saranya Hanumanthu
Introduction: Medico-legal audits are an integral part of hospital/clinical audits and involve examination of the hospital records. The clinical audits aim towards improvement of quality of care and hence are limited to the scrutiny of patient’s clinical records. On the other hand, a medico-legal audit aims at the prevention of foreseeable litigations on the hospital and includes the perusal of all the hospital records. Aim: To perform a Medicolegal records audit at a tertiary care hospital Results: Road traffic accidents are the major Medicolegal cases(65%) arriving to the emergency department. Males are more involved in the Medicolegal incidents than females. Conclusion: The medico-legal auditing helps in the necessary changes to be put forth for the better functioning of the hospital.
{"title":"An Analytical Study on Medicolegal Cases at a Tertiary Care Hospital","authors":"Naresh Karukutla, Sreedhar Reddy Surasani, V K V S Naga Kalyan, Saranya Hanumanthu","doi":"10.37506/zddc7m16","DOIUrl":"https://doi.org/10.37506/zddc7m16","url":null,"abstract":" Introduction: Medico-legal audits are an integral part of hospital/clinical audits and involve examination of the hospital records. The clinical audits aim towards improvement of quality of care and hence are limited to the scrutiny of patient’s clinical records. On the other hand, a medico-legal audit aims at the prevention of foreseeable litigations on the hospital and includes the perusal of all the hospital records. Aim: To perform a Medicolegal records audit at a tertiary care hospital Results: Road traffic accidents are the major Medicolegal cases(65%) arriving to the emergency department. Males are more involved in the Medicolegal incidents than females. Conclusion: The medico-legal auditing helps in the necessary changes to be put forth for the better functioning of the hospital.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"528 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894667","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}
Nagesh Kuppast, Santosh Garampalli, Shreekrishna H. K, Praveen, Shradha Iddalgave
In casualty, Casualty Medical Officers come across a maximum number of Medico-legal cases. Any case where the doctor feels that it should be investigated by the Police or a Magistrate is considered as Medico legal case. As it is a Medico legal case, there will be an inquiry by the investigating officer and if needed an Investigating officer may require a report of that case to produce to the court. The doctor who has issued report can be called to the court to give the evidence regarding that case. Identifying the pattern of injuries, types of cases, age-wise distribution, and sex distribution of Medico-legal cases reported to the casualty department of the hospital will help administrators, social workers, NGO’s, and policymakers to successfully manage and prevent such cases by devising necessary policies. A retrospective study was conducted at Employee State Insurance Corporation Medical College, Kalaburagi, Karnataka, India. All the reported cases to casualty between April 2022 and March 2023 at ESIC Medical College, Kalaburagi were analyzed. Total of 452 Medico-legal cases were analyzed which were attended in casualty in span of one year out of total 11288 Casualty cases. In that 344 were male and 108 female patients. In the present study, the maximum MLCs were Road Traffic Accidents, followed by assault, poisoning and others.
{"title":"A Study on Pattern of Medico-Legal Cases at ESIC Medical College, Kalaburagi","authors":"Nagesh Kuppast, Santosh Garampalli, Shreekrishna H. K, Praveen, Shradha Iddalgave","doi":"10.37506/maeetp38","DOIUrl":"https://doi.org/10.37506/maeetp38","url":null,"abstract":" In casualty, Casualty Medical Officers come across a maximum number of Medico-legal cases. Any case where the doctor feels that it should be investigated by the Police or a Magistrate is considered as Medico legal case. As it is a Medico legal case, there will be an inquiry by the investigating officer and if needed an Investigating officer may require a report of that case to produce to the court. The doctor who has issued report can be called to the court to give the evidence regarding that case. Identifying the pattern of injuries, types of cases, age-wise distribution, and sex distribution of Medico-legal cases reported to the casualty department of the hospital will help administrators, social workers, NGO’s, and policymakers to successfully manage and prevent such cases by devising necessary policies. A retrospective study was conducted at Employee State Insurance Corporation Medical College, Kalaburagi, Karnataka, India. All the reported cases to casualty between April 2022 and March 2023 at ESIC Medical College, Kalaburagi were analyzed. Total of 452 Medico-legal cases were analyzed which were attended in casualty in span of one year out of total 11288 Casualty cases. In that 344 were male and 108 female patients. In the present study, the maximum MLCs were Road Traffic Accidents, followed by assault, poisoning and others.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"57 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894629","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}
Poisoning is a major public health problem worldwide with thousands of death occurring every year and most of the cases are being reported from developing countries. The present study includes all the cases of poisoning or suspected poisoning subjected for autopsy at the Department of Forensic Medicine and Toxicology, Basaveshwara medical college and hospital, chitradurga, Karnataka during the period 1stjanuary 2022 to june 2023 in which it was seen that poisoning accounted for 19.9% of autopsies. 24 Males (66.6%) and 12 females (12%) in the age group 21-30 years were commonly affected. Many victims were married males. Majority of cases were suicidal in manner (94.4%) and were from middle class social status (41.1%). The commonest poisoning was organophosphorus compound.
