FORENSIC
MEDICINE- JPNATC
Functions of the Department
• Autopsy
• Clinical Forensic Medicine
• Court Room Appearance
NUMBER OF AUTOPSIES

First Autopsy conducted on 18th June 2007

2007           2008           2009          2010   2011
48             837            923           1094   958
TOTAL DEATHS- 2011
ED    TC-3   TC-2   TC-5   TC-6   TC-4   TC-7   CWG/   Total
                                                OT

554   224    143    60     19     9      0      3      1012
DELHI

Districts-11                 Safdarjung Enclave-267
Total Police Stations- 150   HN Din-55
JPNATC-75 Police Stations    Vasant Kunj-47
                             Sun Light Colony-36
                             FP Beri-32
                             Ambedkar Nagar-29
                             Badarpur-26
                             Vasant Vihar-25
                             Kalkaji-22
                             Okhla-22
MONTHLY WORKLOAD-2011
JAN   FEB   MAR APR   MA    JUN   JUL   AUG SEP    OCT   NOV DEC
83    97    89   72   Y
                      82    83    53    71    77   92    81   79




 WINTER (NOV-DEC-JAN-FEB)               340
 SUMMER (MAR-APR-MAY-JUN)               326
 AUTUMN (JULY-AUG-SEPT-OCT)             293
SEX DISTRIBUTION OF
AUTOPSIES
• 86% Male
• 14% Female
• M: F Raio-6.14:1
AGE DISTRIBUTION

                   Age Group
                   0-10-       5%
                   11-20-      9%
                   21-30-      28%
                   31-40-      23%
                   41-50-      18%
                   51-60-      9%
                   >60-        8%
CAUSE OF DEATH
Head Injury   Haemorrgahic   Septicemia   Others
              Shock
41.20%        31.91%         18.04%       8.86%
MECHANISM OF INJURY

RTA                574 (59.92%)
Train              35 (3.65%)
Fall from Height   184(19.21%)
Assault            14 (1.46%)
Sharp Weapon       17(1.77%)
Firearm            17(1.77%)
Asphyxia           23 (2.40%)
Electrocution      3 (00.31%)
Others             91 (9.50%)
BODY REGION
Head       Neck    Chest     Abdomen Limb       Poly-    Natural   Spine
                                                trauma   Others
462        8       45        96         30      221      55        41
(48.23%)   (0.84%) (4.70%)   (10.02%)   (3.13%) (23.07%) (5.74%)   4.28%)
Clinical Cases at JPNATC
• Confidential Assignments- CBI, Crime Branch, various Courts
• Reconstruction, Experimental & Animated Reconstruction.
• Subsequent Opinion- MLC /Postmortem Cases
  •   Weapons
  •   Clothings
  •   Self Inflicted Injuries
  •   Review of Opinion
  •   Re-Examination

2008                2009        2010          2011

83                  97          94            140
Court Room Appearance

•   5-7 Court Room Appearance per doctor per month
•   Delhi- 6 District Courts
•   UP- Ghaziabad, Aligarh, Bulandshahar
•   Haryana- Hissar, Rohtak, Gurgaon, Mewat, Faridabad
CME
• NEUROSURGERY
  • Cadaveric Training- Skull Base Surgery, Spine Surgery, Brachial
    Plexus Repair
• ATLS SURGICAL SKILL
  • Nerve and Tendon Repair
  • Surgical Airway, ICD, DPL, Needle thracocentesis,
    Pericardiocentesis
• DENTAL
  • Cadaveric Training-Maxilofacial Surgery
• ORTHOPEDICS
  •   Cadaveric Training- Knee and Hip Arthroplasty
  •   Shoulder Arthroscopy, Knee Arthroscopy
  •   Pelvic Surgery
  •   Hand Surgery
PROJECTS
• NEUROSURGERY
     • Acute thalamic involvement in severe head injury: An autopsy study
       with histo-pathological correlation
     • Brachial Plexus


• MICROBIOLOGY
  • Ventilator Associate Pneumonia-Postmortem Blood Culture and
    Lung Tissues

• SURGERY
  • Pathological causes of death in trauma patients
  • Vitropsy- correlation of CT Findings with gross autopsy
Publications

Lalwani S, Mathur P, Jain N, Behera B, Misra MC-
Epidemiological characteristics of Spinal Cord injury cases at a
level 1 Trauma Centre of India: A Post Mortem study. Journal of
Neurosurgery :Spine.

