A previously healthy, 32-year-old woman accidentally came in contact with a live wire and got an electric shock (alternative current: 220 V, 50 Hz) at home while she was putting washed clothes for drying on the balcony on a metal wire. The victim was unaware that the loose end of the metal wire was in touch with the body of a running air cooler. The cooler had a faulty electric supply that led to the flow of electric current in its metal body. Hence, the victim accidentally sustained an electric shock and then fell down on the cemented floor and got unconscious. She was immediately hospitalized. The patient was revived after CPR. The patient was intubated and kept on ventilatory support. Vital parameters at the time of examination were Glasgow coma scale 03/15, pulse 148/min, blood pressure 180/100 mm Hg after continuous noradrenaline and adrenaline support, saturation of peripheral oxygen (SpO 2 ) 92% on the Bain circuit, and random blood sugar 268 mg/dL. In addition to the inotropic support, the patient was also given antibiotics and sodium bicarbonate to treat acidosis.The ECG showed sinus tachycardia. Electroencephalogram was performed on the patient, and it showed low amplitude HigHligHtsElectricity can cause vascular injury by damaging arterial walls. Coronary thrombosis can occur after electric shock. However, MI in the right ventricle due to right coronary thrombosis is a rare finding. Hence, during cardiac monitoring of patients having electric shock, physicians must always remember the possibility of such cardiac events.

Background: The literature reports cases of ventricular rupture in blunt chest trauma following motor vehicle accidents. It rarely describes cardiac tamponade due to rupture of the heart following blunt thoracic trauma in a physical assault. There are rare cases where fatal cardiac tamponade results from a ruptured ventricle without externally visible injuries to the chest. It is also rare for the cardiac rupture to occur on the posterior side. In our case series, the first case involved a direct blow to the left side of the chest by a projectile (brick), causing rupture of the left ventricle’s base with intact pericardium. In the second case, a direct blow to the left side of the chest led to rupture of the right ventricle’s posterior wall. Case presentation: Here, we report two autopsy-based case series of isolated right and left ventricular rupture with cardiac tamponade in blunt thoracic trauma with a specific history and background information of assault. The first case is a 35-year-old male assaulted with a brick thrown at his chest in a moving bus; he was declared dead on arrival after a one-hour journey. The second case is a 55-year-old male assaulted with double punches in his chest and declared dead on arrival at the hospital after 30 minutes. A medicolegal autopsy and thorough investigation, in both cases, revealed cardiac tamponade due to ventricular rupture with no underlying pathology. Conclusion: This case series underlines the importance of systematic and complete cardiac examination in all death cases following blunt chest trauma even with minimal or no evidence of a visible injury to the chest. Rarely cardiac rupture is noticed on the posterior surface or apex of the heart. The case series illustrates a rare occurrence of cardiac rupture that requires apt investigation and certification of medicolegal causes of death to determine how the death was caused. Pęknięcie serca na skutek urazu tępego w związku z napaścią fizyczną: analiza przypadków sekcyjnych Wstęp: W piśmiennictwie można odnaleźć przypadki pęknięcia komory serca na skutek tępego urazu klatki piersiowej spowodowanego wypadkiem samochodowym. Rzadko opisywana jest tamponada serca na skutek urazu tępego w związku napaścią fizyczną. Sporadyczne są przypadki, w których tamponada serca wynika z pęknięcia komory bez obecności zewnętrznych obrażeń na klatce piersiowej. Rzadko pęknięciu ulega tylna ściana serca. W naszej serii przypadków, pierwszy dotyczy bezpośredniego uderzenia w lewą stronę klatki piersiowej przez cegłę, co spowodowało pęknięcie podstawy lewej komory serca bez uszkodzenia worka osierdziowego. W drugim przypadku bezpośrednie uderzenie w lewą stronę klatki piersiowej doprowadziło do pęknięcia tylnej ściany prawej komory serca. Opis przypadku: Prezentujemy dwa sekcyjne przypadki izolowanego pęknięcia prawej i lewej komory serca z tamponadą po tępych urazach klatki piersiowej, w których istniały informacje o napaści. Pierwszy przypadek to 35-letni mężczyzna napadnięty poprzez rzucenie cegłą w jadącym autobusie; zgon stwierdzono po przyjeździe po jednogodzinnej podróży. Drugi przypadek to 55-letni mężczyzna napadnięty poprzez dwa uderzenia w klatkę piersiową. Zgon stwierdzono po 30 minutach w szpitalu. Medyczno-sądowa sekcja zwłok i dochodzenie w obu przypadkach ujawniły tamponadę serca na skutek pęknięcia komory bez zmian chorobowych. Podsumowanie: Powyższa seria przypadków podkreśla znaczenie systematycznego i pełnego badania serca we wszystkich przypadkach zgonów poprzedzonych tępym urazem klatki piersiowej nawet z widocznymi minimalnymi obrażeniami lub bez nich. Rzadko pęknięcie serca jest stwierdzane na jego tylnej powierzchni lub na koniuszku. Seria przypadków ilustruje rzadkie występowanie pęknięcia serca, które wymaga odpowiedniego postępowania i dokumentowania medyczno-sądowego, aby ustalić przyczynę zgonu.

Background: Medicolegal cases accounts for an important and crucial bulk in any hospital. It involves meticulous handling in both examination and paper-work. Categorization of MLC cases under certain groups is vital for understanding the trending pattern. These parameters help the concerned authorities to formulate policies and norms accordingly. Methods:Aretrospective study was carried out in the Clinical Forensic Medicine Unit of a tertiary care hospital in Raipur, Chhattisgarh, India. All cases during the period from 1st January 2019 to 31st December 2019 were considered and evaluated. Non MLC and MLC cases with incomplete records were excluded. Both percentage and numbers of the evaluated data are mentioned. Results: st st A total number of 1488 cases were reported during 1 January to 31 December 2019. Among the 1488 cases reported, 33.06% were among the age group 21-30 years followed by 20.56 % and 15.66 % in the age groups 31-40 years and 11-20 years respectively. Most of the medico legal cases registered were of are males (77.15 %). Highest number of MLC cases were recorded (37.70 %) during the time period of 06:00 pm to 12:00 Midnight. Road Trafc accidents accounted for 59.07% of the cases followed by brought dead cases (8.40 Percent). Conclusion: Study of the Medicolegal Cases pattern requires keen and exhaustive observation skills. Proper training of Registered Medical Practitioners is vital in today's practice so that the fallacies and mistakes can be reduced, thus aiding the Law of the country and its legal implications.

Road traffic accidents (RTA) result in the deaths of approximately 1.3 million people around the world each year; among them, more than half of all road traffic deaths and injuries involve vulnerable road users, such as cyclists, motorcyclists, along with pillion riders and pedestrians. Blunt cardiac trauma (BCT) often results from high-impact mechanisms caused by motorcycle crashes, motor vehicle accidents, fall injuries, and crush injuries. Thoracic injuries, causing a significant injury to the myocardium, account for morbidity and mortality (often instantly fatal) among trauma patients. We encountered a case of RTA in which 24 years old male sustained blunt trauma to chest. Autopsy findings revealed traumatic rupture of anterior wall of left ventricle leading to hemopericardium. Cardiac contusions were found over the right ventricle and left atrium. Histopathology of heart ruled out the myocardial infarction. Present case highlights the plausible mechanism involved in traumatic rupture of the heart. Finding out the exact cause of cardiac rupture in such cases have profound medicolegal significance.