Evaluation of forensic reports issued in emergency departments and comparison with reports issued by the Council of Forensic Medicine

Abstract

BACKGROUND: Identify the deficiencies in the forensic reports prepared by the emergency physicians and to identify the frequent mistakes in these reports by comparing the forensic reports issued by the emergency physicians in the context of offences against physical integrity and the forensic reports issued by the Second Forensic Medicine Specialization Board for the same forensic cases. METHODS:Existence of the information that should be included in the standard forensic report (name, surname, address, event date, etc.) of 241 cases prepared by emergency physicians who were sent to the Forensic Medicine Second Forensic Medicine Second Specialization Board due to various reasons between February 1, 2019, and May 1, 2019, were reviewed retrospectively. Besides, whether the trauma causing the forensic event stated in these reports is life threatening or not and whether it can be eliminated with simple medical intervention or not were compared with the reports prepared by the Council of Forensic Medicine Forensic Medicine Second Specialization Board for the same events and certain mistakes were determined. RESULTS:Address, examination time, and incident date were not specified in forensic reports issued by emergency physicians with a ratio of 95.5%, 63.9%, and 75.9%, respectively. About 23.2% of forensic reports written by hand were not legible. When the reports prepared by the Council of Forensic Medicine and the emergency physicians for the same forensic events were compared in terms of the presence of life threat and treatment with simple medical intervention, it was shown that the emergency physicians were insufficient in determining the life hazard and the simple medical intervention to resolve the trauma causing the forensic event. It was found that the forensic reports issued in tertiary hospitals (education and research hospitals and university hospitals) were more accurate in determining the life hazard and treatment with simple medical intervention status of trauma which caused the forensic event when compared with forensic reports which were issued in primary and secondary line hospitals.CONCLUSION: Regardless of whether the physicians working in the emergency departments are general practitioners or emergency specialists, their sensitivity and knowledge level regarding the preparation of a forensic report was found to be insufficient. We believe that with the increase of coordinated planned multidisciplinary trainings that include emergency medicine and forensic medicine, the forensic reports that are arranged incorrectly will decrease and the awareness of physicians about the results of forensic reports will increase.

One Year Retrospective Review of Forensic Reports Reported in the Emergency Department

“…In our study, 309 of the forensic reports were "temporary physician's report" and 98 of them were "without any termination statement", which constituted a high rate of 35.8% (27.2% + 8.6%) in total, and which we think is due to the concern of being held responsible for future legal problems that might develop in the future, which are listed in the justifications mentioned in the studies, At the root of the problem is the fact that physicians' knowledge of forensic duties is limited within their general medical knowledge, and some physicians who have knowledge prefer to abstain in processes related to forensic procedures, thus suggesting that 120 they remain in negative defensive medical practice. There are other clinical studies that are consistent with this data of our study, as well as basic sources of information that support our conclusion 27,28,32,[36][37][38][39][40][41][42][43] .…”

Information and approaches of emergency department physicians in the Cappadocia region regarding the preparation of forensic reports

“…1 As a result of the person's will, unwillingness or negligence; A person who is actively or passively affected by a situation that can be called a physical or mental illness is considered a judicial case. 2 Traffic accidents, falls, assault cases, work accidents, poisonings, burns, electric and lightning strikes, all kinds of asphyxia cases, stabbing & cutting tool injuries, gunshot wounds, abuse cases or suspected abuse and suicide attempts are considered as legal cases. 2,3 Forensic reports are; It is defined as reports prepared by physicians regarding the medical conditions of forensic cases and requested by judicial authorities.…”