More under consideration in journals
SOCIAL CONTRIBUTION
• Organ Donation
  •   Facilitating Cadaveric Organ Donation-Brain Dead Patients
  •   Eye Donation
  •   Heart valve
  •   Bone Donation
FUTURE PLANS
• Toxicology Laboratory



• Cadaveric Training Centre

Forensic medicine audit-2011

  • 1.
  • 2.
    Functions of theDepartment • Autopsy • Clinical Forensic Medicine • Court Room Appearance
  • 3.
    NUMBER OF AUTOPSIES FirstAutopsy conducted on 18th June 2007 2007 2008 2009 2010 2011 48 837 923 1094 958
  • 4.
    TOTAL DEATHS- 2011 ED TC-3 TC-2 TC-5 TC-6 TC-4 TC-7 CWG/ Total OT 554 224 143 60 19 9 0 3 1012
  • 5.
    DELHI Districts-11 Safdarjung Enclave-267 Total Police Stations- 150 HN Din-55 JPNATC-75 Police Stations Vasant Kunj-47 Sun Light Colony-36 FP Beri-32 Ambedkar Nagar-29 Badarpur-26 Vasant Vihar-25 Kalkaji-22 Okhla-22
  • 6.
    MONTHLY WORKLOAD-2011 JAN FEB MAR APR MA JUN JUL AUG SEP OCT NOV DEC 83 97 89 72 Y 82 83 53 71 77 92 81 79 WINTER (NOV-DEC-JAN-FEB) 340 SUMMER (MAR-APR-MAY-JUN) 326 AUTUMN (JULY-AUG-SEPT-OCT) 293
  • 7.
    SEX DISTRIBUTION OF AUTOPSIES •86% Male • 14% Female • M: F Raio-6.14:1
  • 8.
    AGE DISTRIBUTION Age Group 0-10- 5% 11-20- 9% 21-30- 28% 31-40- 23% 41-50- 18% 51-60- 9% >60- 8%
  • 9.
    CAUSE OF DEATH HeadInjury Haemorrgahic Septicemia Others Shock 41.20% 31.91% 18.04% 8.86%
  • 10.
    MECHANISM OF INJURY RTA 574 (59.92%) Train 35 (3.65%) Fall from Height 184(19.21%) Assault 14 (1.46%) Sharp Weapon 17(1.77%) Firearm 17(1.77%) Asphyxia 23 (2.40%) Electrocution 3 (00.31%) Others 91 (9.50%)
  • 11.
    BODY REGION Head Neck Chest Abdomen Limb Poly- Natural Spine trauma Others 462 8 45 96 30 221 55 41 (48.23%) (0.84%) (4.70%) (10.02%) (3.13%) (23.07%) (5.74%) 4.28%)
  • 12.
    Clinical Cases atJPNATC • Confidential Assignments- CBI, Crime Branch, various Courts • Reconstruction, Experimental & Animated Reconstruction. • Subsequent Opinion- MLC /Postmortem Cases • Weapons • Clothings • Self Inflicted Injuries • Review of Opinion • Re-Examination 2008 2009 2010 2011 83 97 94 140
  • 13.
    Court Room Appearance • 5-7 Court Room Appearance per doctor per month • Delhi- 6 District Courts • UP- Ghaziabad, Aligarh, Bulandshahar • Haryana- Hissar, Rohtak, Gurgaon, Mewat, Faridabad
  • 14.
    CME • NEUROSURGERY • Cadaveric Training- Skull Base Surgery, Spine Surgery, Brachial Plexus Repair • ATLS SURGICAL SKILL • Nerve and Tendon Repair • Surgical Airway, ICD, DPL, Needle thracocentesis, Pericardiocentesis • DENTAL • Cadaveric Training-Maxilofacial Surgery • ORTHOPEDICS • Cadaveric Training- Knee and Hip Arthroplasty • Shoulder Arthroscopy, Knee Arthroscopy • Pelvic Surgery • Hand Surgery
  • 15.
    PROJECTS • NEUROSURGERY • Acute thalamic involvement in severe head injury: An autopsy study with histo-pathological correlation • Brachial Plexus • MICROBIOLOGY • Ventilator Associate Pneumonia-Postmortem Blood Culture and Lung Tissues • SURGERY • Pathological causes of death in trauma patients • Vitropsy- correlation of CT Findings with gross autopsy
  • 16.
    Publications Lalwani S, MathurP, Jain N, Behera B, Misra MC- Epidemiological characteristics of Spinal Cord injury cases at a level 1 Trauma Centre of India: A Post Mortem study. Journal of Neurosurgery :Spine. More under consideration in journals
  • 17.
    SOCIAL CONTRIBUTION • OrganDonation • Facilitating Cadaveric Organ Donation-Brain Dead Patients • Eye Donation • Heart valve • Bone Donation
  • 18.
    FUTURE PLANS • ToxicologyLaboratory • Cadaveric Training Centre