This document discusses mechanical injuries and their classifications. It defines terms like injury, wound, lesion, and trauma. It describes the mechanisms of various types of injuries caused by mechanical force, including bruises, abrasions, lacerations, incisions, and puncture wounds. It provides classifications for mechanical injuries and describes different types of bruises, abrasions, lacerations, incisions, and puncture wounds in detail with examples. Thermal injuries are also briefly discussed including classifications into exposure to heat and cold and their generic and local effects.
The document discusses Vrischika Visha (scorpion poison) in Ayurvedic classics. It describes three varieties of scorpions based on toxicity - mild, moderate and severe. Symptoms and treatment are detailed for each variety. Local and systemic symptoms of scorpion sting are provided. Treatment focuses on alleviating vata and includes measures like sweating, oil application and anti-venom herbal formulations. A case study is presented of a patient experiencing blistering after a scorpion bite who was treated with herbal formulations and poultices.
Asphyxia which means "Pulselessness" and is cause due to absence of oxygen amount in a body. The death cause by asphyxia is known as asphyxial deaths. They are Hanging, Strangulation, Suffocation and Drowning.
This document discusses strangulation, including definitions, types, signs of asphyxia, ligature strangulation, manual strangulation, and hyoid bone fractures. It defines mechanical asphyxia and anoxia. Types of strangulation include ligature, throttling, garroting, mugging, and bansdola. Signs of asphyxia include cyanosis, facial swelling, bulging eyes, swollen tongue, bloodstained froth, clenched hands, and ligature marks. Ligature strangulation involves external constriction of the neck by materials like rope or wire. Manual strangulation involves compression of the neck by hands, which can cause hyoid bone or thyroid cartilage fractures. The document outlines differences between
This document discusses identification methods in forensic science. It covers determining factors like race, sex, age from skeletal remains and other evidence. Identification can be complete or partial based on available data like fingerprints, DNA, dental records, tattoos or distinguishing marks. Radiological examination helps determine age, detect fetal bones, and diagnose injuries. Superimposition of skull on photographs can also help with identification. Sex can be determined from skeletal analysis with accuracy levels varying based on available bones.
This document discusses bruises and lacerations. Bruises are caused by blunt force trauma resulting in bleeding under the skin. They appear in various colors as they heal and can indicate details about the injury. Lacerations are tears in the skin or deeper tissues from blunt force that can vary in severity. Examining features of bruises and lacerations can provide medical and legal information about an incident.
This document discusses different types of injuries from a forensic science perspective. It defines medical and legal definitions of injuries. It then discusses classifications of injuries according to causative factors like abrasions, bruises, and lacerations. It describes features of abrasions and bruises, and how their appearance changes over time. It covers distinguishing ante-mortem and post-mortem abrasions. The medicolegal importance of patterned injuries in connecting victims to weapons or objects is also summarized.
This document discusses firearm injuries and terminology related to forensic medicine. It describes different types of firearms including shotguns and rifled weapons. Shotguns fire multiple pellets while rifled weapons fire a single projectile. The document details the mechanisms of injury from firearms, characteristics of entrance and exit wounds, factors to consider when determining if a firearm injury was from accident, suicide or homicide, and the duties of doctors in cases of firearm injuries and deaths.
Approximately more than three thousand species of snakes are documented to date; among these, nearly two hundred and fifty are found in the Indian sub-continent, and approx. fifty of these are poisonous.
The document discusses Vrischika Visha (scorpion poison) in Ayurvedic classics. It describes three varieties of scorpions based on toxicity - mild, moderate and severe. Symptoms and treatment are detailed for each variety. Local and systemic symptoms of scorpion sting are provided. Treatment focuses on alleviating vata and includes measures like sweating, oil application and anti-venom herbal formulations. A case study is presented of a patient experiencing blistering after a scorpion bite who was treated with herbal formulations and poultices.
Asphyxia which means "Pulselessness" and is cause due to absence of oxygen amount in a body. The death cause by asphyxia is known as asphyxial deaths. They are Hanging, Strangulation, Suffocation and Drowning.
This document discusses strangulation, including definitions, types, signs of asphyxia, ligature strangulation, manual strangulation, and hyoid bone fractures. It defines mechanical asphyxia and anoxia. Types of strangulation include ligature, throttling, garroting, mugging, and bansdola. Signs of asphyxia include cyanosis, facial swelling, bulging eyes, swollen tongue, bloodstained froth, clenched hands, and ligature marks. Ligature strangulation involves external constriction of the neck by materials like rope or wire. Manual strangulation involves compression of the neck by hands, which can cause hyoid bone or thyroid cartilage fractures. The document outlines differences between
This document discusses identification methods in forensic science. It covers determining factors like race, sex, age from skeletal remains and other evidence. Identification can be complete or partial based on available data like fingerprints, DNA, dental records, tattoos or distinguishing marks. Radiological examination helps determine age, detect fetal bones, and diagnose injuries. Superimposition of skull on photographs can also help with identification. Sex can be determined from skeletal analysis with accuracy levels varying based on available bones.
