PDF(Pubmed)
Abstract：
Most victims of physical violence sooner or later will access a hospital or medical cabinet because of that violence, and in particular emergency departments (EDs). This paper aims to analyze the performance of emergency ward clinicians in the forensic management of such victims by examining the activities carried out and the data reported. A total of 991 medical records were extrapolated from the database of the ED of the Policlinico of Milan in an average pre-pandemic 1-year activity. For each medical record, 16 parameters were analyzed in-depth including epidemiological data, information on the type of violent actions, injuries, and time between the infliction of the lesion and access to the ED. In the vast majority of cases, all the actions with medicolegal implications had been neglected by health professionals causing loss of data not only for the justice system but especially for correctly interpreting what happened and taking appropriate measures to protect the patient/victim. Hence, given that clinicians in EDs are busy with non-forensic clinical tasks (and rightly so), it should be ensured that there be specific forensic clinical personnel. However, it is crucial that when unfortunately there can be no forensic staff, at least the clinicians who work in the ED are properly trained to correctly apply essential medicolegal measures. Overall, timely and informed medical and forensic intervention is possible and necessary for the improvement and maintenance of the mental and physical health of victims of violence.
摘要：
大多数身体暴力的受害者迟早会因为暴力而进入医院或医疗柜，尤其是急诊科（ED）。本文旨在通过审查开展的活动和报告的数据，分析急诊病房临床医生在此类受害者的法医管理中的表现。在大流行前的平均1年活动中，从米兰Policlinico的ED数据库中推断了991份医疗记录。对于每个医疗记录，对16个参数进行了深入分析，包括流行病学数据，关于暴力行动类型的信息，受伤,以及损伤发生和进入ED之间的时间。在绝大多数情况下,卫生专业人员忽略了所有具有法医学意义的行动，这不仅导致司法系统的数据丢失，而且特别是正确解释所发生的事情并采取适当措施保护患者/受害者的数据丢失。因此，鉴于ED的临床医生忙于非法医临床任务(这是正确的)，应确保有专门的法医临床人员。然而,至关重要的是，当不幸的是没有法医人员时，至少在急诊室工作的临床医生接受了适当的培训,能够正确应用基本的法医学措施.总的来说,及时和知情的医学和法医干预对于改善和维护暴力受害者的身心健康是可能和必要的。