{"title":"Epidemiotoxicological Profile of Fatal Poisoning Cases Autopsied at a Tertiary Care Hospital","authors":"Shreekrishna H.K, Venu, Dileepkumar K.B","doi":"10.37506/09v7cj24","DOIUrl":"https://doi.org/10.37506/09v7cj24","url":null,"abstract":" Poisoning is a major public health problem worldwide with thousands of death occurring every year and most of the cases are being reported from developing countries. The present study includes all the cases of poisoning or suspected poisoning subjected for autopsy at the Department of Forensic Medicine and Toxicology, Basaveshwara medical college and hospital, chitradurga, Karnataka during the period 1stjanuary 2022 to june 2023 in which it was seen that poisoning accounted for 19.9% of autopsies. 24 Males (66.6%) and 12 females (12%) in the age group 21-30 years were commonly affected. Many victims were married males. Majority of cases were suicidal in manner (94.4%) and were from middle class social status (41.1%). The commonest poisoning was organophosphorus compound.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894284","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}
Donthireddy Leela Durga, Dheeravath Kalyani, R. Kalyan Varma, P Namrata, Srinivasulu Pothireddy, M. Vaikunta Babu
Medico-legal cases are pivotal in the pursuit of justice for victims and the accused. It is essential for medical professionals to be well-versed in the intricacies of medico-legal cases to ensure that they follow the procedures of the law of the land diligently. Understanding the patterns of medico-legal cases in a specific region can assist government authorities in devising strategies to prevent such incidents. This study was conducted at a rural tertiary care teaching hospital over a span of seven months, from January to July 2023, and examined 139 medicolegal cases. The age group of 21 to 40 years, predominantly comprising males, emerged as the most affected demographic in our study. Road traffic accidents were the predominant cause of medico-legal cases, with head injuries being the most frequently observed. Understanding the demographics and injury patterns of medico-legal cases in this rural area serves as a foundation for tailoring medical care and legal interventions to the specific needs of the community. By continuing to investigate and analyze medico-legal cases, healthcare providers and law enforcement agencies can work collaboratively to not only address the immediate medical needs of victims but also to develop proactive strategies to minimize the occurrence of such cases and improve overall community well-being.
