MEDICOLEGAL

ASPECTS OF
WOUNDS

Classification of Injuries:
MEDICAL CLASSIFICATION:
i. Mechanical or physical injuries
ii. Thermal injuries
iii. Caused by chemical agents
iv. Miscellaneous

LEGAL CLASSIFICATION:
i. Simple
ii. Grievous

iii. Dangerous
MEDICO-LEGAL CLASSIFICATION:
i. Suicidal
ii. Homicidal
iii. Accidental
iv. Fabricated
v. Defence

LEGAL CLASSIFICATION:
i. Simple
ii. Grievous
iii. Dangerous

SIMPLE INJURY
Any injury which is not Grievous or
Dangerous is a simple injury.

GRIEVOUS INJURY
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Grievous injury
Any of the following injuries are grievous:
1.Permanent privation of sight of either eye.
2.Permanent privation of olfaction of nose.
3.Permanent privation of hearing of either
ear.

4. Permanent privation of speech by injuring

tongue.
5. Mutilation of the breasts of female.
6. Emasculation.
7. Fracture of spine, bones of hands and feet
or dislocation of their joints.

DANGEROUS INJURIES
Those injuries which cause imminent danger
to life either by involvement of important
organs or structures or extensive area of the
body.
Dangerous weapons/means include any
instrument for shooting, stabbing or cutting
or any instrument which used as a weapon of
offence is likely to cause death.

MEDICOLEGAL REPORTING OF
INJURY
Reporting of injuries is one of the most common
medicolegal duties a medical officer in the Casualty
Department has to perform.

All details of examination of the injured person,

whether admitted or not, has to be recorded in the
Accident Register.

This

register is a confidential document and has to

be produced in the court of law if asked for.

An ideal injury report consists of the following parts

(i) Preamble - For identification of the person and
the date, time and place of examination and consent
etc.
(ii) Body - 1. General examination
2. Details regarding the different injuries
on the victim.
(iii) Opinion type of weapon, time of injury, severity
eg. simple or grievous etc.

PROCEDURE OF INJURY REPORTING

1. Consent for examination:
from the person him/herself if he/she is of age
of giving valid consent.
If the person is unconscious the guardians or the
attendants of the person should give the
consent.
In case of female patients a nurse or other
female attendant should preferably be present
during examination.

INJURY REPORT
2. Identification of the person as regards to his Name,
Age, Sex, address and two specific identification
marks on the body.
3. Brief history about incidence: written as narrated
by the victim as far as possible in the victims
language.

4. External Examination:
a) The body is that of a normally developed,
essentially normally nourished Nepali male with
sharp force injuries on..
b) Clothing: what? any damage?
c) Explain in detail each & every injury
i. Type & number of injury
ii. Location of injury (two anatomical
landmarks, one longitudinal & other
transverse)
iii. Dimension of the injury
iv. Orientation/ direction of the injury
v. Any pecularities present: foreign body,
inflammation, infection, age etc.

5. Type of Injury: Simple/ Grievous/ Dangerous

6. Type of weapon that might have caused the
injury:- Blunt/Sharp/Firearm
7. Name, Signature & Designation of the Doctor:

THANK YOU