Archiwum medycyny sa̧dowej i kryminologii
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Arch Med Sadowej Kryminol · Jul 2009
Case Reports[Diagnostic and organizational error in head injuries].
The study aimed at presenting a case of a diagnostic and organizational error involving lack of detection of foreign body presence in the soft tissues of the head. Head radiograms in two projections clearly demonstrated foreign bodies that resembled in shape flattened bullets, which could not have been missed upon evaluation of the X-rays. ⋯ In the opinion of the authors, the case in question involved a diagnostic error: the doctors failed to detect the presence of foreign bodies in the head. The organizational error involved the failure of radiogram evaluation performed by a radiologist.
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Arch Med Sadowej Kryminol · Jul 2009
[Malpractice in neurology in the case material of the Forensic Medicine Department, Medical University of Białystok].
The paper presents an analysis of legal opinions compiled by the Forensic Medicine Department, Medical University of Białystok in the years 2003-2008. The above-mentioned opinions addressed medical treatment in the area of neurology. ⋯ Incorrect medical treatment consisted in negligence to perform necessary diagnostic examinations. In ten of the analyzed cases, the patients ultimately died.
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Arch Med Sadowej Kryminol · Jul 2009
[Carbon monoxide poisoning in the autopsy material of the Department of Forensic Medicine, Medical University Of Białystok in years 1998-2008].
The objective of the paper was to present the observations and conclusions based on the review of autopsy records collected at the Department of Forensic Medicine, Medical University of Białystok. The criteria under evaluation included gender, age, alcohol level, carboxyhemoglobin concentration and site of poisoning. A seasonal distribution of CO intoxication and a possible relationship between carboxyhemoglobin concentration and ethanol blood level was confirmed. ⋯ The highest concentration of carboxyhemoglobin was found in the age group of 41-50 years. A protective effect of low ethanol concentration was noted in persons exposed to CO. The COHb level was determined by the Wolff's method.
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Arch Med Sadowej Kryminol · Apr 2009
[Medico-legal opinionating in cases of insobriety in medical personnel].
The authors analyzed the medico-legal opinions in cases of insobriety in medical personnel. The studies were based on the results of 157 medico-legal evaluations in criminal cases performed in the years 2005-2007. ⋯ The necessary analysis should include activities that have been or should have been performed by a physician with respect to his patients, their health status (degree of danged to life or health) and the effect of the physician's alcohol intoxication on his abilities to perceive and assess the reality, make decisions and perform his duties. The Polish law in force lacking the equivalent of Article 147 found in the Polish penal code of 1969 causes problems in penalization of insobriety in medical personnel.
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Arch Med Sadowej Kryminol · Apr 2009
Case Reports[Pulmonary contusion and acute respiratory distress syndrome (ARDS) as complications of blunt chest trauma].
Blunt chest traumas are common nowadays due to development of motor transport. They are associated with high mortality rates because of serious injuries of internal organs. ⋯ The authors of the article would like to emphasize the pathophysiology and diagnostic difficulties in such blunt chest trauma complications as pulmonary contusions and acute respiratory distress syndrome, for which no causal treatment is available and only early diagnosis and administration of symptomatic treatment may increase the patients' chances to survive. In Forensic Medicine Department, Medical University of Łódź, an opinion was issued on a case which illustrates the clinical problem.