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Mudda, Vandana
- Fatal Blunt Abdominal Trauma Involving Superior Mesenteric Vessels and Left Psoas Muscle
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Authors
Affiliations
1 Dept. of FM&T, MRMC, Gulbarga, IN
1 Dept. of FM&T, MRMC, Gulbarga, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 2 (2013), Pagination: 176-178Abstract
For Blunt Injuries of Abdomen majority of the cases i.e. 78.18% were of accidental, 18.18%were homicidal and 3.6% suicidal in nature. Immediate cause of death was shock and hemorrhage. Visceral injuries of the abdomen following blunt trauma present a great medico-legal problem to the forensic experts. We had a case of road traffic accident with fatal blunt abdominal trauma which had no external injuries. Rupture of superior mesenteric vessels, injuries to left psoas muscle, spleen, both kidneys and fracture of left hemi pelvis present internally. We also observed 1500ml of blood in the peritoneal cavity. Death is imminent in such fatal cases. Availability of first aid, transportation, tertiary trauma care facilities, availability of diagnostic procedures, intensity with which medical care is offered contribute to the survival of the accident victim. The main significance of blunt trauma abdomen is delay and difficulty in diagnosis, especially when there is minimal signs and symptoms to warrant an exploratory laparotomy. Early detection and emergency surgical intervention when necessary are critical in improving the outcome of treatment.Keywords
RTA, BAT, Precautions
References
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- Source of Funding- personnel i.e. from salary
- Ehical Clearance – As it is a case report and already cleared in court, ethical clearance is not necessary
- Medical Practice & liabilities in Gulbarga Region, Karnataka - A Fifteen Year Retrospective Study
Abstract Views :204 |
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Authors
Affiliations
1 Department of Forensic Medicine and Toxicology, M R Medical College, Gulbarga, Karnataka, IN
1 Department of Forensic Medicine and Toxicology, M R Medical College, Gulbarga, Karnataka, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 5, No 1 (2011), Pagination: 63-65Abstract
Professional liability is the liability that arises because of professional failure resulting in damages to the client who are required to be compensated monetarily either by the professional or his insurer. In a landmark historical judgment, the Honorable Supreme Court has ruled that doctors should not be held criminally responsible unless there is prime facie evidence before the court in the form of a credible opinion from another competent doctor. Preferably a Government doctor in the same field of medicine supporting the charges of a rash and negligent act1. We studied total 26 cases, which were filed in Gulbarga district forum (consumers court ) out of which Obstetrics and Gynecology is the most professional liability(P L) prone specialty , followed by Surgery, Paediatrics, Orthopaedic, Urosurgery, Ophthalmology, Pathology and Dental etc. Out of the total 26 cases, 21 cases were dismissed and 5 cases are compensated monetarily. According to Oriental Insurance Company, Gulbarga and Indian Insurance Company, Gulbarga PL claims vary with the specialty. This paper discusses all the reasons and also suggests ways and means to minimize the risk of professional liability claims in Medical practice.Keywords
Medical Practice, Professional Negligence, Professional Liability, Lawsuits.References
- Journal of Indian Academy of Forensic Medicine, 2005; 27(3). ISSN 0971-0973, Page No;195-200.
- Professional liability and its effects; Report of 1999, Surveyof ACOG’ membership. Princeton, No Princeton Survey Research Associates 1999.
- Oriental Insurance Company, Gulbarga branch, Gulbarga.
- The New India Insurance Company Limited, Gulbarga branch, Gulbarga.
- The Essentials of Forensic Medicine and Toxicology by Dr. K.S.Narayana Reddy, 29th Edition;2010, Published by K. Suguna Devi, Page No;30-31.
- Principles of Forensic Medicine including Toxicology, By Apurba Nandy,3rd Edition;2010, New central Book Agency (p) Ltd, Page No;61-62.
- Ward CJ. Analysis of 500 Obstetric And GYnaecologic malpractice claims, causes and prevention. Am J Obstet Gynecol 1991; 165: 298-306.
- Lynch CB, A clinical analysis of 500 madicolegal claims evaluating the causes and assessing the potential benefit of alternative dispute Resolution. Br J Obstet Gynaecol 1996; 103: 1236-1242.
- American Medical Association, Physician market place statistics 1998 and 1999 socioeconomic monitoring survey. Chicago: AMA.
- Obs and Gynae, Vol 7 No 10: October 2002; 601-604.