Law Enforcement and Emergency Medicine: An Ethical Analysis

Baker, Eileen F.; Moskop, John C.; Geiderman, Joel M.; Iserson, Kenneth V.; Marco, Catherine A.; Derse, Arthur R.

doi:10.1016/j.annemergmed.2016.02.013

Cited by 21 publications

(23 citation statements)

References 15 publications

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“…However, their practical approach of forensic cases was inadequate as only 14.5% of them had been previously involved in photographic documentation. Similarly, one study 11 reported that very few of health personnel received education about approaching a forensic case before (19.1%) and even after graduation (2.9%). Teaching basic principles of forensic medicine at the level of undergraduate will help physicians perform forensic medical examinations and might cover the shortage of specially trained forensic medical practitioners.…”

Section: Discussionmentioning

confidence: 92%

“…In condition where collecting evidence, including photographing and recording, is part of treatment of victims, physicians should act respectfully, with patient consent. 10 In one study 11 ; health care workers thought that managing of a forensic cases was problematic due to the aggressiveness of the patients' relatives. All 6 th years students received training in ER during their 5 th years as per ISNC curriculum.…”

Section: Discussionmentioning

confidence: 99%

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FINAL YEAR MEDICAL STUDENTSâ€™ KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICO-LEGAL PROBLEMS: A CROSS SECTIONAL STUDY AT IBN SINA NATIONAL COLLEGE IN JEDDAH

Zaki¹,

Estanboli

Alduhailib

et al. 2019

Int J Life Sci Pharm Res

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Forensic medicine encompasses various subspecialties that involve resolving legal issues using diverse techniques. Medical students should be prepared for their near future career, in particular, the challenge of facing medico-legal cases with their consequent legal responsibilities. The aim of the study was to assess final year medical students' knowledge, attitude and practice of medico-legal problems. This crosssectional study included randomly selected 138 6 th year medical students at Ibn Sina National College in Jeddah. 56 (40.6%) were male and 82 (59.4%) were female, aged 24.46±1.45 years, and 114 (82.6%) were Saudis. A pre-designed, self-answered 23-item questionnaire in English was devised by a specialist in the field and circulated though Survey-Monkey forms from November 2018 to January 2019. Most students had good knowledge (66.27%) and positive attitude (71.47%). Some had poor (14.49%) or no knowledge (19.24%), negative (15.67%), or borderline attitude (14.31%). Poor responses were the legal value of incomplete reports (28.99%), notifications of relatives before police notification (15.94%) and informed consent before photographing (21.74%). Many students (44%) had negative attitude towards their current medico-legal overall education and knowledge. Only 14.5% had been previously involved in photographic documentation. Students thought that the main sources of stress/pressure during managing medico-legal problems were the victim's relatives (69.79%), followed by fear of legal consequences (54.17%). They also thought that the best educational stage for medico-legal training programs should be during undergraduate years (57.25%), or less frequently during residency (55.8%) or postgraduate years (46.38%). In conclusion, final year medical students were prepared for their future practice by good knowledge and positive attitude towards medico-legal problems. However, many gaps were detected between theory and practice. Therefore, we recommend medical colleges to initiate an undergraduate clinical forensic medicine training program. Moreover, residents and post graduate emergency physicians need to know their medico-legal responsibilities and to acquire technical skills to perform forensic evaluations of victims.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

FINAL YEAR MEDICAL STUDENTSâ€™ KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICO-LEGAL PROBLEMS: A CROSS SECTIONAL STUDY AT IBN SINA NATIONAL COLLEGE IN JEDDAH

Zaki¹,

Estanboli

Alduhailib

et al. 2019

Int J Life Sci Pharm Res

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“…Police presence may be justifiable and desirable to gather evidence from crime victims and provide safety 10,11,21. Confusion may occur between HCPs and LEPs for several reasons.…”

Section: Concerns In the Healthcare Settingmentioning

confidence: 99%

“…Second, regulatory requirements apply differently to LEPs and HCPs, meaning the same rules do not govern LEPs. Due to the growing number of visits by LEPs to the hospital setting, research to promote best practices for interactions between LEPs and HCPs is needed 3,4,15,21,22…”

Section: Concerns In the Healthcare Settingmentioning

confidence: 99%

HIPAA and video recordings in the clinical setting

Miles

Quinlan

2023

Nursing

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:The advent of cellular network technology has increased the use of photography in the clinical setting. This article reviews several areas regarding protected health information (PHI) and the use of video: the 1996 Health Insurance Portability and Accountability Act (HIPAA); The Joint Commission requirements for the use of images; areas of concern for exchanging PHI with law enforcement at the bedside, and the need for the development of formal guidelines regarding the use of video in the clinical setting.

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“…The United Nations has established the right of the prison population to adequate healthcare. However, this group presents higher levels of morbidity and mortality than the rest of the population 2 - 4 .…”

Section: Introductionmentioning

confidence: 97%

Analysis of emergency healthcare demand in a prison

Maestro-González¹,

Sánchez‐Zaballos²,

Mosteiro-Díaz³

et al. 2021

Rev Esp Sanid Penit

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Objective: To analyze the reasons for seeking emergency medical care amongst prison inmates and their relationship to sociodemographic characteristics. Material and method: An observational, descriptive and retrospective study was carried out. We collected the sociodemographic variables of inmates and their healthcare needs at the referral hospital over nine years. Results: A total of 972 hospital visits were included. The most common healthcare needs, in descending order, were multiple trauma, limb problems and dyspnea. Mondays and Wednesdays were found to be the busiest days (P <0.001). The average stay in cases of hospitalization was 6.1 (SD: 4.3) days; patients with nontraumatic healthcare needs required a longer stay. The majority of the inmates native to Africa, Asia and America received emergency healthcare services due to traumatic injuries; by contrast the most common injuries among Europeans were non-traumatic and unrelated to suicide attempts (P <0.001). European inmates were on average 4.2 years older than Africans and 4.7 years older than American inmates (P <0.001). Discussion: The reasons for seeking emergency care are clearly differentiated according to the inmates’ nationality, one notable outcome was the greater longevity of European internees. These results highlight the importance of understanding healthcare demand within the prison system in order to better address considerations such as prevention, organization and the location of healthcare units.

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Law Enforcement and Emergency Medicine: An Ethical Analysis

Cited by 21 publications

References 15 publications

FINAL YEAR MEDICAL STUDENTSâ€™ KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICO-LEGAL PROBLEMS: A CROSS SECTIONAL STUDY AT IBN SINA NATIONAL COLLEGE IN JEDDAH

FINAL YEAR MEDICAL STUDENTSâ€™ KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICO-LEGAL PROBLEMS: A CROSS SECTIONAL STUDY AT IBN SINA NATIONAL COLLEGE IN JEDDAH

HIPAA and video recordings in the clinical setting

Analysis of emergency healthcare demand in a prison

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