Iatrogenic cutaneous artefacts encountered during autopsy
Journal Title: Indian Journal of Forensic and Community Medicine - Year 2017, Vol 4, Issue 2
Abstract
Introduction and Objective: In this 21st century autopsy surgeon often encounters various types of treatment related injuries during autopsies. They must be able to distinguish between injuries caused by therapeutic procedures and those caused by other factors, such as assaults and accidents. This prospective study was conducted at M.S. Ramaiah Medical College, Bangalore, from October 2008 to March 2010 with aims and objectives to study the pattern of Iatrogenic cutaneous artefacts encountered during autopsy and to ascertain the relationship of Iatrogenic cutaneous artefacts to sex of the deceased if any. Materials and Method: Data was collected by detailed questionnaire, focusing on the history furnished by the police in requisition form and inquest report, by the relatives and hospital records. Result: Iatrogenic cutaneous artefact was present in 58.13% cases. Out of these 34.38% were males and 23.75% were females. Most common cutaneous artefact was intravenous injection line mark mimicking like contusion. It was present in 45.00% cases. Defibrillator burn artefact was present in 12.80% cases. Chest abrasion/contusion was present in 13.13% cases. Iatrogenic cutaneous artefacts were found to be independent and there is no relation between these artefacts and sex of the deceased. Discussion: In a prospective study by JP Krischer, EG Fine, JH Davis and EL Nagel defibrillator burn artefact was found in 30.70 % cases and chest abrasion/contusion was present in 59.30% cases. This may be because of increase awareness regarding proper use of Defibrillator. Conclusion: Whenever in doubt about nature of infliction of injury autopsy surgeon should refer hospital case sheet particularly emergency room records and may have talk with treating doctor whenever possible before labelling such injury as evidence of underlying assault, accident or an artefact.
Authors and Affiliations
SV Parate, AK Samanta, S Harish, Girish Chandra
Keywords
Related Articles
- EP ID EP307491
- DOI -
- Views 51
- Downloads 0
Knowledge, Attitude and Practice regarding Snakes and Snakebite among Interns
Background: Snakebite is a global health problem associated with high morbidity and mortality. India has the highest number of deaths due to snakebites in the World with 35000-50000 dying per year according to World Heal...
Awareness on Consumer Protection Act-1986 (COPRA) among medical professionals of a medical college from Telangana State
Introduction: Medicine is a noble profession where the relationship between the doctor and patient is based on trust and confidence but, nowadays there is growing anxiety and fear in both the medical profession and the c...
Profile and pattern of poisoning cases reported in a tertiary care teaching hospital in Kerala
Introduction: Poisoning is a major socio economic problem worldwide. Morbidity and mortality resulting from poisoning varies from region to region within our country. Till date a definite data relating to profile and pat...
Modifiable risk factors of cardiovascular diseases in adults –a cross sectional descriptive study
Cardio Vascular Diseases (CVD) are one of the major NCDs comprising of a group of diseases of Heart and Vascular system. CHD accounts for nearly 50% of all deaths in the developed world and 25% in developing countries, s...
Prevalence and risk factors of pre hypertension and hypertension among postmenopausal women of urban slums of Hyderabad
Introduction Hypertension is the leading risk factor as well as component of cardiovascular diseases which is on rise and emerging as a major public health problem Due to the paucity of studies among postmenopausal women...