{"title":"Study of Medico-legal cases in a Tertiary Care Teaching Hospital","authors":"Donthireddy Leela Durga, Dheeravath Kalyani, R. Kalyan Varma, P Namrata, Srinivasulu Pothireddy, M. Vaikunta Babu","doi":"10.37506/7b5gpg19","DOIUrl":"https://doi.org/10.37506/7b5gpg19","url":null,"abstract":" Medico-legal cases are pivotal in the pursuit of justice for victims and the accused. It is essential for medical professionals to be well-versed in the intricacies of medico-legal cases to ensure that they follow the procedures of the law of the land diligently. Understanding the patterns of medico-legal cases in a specific region can assist government authorities in devising strategies to prevent such incidents. This study was conducted at a rural tertiary care teaching hospital over a span of seven months, from January to July 2023, and examined 139 medicolegal cases. The age group of 21 to 40 years, predominantly comprising males, emerged as the most affected demographic in our study. Road traffic accidents were the predominant cause of medico-legal cases, with head injuries being the most frequently observed. Understanding the demographics and injury patterns of medico-legal cases in this rural area serves as a foundation for tailoring medical care and legal interventions to the specific needs of the community. By continuing to investigate and analyze medico-legal cases, healthcare providers and law enforcement agencies can work collaboratively to not only address the immediate medical needs of victims but also to develop proactive strategies to minimize the occurrence of such cases and improve overall community well-being.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"75 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963981","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}
Background: The profiling of medico-legal cases is imperative in order to avert preventable casualties in the future and to analyze the authentic crime rate within a specific region. Presently, road traffic accidents are the primary cause of casualties, resulting in numerous fatalities. Objective: The objective is to establish a comprehensive profile of deaths caused by either natural or unnatural factors, thereby enabling us to channel rigorous efforts towards mitigating their occurrence. Materials and Methods: A retrospective analysis was conducted on the mortality cases subjected to medico-legal postmortem examination at the Mortuary, Government Medical College, Kanpur, U.P., India, during the year 2022. Throughout this duration, a total of 2326 autopsy cases were conducted. Results: October had the highest number of autopsy cases. Males accounted for 63.23% of cases, with most falling in the 21-30 age group. Injury-related deaths were the largest proportion (47.36%), followed by natural deaths (19.93%), violent asphyxial deaths (10.48%), thermal injuries (9.89%), and poisoning (9.04%). Conclusion: The analysis reveals that road traffic accidents are the most common cause of death, potentially due to the increased frequency of transportation. Specifically, vehicular accidents resulting in head injuries were the leading cause of death.
{"title":"Profile of Autopsy Cases at Government Medical College Kanpur: A Retrospective Study","authors":"Soni Verma","doi":"10.37506/5adw7z05","DOIUrl":"https://doi.org/10.37506/5adw7z05","url":null,"abstract":" Background: The profiling of medico-legal cases is imperative in order to avert preventable casualties in the future and to analyze the authentic crime rate within a specific region. Presently, road traffic accidents are the primary cause of casualties, resulting in numerous fatalities. Objective: The objective is to establish a comprehensive profile of deaths caused by either natural or unnatural factors, thereby enabling us to channel rigorous efforts towards mitigating their occurrence. Materials and Methods: A retrospective analysis was conducted on the mortality cases subjected to medico-legal postmortem examination at the Mortuary, Government Medical College, Kanpur, U.P., India, during the year 2022. Throughout this duration, a total of 2326 autopsy cases were conducted. Results: October had the highest number of autopsy cases. Males accounted for 63.23% of cases, with most falling in the 21-30 age group. Injury-related deaths were the largest proportion (47.36%), followed by natural deaths (19.93%), violent asphyxial deaths (10.48%), thermal injuries (9.89%), and poisoning (9.04%). Conclusion: The analysis reveals that road traffic accidents are the most common cause of death, potentially due to the increased frequency of transportation. Specifically, vehicular accidents resulting in head injuries were the leading cause of death.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"39 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964011","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}
Paraphilia is a term used to describe different sexual deviations involving unconventional methods of sexual gratification. Paraphili as indulged in abnormal and orthodox sex play by using objects as parts of the body or fantasies in which complete satisfaction is sought and obtained without sexual intercourse. Perversions are acts that are socially prohibited or unacceptable, or biologically undesirable. In sexual paraphilia, usually, person psychopaths suffer from mental aberrations and conflicts, socio-sexual maladjustments, psychosexual imbalance, and abnormalities. Paraphilia-induced suicide is a type of anomic suicide, and anomic suicide is due to a lack of social regulation that occurs during high levels of stress and frustration. Paraphilia may induce suicide even though paraphilia is not punishable. It is just due to fear of social defamation and social taboo. Case presentation: A 59-year-old male committed suicide on the railway track, and thenthe body was sent to the mortuary room for an autopsy examination. History was taken from the police and relatives. He was a widower for the last 15 years. Conclusions: Paraphilia is the form of the insertion of foreign bodies in the rectum, and when a person cannot remove foreign bodies himself, attending a hospital is very humiliating. To prevent the social integrity or selfesteem, the person committed suicide. Where this type of paraphilia is not listed as a crime in India, for sexual gratification, a person may use it by any means, which may be natural or unnatural form. Many unnatural forms of paraphilia are used by many people, which is not punishable. Sexual gratification is done by most of normal people and a few abnormal psychiatric people by any sexual perversion. All paraphilia that is not punishable by the law should not be considered a social taboo.
