Forensic emergency medicine: old wine in new barrels

Leeuw, Marc De; Jacobs, Werner

doi:10.1097/mej.0b013e328331f6ac

Cited by 11 publications

(6 citation statements)

References 51 publications

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“…OHCA patients arriving in the ED are often suffering from an unexpected critical illness without any previous medical history, and the attending physician should be careful when establishing the cause of death and refrain from writing a death certificate for an OHCA patient who dies later in the ED if a radiological examination has not been performed and CPR‐related injuries are not excluded . We should bear in mind that one of the main objectives for autopsies is to evaluate the quality of medical care provided to the individual.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for cardiopulmonary resuscitation‐related injuries sustained during out‐of‐hospital cardiac arrests

Setälä

Hellevuo

Kämäräinen

et al. 2018

Acta Anaesthesiol Scand

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Section: Discussionmentioning

confidence: 99%

Risk factors for cardiopulmonary resuscitation‐related injuries sustained during out‐of‐hospital cardiac arrests

Setälä

Hellevuo

Kämäräinen

et al. 2018

Acta Anaesthesiol Scand

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“…Hekimier adli olgularm özelligine göre özgül muayene yöntemleri hakkinda bilgi sahibi olmalidir. Bu durum yeterli öykünün almamadigi çocuk olgularda daha da önemlidir (1 ).…”

Section: Giri §unclassified

Analysis of pediatric forensic cases presented to emergency department

Demir¹,

Aydın²,

Turan³

et al. 2013

Turk Pediatri Ars

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Amaç: Acil servisler adli olgularin ilk ba §vurdugu, tetkik, tam ve tedavilerinin yapildigi yerlerdir. Bu çaliçmanin amaci bir egitim ara §tirma hastanesi acil servisine ba §vuran çocuk adli olgularm demografik epidemiyolojik özelliklerini ortaya koymak, ba §vuru nedenlerini, ba §vuru zamanlarmi ve yati § ve ölüm oranlarini belirlemektir Gereç ve Yöntem: Bir egitim ara §tirma hastanesinde acil servise bir yil içinde ba §vuruda bulunan 16 ya § alti olan çocuk adli oigular geriye dönük olarak degerlendirildi. Çocuk adli oigular; travmatik olan (trafik kazalari, darp, i § kazasi, kesici-delici alet yaralanmasi, yüksekten dü §me, ate §ii silah yaralanmasi ve diger) ve travmatik olmayan çocuk adli oigular (intihar giriçimi, karbonmonoksit entoksikasyonu) olarak iki grupta incelendi. Bulgular: Bu çali §mada degerlendirilen 1494 çocuk adli olgularin ya § ortalamasi 8,8+4,37 yil olup bu çocuk adli olgularin %66'si erkekti (n=986). Çali §mada en fazia ba §vuru 7-10 ya § grubunda idi (%29,5). En sik ba §vuru nedeni trafik kazasi (%76,4) olarak saptandi, bunu %12,7 ile yüksekten dü §me ve %6,1 ile darp izledi. Çocuk adli olgularin en fazia yaz aylarmda ve ak §am saatlerinde ba §vurdugu gözlendi. Olgularm %9,2'sinin yatirilarak tedavi edildigi ve %1,9'una yogun bakim yati §i gerektigi ve ölüm oranmm %0,4 oldugu saptandi. Çikarimlar: Çocukiuk çagmdaki adli olgulann büyük çogunlugu önlenebilir saglik sorunlaridir. Yeni yöntemlerin geli §tirilmesi, koruyucu önlemlerin aimmasi ve acil servislerde uygun tibbi yakla §im saglanabilmesi için her bölgenin adli olgu tutumlannin belirlenmesi önemlidir. (Turk Ped Ar § 2013; 48; 235-40) Anahtar sözcükler: Acil servis, çocuk istismari, çocuk adli olgu, trafik kazasi Summary Aim: Forensic cases are primarily admitted in emergency services and examination, diagnosis and treatment is performed here. This study aimed to evaluate demographic and epidemiologic characteristics, reasons for presentation, admission time and hospitalization and mortality rates in pédiatrie forensic cases presented to an emergency department.Material and Method: Pédiatrie forensic cases below the age of 16 years who were admitted to the emergency department of a training research hospital within a 1-year period were evaluated retrospectively. The cases were evaluated in two groups as traumatic (traffic accidents, assault, occupational accident, sharp object injury, falling down from height, gunshot injuries) and non-traumatic (suicide attempt, carbon monoxide intoxication) admissions.Results: 1494 cases were included. The mean age was 8.8±4.37 years and 66% (n=986) of the cases were male. The majority of the cases (29.5%) were in the 7-10-year age group. The most common reason for presentation was traffic accident (76.4%), followed by falling down from height (12.7%) and assault (6.1%). The patients were mostly admitted in the evenings and summer months. 9.2% of the patients were hospitalized and 1.9% required hospitalization in the intensive care unit; the mortality rate was 0.4%. Conclusions:Most forensic cases...

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“…Beyond the immediate clinical management, they bear the added responsibility of meticulously documenting traumatic lesions, injuries, and other pertinent clinical findings. This documentation serves as a clinical record and potentially a legal document, crucial for subsequent judicial processes (7,8).…”

Section: Introductionmentioning

confidence: 99%

Demographic Evaluation of Forensic Cases Presented to the Emergency Medicine Clinic of a Tertiary Care Hospital

Turan Sönmez,

Çavuş

2023

Med Sci Discov

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Objective: This study aims to examine the demographic and epidemiological characteristics of forensic cases arriving at the emergency department of a tertiary-care hospital in Turkey. The objectives include profiling the demographics of the cases, documenting the types of injuries, understanding the circumstances surrounding these incidents, and identifying any potential seasonal or temporal trends. Material and Methods: We conducted a retrospective cross-sectional study, utilizing data from 9,427 forensic cases that were presented to the emergency department from January 1 to December 31, 2008. Data were extracted from the hospital's electronic medical records after obtaining the necessary ethical approvals. The inclusion criteria encompassed all age groups for trauma-related cases, while medical forensic cases were limited to subjects aged 16 and above. Cases with incomplete data were excluded from the analysis. The cases were categorized into nine subgroups based on the type of incident, following the classification system of the International Classification of Diseases, 10th Revision (ICD-10). Results: Forensic cases accounted for 3.107% of all emergency department admissions. The majority of these cases were males (68.83%), and they were primarily associated with trauma (86.80%). A significant gender disparity was observed in the types of cases, with males being more prevalent in traumatic cases, while females were more commonly seen in non-traumatic cases. Seasonal patterns revealed a higher incidence of forensic cases during the summer months. Interestingly, there was an uptick in female suicide attempts during the summer, whereas male suicide attempts saw an increase during the winter. Conclusion: This study provides valuable insights into the demographic and seasonal distribution of forensic cases in emergency settings. The findings underscore the importance of implementing targeted preventive measures and specialized healthcare protocols, especially in light of the high occurrence of trauma-related cases and seasonal trends. Future research endeavors should delve deeper into understanding the sociocultural and behavioral factors that contribute to these observed patterns.

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Forensic emergency medicine: old wine in new barrels

Cited by 11 publications

References 51 publications

Risk factors for cardiopulmonary resuscitation‐related injuries sustained during out‐of‐hospital cardiac arrests

Risk factors for cardiopulmonary resuscitation‐related injuries sustained during out‐of‐hospital cardiac arrests

Analysis of pediatric forensic cases presented to emergency department

Demographic Evaluation of Forensic Cases Presented to the Emergency Medicine Clinic of a Tertiary Care Hospital

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