Role of forensic expert in emergency medical care

Singh, Rajendra; Saini, O.P.; Saini, Pramod Kumar; Buri, Sanjeev

doi:10.5958/0974-083x.2020.00085.0

Cited by 2 publications

(3 citation statements)

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“…Finally, weekly working hours, frequency of medical shifts, time pressure, caseload size, inadequate funding/staff, personnel management, role conflicts, pressure from the authorities and concerned families, as well as personality traits (resistance to stress, tolerance of frustration, extraversion, neuroticism, attitudes to people or life, susceptibility, etc.) contribute to a wide range of effects at a professional and personal level [ 1 , 6 ].…”

Section: Lmds and The Risk Of Stress-associated Symptomsmentioning

confidence: 99%

“…Forensic professionals, who are often members of multidisciplinary evaluation teams, need to show intelligence, intuition, openness, and empathy to capture both the causes and the context of the diagnosis and to provide continuity from crime scene to courts of law from trauma/event to trial [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, LMDs may intervene on the sites of mass disasters, or mass fatal incidents (MFIs), for the recognition of the victims, exposing these professionals to the risk of developing symptoms of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) [ 5 ]. Additionally, LMDs may play a main role in ensuring the continuity of care in healthcare institutions, by evaluating the victims of crime in the emergency department, but also by solving problems regarding patient consent to invasive medical treatments and procedures [ 6 ]. Therefore, LMDs employed in healthcare institutions could be responsible, even in emergencies, for documenting, collecting, and storing evidence of criminal offences that may be altered over time (such as photographs of bodies and clothes or other belongings of victims), and establishing the lawfulness of invasive medical acts on patients who are incapable of self-determination but in need of such treatments.…”

Section: Introductionmentioning

confidence: 99%

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Work-related stress amongst legal medical doctors: the need for systematic psychological support. An Italian perspective

Sablone,

Groicher,

Patrizia Fanco

et al. 2023

Forensic Sciences Research

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Legal medical doctors’ expertise encompasses a wide range of responsibilities. Work-related stress among legal medical doctors is an extremely relevant factor, which affects the quality of legal medical doctors’ life and work. While it is a better-known problem abroad, this issue is poorly debated in Italy, as demonstrated by this literature analysis. The aim of this paper is to better understand the main sources of stress in the practice of legal medicine in Italy, highlighting the need for systematic psychological support. The risks of work-related stress for the social and health professions are well known in literature. In Italy, however, due to a series of complex circumstances and cultural and research delays, forensic practitioners often seem to be excluded from these kinds of complex issues. The authors, after a series of considerations drawn from a review of the literature and from experience in the forensic and medical field, point out how work in this area entails risks for workers, on par with all others belonging to the helping and social-health professions. They conclude their contribution with a series of proposals for appropriate protocols to cope with such problems for workers in the forensic and medical field.

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Section: Lmds and The Risk Of Stress-associated Symptomsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Work-related stress amongst legal medical doctors: the need for systematic psychological support. An Italian perspective

Sablone,

Groicher,

Patrizia Fanco

et al. 2023

Forensic Sciences Research

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Clinical forensic medicine in emergency departments: a pilot study of a forensic training and evaluation of its effectiveness in an Italian hospital

Tambuzzi,

Rossi,

Pavanello

et al. 2024

Int J Legal Med

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Because emergency departments are often the first point of contact for victims of violence, it is critical to provide the appropriate treatment in compliance with all necessary medicolegal precautions. For this reason, a randomized controlled trial was conducted at the Policlinico Hospital of Milan (Italy) in which an intervention group (12 physicians) received a 6-h course on clinical forensic medicine and their performance in medicolegal procedures in claimed cases of violence was compared with that of a control group (13 physicians) by means of a 16-item assessment scale over the 3 months before and the 3 months after the course. Overall, 195 medical records were included in the statistical analysis. Out of these cases, 105 occurred before the course (60 analyzed by the control group and 45 by the intervention group) and 90 occurred after the course (45 analyzed by the control group and 45 by the intervention group). The results showed that the overall mean score of physicians who participated to the course increased from 14.0 (IQR 7.0) to 19.0 (IQR 8.0) with a p-value < 0.0001 and that the comparison between the intervention group and the control group after the course was 19.0 (IQR = 8.0) and 14.0 (IQR = 7.0), respectively, with a p-value < 0.0001. The improvement was very little and below the expectations pointing out that educational courses, although they can be a first step towards raising the ED physicians’ awareness of clinical forensics, may not be enough and that more structured training and new strategies should be implemented.

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Role of forensic expert in emergency medical care

Cited by 2 publications

References 0 publications

Work-related stress amongst legal medical doctors: the need for systematic psychological support. An Italian perspective

Work-related stress amongst legal medical doctors: the need for systematic psychological support. An Italian perspective

Clinical forensic medicine in emergency departments: a pilot study of a forensic training and evaluation of its effectiveness in an Italian hospital

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