{"title":"Paraphilia Induced Suicide: A Case Report","authors":"Ashok Kumar Rastogi","doi":"10.37506/0zhh8h86","DOIUrl":"https://doi.org/10.37506/0zhh8h86","url":null,"abstract":" Paraphilia is a term used to describe different sexual deviations involving unconventional methods of sexual gratification. Paraphili as indulged in abnormal and orthodox sex play by using objects as parts of the body or fantasies in which complete satisfaction is sought and obtained without sexual intercourse. Perversions are acts that are socially prohibited or unacceptable, or biologically undesirable. In sexual paraphilia, usually, person psychopaths suffer from mental aberrations and conflicts, socio-sexual maladjustments, psychosexual imbalance, and abnormalities. Paraphilia-induced suicide is a type of anomic suicide, and anomic suicide is due to a lack of social regulation that occurs during high levels of stress and frustration. Paraphilia may induce suicide even though paraphilia is not punishable. It is just due to fear of social defamation and social taboo. Case presentation: A 59-year-old male committed suicide on the railway track, and thenthe body was sent to the mortuary room for an autopsy examination. History was taken from the police and relatives. He was a widower for the last 15 years. Conclusions: Paraphilia is the form of the insertion of foreign bodies in the rectum, and when a person cannot remove foreign bodies himself, attending a hospital is very humiliating. To prevent the social integrity or selfesteem, the person committed suicide. Where this type of paraphilia is not listed as a crime in India, for sexual gratification, a person may use it by any means, which may be natural or unnatural form. Many unnatural forms of paraphilia are used by many people, which is not punishable. Sexual gratification is done by most of normal people and a few abnormal psychiatric people by any sexual perversion. All paraphilia that is not punishable by the law should not be considered a social taboo.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"21 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894547","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, Devinder Kumar Atal, Hitesh Chawla, Renu Yadav, Mustafa Khan, Ravi Prakash Yadav
Background: Road traffic accidents are preventable public health issues and are becoming more common. These accidents can be linked to a number of factors, including an increase in the number of vehicles on the roads, changes in daily life, a nasty habit of breaking traffic laws, anarchic traffic systems, and risky driving practices. Thoraco-abdominal injury in different forms is one of the major causes of mortality in the victims of fatal road traffic accidents. The aim of this study was to know the pattern of thoraco-abdominal injuries in victims of fatal road traffic accident cases. Material & Method: The present study was conducted at the tertiary healthcare centre in southern Haryana. Total of 75 cases of fatal road traffic accident cases were enrolled during one year of study period. The basic information about the deceased like age, gender, mode of travel of the victim was obtained from investigating officer narration and inquest papers. During autopsy, detailed examination of injuries was carried out and the autopsy findings were recorded and analyzed. Results: It was observed that out of 75 cases male outnumbered females in ratio 5.25:1. Majority of the victims belonged to the age group 21-30 years. The commonest injury of the thoracic region was rib fracture (41.3%). It was also observed that 17.3% of victims had pelvic fracture. Conclusion: Human error is a major contributing factor to fatal RTAs, which can be avoided in many cases. A more stringent licensing policy, particularly for four-wheelers, increased knowledge of traffic laws, the reduction of drug abuse and an appropriate road network that is in line with traffic volume can help to reduce the number of fatal road traffic accidents.
