ABSTRACT… Introduction: Injury is one of the leading causes of mortality and morbidity worldwide. Objectives: The aim of the study was to determine the pattern of physical injuries in medicolegal cases presented to Services hospital, Lahore. Study Design: Descriptive study. Setting: Accident and emergency department of Services hospital, Lahore. Period: 1 st January 2014 and 31 st December 2014. Method: All cases presenting for medico legal examination with physical injuries were included. Data was collected regarding age, gender, types of injuries, body area involved, causative weapon and whether certification of injuries was done according to Qisas and Diyat Ordinance. Results: A total of 86.4% cases were of physical injuries. Out of these cases, 73% of blunt weapon, 11% of firearm weapon, 10% of sharp weapon, 4%of road traffic accidents and1.5 % of bomb blast presented in the medico-legal clinic. Males (87.4%) outnumbered females (12.5%) Almost two-third of victims (64.2%) were between 21 and 40 years of age. The head and neck were the areas most commonly injured in cases of blunt trauma 48.3% while limbs were more likely to be involved in other physical injuries. All cases were certified according to Qisas and Diyat Ordinance. Conclusion: It is the hour of need that both public and private sectors work together in devising and implementing effective injury prevention programs. Key words:Physical Injuries, Blunt Trauma, Firearm Injuries, Qisas & Diyat. Article Citation: Arif M, Rasool SH. Physical injuries; Major cause of medicolegal cases reported to services hospital, Lahore.

Objectives: Estimation of height from upper arm length in healthy adult medicalstudents in Lahore. Design: Cross sectional, observational. Place and Duration of Study:FMH College of Medicine & Dentistry, Lahore from November 2017 to January 2018. Materialand Methods: This study included 100 healthy medical students (50 males and 50 females)aged 19-25 years. The stature and upper arm length were measured for each subject inanatomical position. The data was compiled on excel and then analyzed on SPSS version11. Results: Stature in males was between 162 and 192 cm with the mean of 173.4 cm andstandard deviation of 6.03 cm while the stature in females was from 147 to 169.5 cm with themean of 159.9 cm and standard deviation of 5.39 cm. Overall, there was positive correlationbetween stature and UAL of subjects (r2=0.86, p=2.85E-44). Also this correlation was evidentfor male cases (r2=0.88, P=5.85E-24) as well as female cases (r=0.96, P=5.72E-35) whenevaluated as separate entities. All these correlations were statistically significant. Conclusion:The study suggested that upper arm length is a reliable factor for predicting the stature inmedical students in Lahore.

Aim: To determine the impact of embolectomy at the time of ligation of femoral artery in management of pseudoaneurysmin intravenous drug addicts Study design: Descriptive cross-sectional study Methods: This study was carried out at Vascular surgery department, CMH Lahore and included 28 patientsof intravenous drug addiction of both genders presenting in emergency of CMH Lahore with viable limb from 1st August 2021 to31st January 2023. Unsalvageable limbs at the time of presentation were excluded from the study. SPSS Version 20.0 was used for data analysis of age, sex, co-morbidities (infection), mode of presentation and outcome variables. Results: This study comprised of28 patientsadmitted through Emergency Department of CMH, Lahore. The mean age was found to be 32.16 years ±7.63 years. All patients 28(100%) were males with majority belonging to third decade of life 20(71.4%).Chronic viral infection was present in all cases. Almost half of them had hepatitis B virus infection (48%) while cases positive with hepatitis C virus and HIV infections were 37% and 15% respectively.Majority of the patients came to the hospital with bleeding from ruptured pseudoaneurysm (60.7%) and infected pulsatile swelling (32.1%), while pulsatile swelling without bleedingand wrong diagnosis were least common.Alllimbs were salvaged in first and second follow-up visits, 20 patients were lost on follow up on 12th week. Conclusion/Practical implication: Embolectomy is a very useful adjunct in the management of pseudoaneurysm of intravenous drug addicts. It should be routinely practiced in treatment of these patients to save limbs. Keywords: Embolectomy, ligation, femoral vessels, intravenous drug addicts

Introduction: Injury is one of the leading causes of mortality and morbidityworldwide. Objectives: The aim of the study was to determine the pattern of physical injuriesin medicolegal cases presented to Services hospital, Lahore. Study Design: Descriptive study.Setting: Accident and emergency department of Services hospital, Lahore. Period: 1stJanuary2014 and 31stDecember 2014. Method: All cases presenting for medico legal examination withphysical injuries were included. Data was collected regarding age, gender, types of injuries,body area involved, causative weapon and whether certification of injuries was done accordingto Qisas and Diyat Ordinance. Results: A total of 86.4% cases were of physical injuries. Out ofthese cases, 73% of blunt weapon, 11% of firearm weapon, 10% of sharp weapon, 4%of roadtraffic accidents and1.5 % of bomb blast presented in the medico-legal clinic. Males (87.4%)outnumbered females (12.5%) Almost two-third of victims (64.2%) were between 21 and 40years of age. The head and neck were the areas most commonly injured in cases of blunttrauma 48.3% while limbs were more likely to be involved in other physical injuries. All caseswere certified according to Qisas and Diyat Ordinance. Conclusion: It is the hour of need thatboth public and private sectors work together in devising and implementing effective injuryprevention programs.

Introduction: The accident and emergency department is the backbone ofevery tertiary hospital because it is providing medical as well as legal services to the patients.Objective: The aim of the study was to determine the pattern of medicolegal cases attendingaccident and emergency department of Services hospital, Lahore. Study Design: Retrospectivestudy. Setting: Accident and Emergency Department of Services Hospital, Lahore. Period: 1stJanuary, 2014 to 31st December, 2014. Materials and Methods: Data of medicolegal caseswas collected regarding age, gender and type of injuries. It was collected on a pre-testedstructured proforma and statistically analyzed using SPSS version14. Results: Total number ofmedicolegal cases was 2166 with male to female ratio 5.1 : 1. Commonest age group affectedwas third decade (37.6%). Blunt weapon injuries (64.77%) were most common followed byfirearm injuries (9.3%) and sharp weapon injuries (8.8%) while the least common were burns(0.2%) and poisoning (0.55%).Sexual assault was predominant in females (63.8%). Conclusion:Documentation of medico-legal cases should be done with great care. Injury related morbidityand mortality can be reduced by improvement in health care facilities.