{"title":"A Cross-Sectional Study on Pattern of Thoraco-abdominal Injuries in Victims of Fatal Road Traffic Accidents","authors":"Kapil Yadav, Devinder Kumar Atal, Hitesh Chawla, Renu Yadav, Mustafa Khan, Ravi Prakash Yadav","doi":"10.37506/qpmxsy37","DOIUrl":"https://doi.org/10.37506/qpmxsy37","url":null,"abstract":" Background: Road traffic accidents are preventable public health issues and are becoming more common. These accidents can be linked to a number of factors, including an increase in the number of vehicles on the roads, changes in daily life, a nasty habit of breaking traffic laws, anarchic traffic systems, and risky driving practices. Thoraco-abdominal injury in different forms is one of the major causes of mortality in the victims of fatal road traffic accidents. The aim of this study was to know the pattern of thoraco-abdominal injuries in victims of fatal road traffic accident cases. Material & Method: The present study was conducted at the tertiary healthcare centre in southern Haryana. Total of 75 cases of fatal road traffic accident cases were enrolled during one year of study period. The basic information about the deceased like age, gender, mode of travel of the victim was obtained from investigating officer narration and inquest papers. During autopsy, detailed examination of injuries was carried out and the autopsy findings were recorded and analyzed. Results: It was observed that out of 75 cases male outnumbered females in ratio 5.25:1. Majority of the victims belonged to the age group 21-30 years. The commonest injury of the thoracic region was rib fracture (41.3%). It was also observed that 17.3% of victims had pelvic fracture. Conclusion: Human error is a major contributing factor to fatal RTAs, which can be avoided in many cases. A more stringent licensing policy, particularly for four-wheelers, increased knowledge of traffic laws, the reduction of drug abuse and an appropriate road network that is in line with traffic volume can help to reduce the number of fatal road traffic accidents.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"427 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894671","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}
Background: Road traffic injuries are India’s sixth leading cause of death, affecting youth and middle-aged individuals. Rapid motorized traffic growth, particularly two-wheelers (72% of vehicles), has increased accidents. Inadequate and non-uniform helmet regulations worsen the situation. Road injuries strain healthcare, demanding hospitalization, and rehabilitation. Kerala experiences significant two-wheeler accidents, often fatal due to head injuries. Studying injury patterns and causes among riders in fatal accidents is vital. Methods: A cross-sectional study was conducted at Govt TD Medical College, Vandanam, Kerala, following approval from the Institutional Ethics Committee. The study included all deaths of two-wheeler riders involved in road traffic accidents with clear vehicle information, excluding decomposed or unidentified bodies. A total of 101 cases were analyzed, recording external and internal injuries directly onto the Proforma during autopsy. Data were summarized using frequencies and proportions, while the chi-square test assessed relationships between categorical variables. Conclusion:The study found that most accidents occurred between 6-9 pm, involving mainly male (91.1%) two-wheeler riders (80.8%). Few wore helmets (5%). Head injuries (97%) were common, often caused by ejection from vehicles (87%). Non-helmet use and ejection related significantly to head injuries, a leading cause of twowheeler accident fatalities
{"title":"Pattern of injuries in Two-Wheeler riders involved in Road Traffic Occurrence –an Autopsy Study","authors":"Amjith E Kutty, Sreelekshmi J, Cyriac Job","doi":"10.37506/4sr36876","DOIUrl":"https://doi.org/10.37506/4sr36876","url":null,"abstract":" Background: Road traffic injuries are India’s sixth leading cause of death, affecting youth and middle-aged individuals. Rapid motorized traffic growth, particularly two-wheelers (72% of vehicles), has increased accidents. Inadequate and non-uniform helmet regulations worsen the situation. Road injuries strain healthcare, demanding hospitalization, and rehabilitation. Kerala experiences significant two-wheeler accidents, often fatal due to head injuries. Studying injury patterns and causes among riders in fatal accidents is vital. Methods: A cross-sectional study was conducted at Govt TD Medical College, Vandanam, Kerala, following approval from the Institutional Ethics Committee. The study included all deaths of two-wheeler riders involved in road traffic accidents with clear vehicle information, excluding decomposed or unidentified bodies. A total of 101 cases were analyzed, recording external and internal injuries directly onto the Proforma during autopsy. Data were summarized using frequencies and proportions, while the chi-square test assessed relationships between categorical variables. Conclusion:The study found that most accidents occurred between 6-9 pm, involving mainly male (91.1%) two-wheeler riders (80.8%). Few wore helmets (5%). Head injuries (97%) were common, often caused by ejection from vehicles (87%). Non-helmet use and ejection related significantly to head injuries, a leading cause of twowheeler accident fatalities","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"640 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894654","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}
Background: About 40–50% of occurrences of sudden death are due to cardiovascular reasons, with acute myocardial infarction (AMI) being the most common cause. Case Details: The subject was 57 years male having alleged history of sudden fell down at his house and was unresponsive since then. He was brought to the Emergency Department of H.N.B Base hospital Srinagar, Garhwal, Uttarakhand. Autopsy Findings: On opening pericardium, 190 grams of clotted blood was present in the pericardial cavity. Grossly enlarged heart. Weight of heart: 560 grams. Epicardial fat covers approx. 2/3rd of the heart’s surface. It is present over the right ventricle especially along the right border, anterior surface and at the apex and along the distribution of coronary arteries. Discussion: A myocardial rupture is the rupturing of one or more heart valves, the papillary muscles or chordae tendineae, the interatrial or interventricular septum, or the ventricles or atria of the heart.
{"title":"A Rare Case of Left Ventricle Free Wall Rupture at two sites Secondary to Myocardial Infarction: An Autopsy Case","authors":"Mayank Kishore chand, Pankaj Sahu, Niranjan Kumar Gunjan, Nikhil Mehta","doi":"10.37506/rf1jh231","DOIUrl":"https://doi.org/10.37506/rf1jh231","url":null,"abstract":" Background: About 40–50% of occurrences of sudden death are due to cardiovascular reasons, with acute myocardial infarction (AMI) being the most common cause. Case Details: The subject was 57 years male having alleged history of sudden fell down at his house and was unresponsive since then. He was brought to the Emergency Department of H.N.B Base hospital Srinagar, Garhwal, Uttarakhand. Autopsy Findings: On opening pericardium, 190 grams of clotted blood was present in the pericardial cavity. Grossly enlarged heart. Weight of heart: 560 grams. Epicardial fat covers approx. 2/3rd of the heart’s surface. It is present over the right ventricle especially along the right border, anterior surface and at the apex and along the distribution of coronary arteries. Discussion: A myocardial rupture is the rupturing of one or more heart valves, the papillary muscles or chordae tendineae, the interatrial or interventricular septum, or the ventricles or atria of the heart.","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894282","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}
Background: Aortic rupture is one of the most important life-threatening conditions. Aortic rupture can occur by several causes, including trauma and spontaneous rupture. Case Details: A 62-year-old man was brought for an autopsy examination in a mortuary with a history of road traffic accidents. As per history revealed by the police and relatives, the deceased was a retired army officer and was driving a car. Autopsy Finding: The deceased was an elderly male. On external examination, the deceased sustained multiple reddish abraded contusions over the chest and both sides of the chest. On opening the thorax, the following injuries were present. Fracture of sternum was present at junction of body and manubrium associated with extravasations of blood in surrounding area. Multiple fracture of bilateral ribs associated with extravasations of blood in surrounding area. Discussion: All aortic segments are prone to rupture following sudden blunt trauma. In various studies it is found that 92% of aortic rupture occur at isthmus followed by arch of aorta (4%) followed by ascending aorta (3%).
{"title":"Aortic Rupture Due to Blunt Force Trauma: A Case Report","authors":"Pankaj Sahu, Nikhil Mehta, Niranjan Kumar Gunjan","doi":"10.37506/6212f425","DOIUrl":"https://doi.org/10.37506/6212f425","url":null,"abstract":" Background: Aortic rupture is one of the most important life-threatening conditions. Aortic rupture can occur by several causes, including trauma and spontaneous rupture. Case Details: A 62-year-old man was brought for an autopsy examination in a mortuary with a history of road traffic accidents. As per history revealed by the police and relatives, the deceased was a retired army officer and was driving a car. Autopsy Finding: The deceased was an elderly male. On external examination, the deceased sustained multiple reddish abraded contusions over the chest and both sides of the chest. On opening the thorax, the following injuries were present. Fracture of sternum was present at junction of body and manubrium associated with extravasations of blood in surrounding area. Multiple fracture of bilateral ribs associated with extravasations of blood in surrounding area. Discussion: All aortic segments are prone to rupture following sudden blunt trauma. In various studies it is found that 92% of aortic rupture occur at isthmus followed by arch of aorta (4%) followed by ascending aorta (3%).","PeriodicalId":516946,"journal":{"name":"Medico Legal Update","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964209","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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