This document discusses bruises and lacerations. Bruises are caused by blunt force trauma resulting in bleeding under the skin. They appear in various colors as they heal and can indicate details about the injury. Lacerations are tears in the skin or deeper tissues from blunt force that can vary in severity. Examining features of bruises and lacerations can provide medical and legal information about an incident.
This document discusses different types of injuries from a forensic science perspective. It defines medical and legal definitions of injuries. It then discusses classifications of injuries according to causative factors like abrasions, bruises, and lacerations. It describes features of abrasions and bruises, and how their appearance changes over time. It covers distinguishing ante-mortem and post-mortem abrasions. The medicolegal importance of patterned injuries in connecting victims to weapons or objects is also summarized.
This document discusses firearm injuries and terminology related to forensic medicine. It describes different types of firearms including shotguns and rifled weapons. Shotguns fire multiple pellets while rifled weapons fire a single projectile. The document details the mechanisms of injury from firearms, characteristics of entrance and exit wounds, factors to consider when determining if a firearm injury was from accident, suicide or homicide, and the duties of doctors in cases of firearm injuries and deaths.
Approximately more than three thousand species of snakes are documented to date; among these, nearly two hundred and fifty are found in the Indian sub-continent, and approx. fifty of these are poisonous.
This document discusses different types of inquest procedures used to investigate sudden, suspicious, or unnatural deaths. It outlines four main types of inquests - coroner's, police, magistrate, and medical examiner system. In India, the two primary types used are police inquests and magistrate inquests. The document provides details on the police inquest process, noting that the officer-in-charge conducts the inquest according to the Code of Criminal Procedure and prepares a report on the apparent cause of death, which is signed and forwarded to the magistrate.
Difference between hanging and strangulation #Hanging #StrangulationDr. Vijay Kumar Pathak
Hanging and strangulation are both methods of asphyxiation but differ in their application. Hanging involves suspension by the neck using a ligature such as a rope or cord tied around the neck, while strangulation uses direct pressure on the neck without suspension. Proper identification of the method used is important for determining cause of death in suspicious cases.
This document provides an overview of medicolegal aspects of death, including definitions of death, classifications of death, phases of death, manners of death, criteria for diagnosing death, and postmortem phenomena like changes that occur after death. It discusses topics like algor mortis, livor mortis, muscle changes including rigor mortis, decomposition processes like putrefaction and adipocere formation, and tests used to determine death. The document is presented by Pallavi Kumari as part of her studies in forensic science.
Mechanical injuries are caused by physical violence or trauma to the body. They can be blunt force injuries, which cause abrasions, bruises, and lacerations, or sharp force injuries, which cause incised wounds, stab wounds, and chop wounds. Abrasions are superficial injuries involving only the outer layers of skin. Bruises are hemorrhages under the skin caused by blunt force trauma without skin breach. Both abrasions and bruises have forensic significance in determining the cause, manner, weapon, and timing of injuries. Their appearance can provide clues to investigations.
The document discusses mechanical injuries and traumatology. It defines important terms like trauma, injury, wounds, and classifications of injuries based on the weapon used, mechanics of infliction, and time of infliction. It also covers the mechanism of wound production, factors affecting wound appearance, and methods of determining the timing of wounds including naked eye appearance, histological timing by examining wound healing stages, histochemical timing by studying enzyme activity, and biochemical timing by measuring substances like histamine and serotonin.
This document provides an overview of basic pathology concepts including cell injury, cell death, and various types of necrosis. It discusses how cells attempt to maintain homeostasis but may undergo injury when stressed beyond their adaptive capabilities. The two main types of cell death are necrosis, which occurs from external factors like lack of oxygen, and apoptosis, which is a programmed suicide process. Necrosis can be coagulative, liquefactive, caseous, involving fat or fibrinoid. The document also covers edema, hemorrhage, shock, thrombosis and embolism.
Mechanical injuries caused by sharp cutting weapons like knives can be classified as incised wounds, chop wounds, or stab wounds based on the action used. Incised wounds are caused when an object is drawn across the skin, producing a clean cut. Chop wounds result from a heavy blunt force weapon and are typically deep and gaping. Stab wounds occur when a narrow pointed object is thrust into the body, leaving a small, puncture-like entry wound. The shape, size, depth, and direction of the wound can provide clues to the weapon used and the events that caused the injury. Careful examination of wounds and potential weapons is important for medicolegal investigations.
The document discusses various types of mechanical injuries including abrasions, contusions, lacerations, incised wounds, stab wounds, and firearm injuries.
It provides details on the characteristics of each type of injury, how to determine the age of the injury, and the potential medico-legal importance. For example, abrasions can indicate the site of impact and weapon used. The shape and direction of a stab wound can reveal information about the assailant. Determining the age of wounds is also important for investigating crimes. Firearm injuries require examination by forensic ballistics experts.
The document summarizes the mythological origins, classification, signs and symptoms of loota visha (spider venom poisoning) according to Ayurveda. It describes the venom's effects based on dosha involvement and the site of envenomation (e.g. breath, teeth, excreta, etc.). Symptoms include swelling, fever, burning sensation, itching and pain that progress over days, potentially causing death within a week if left untreated. The venom has properties of all three doshas and can cause a variety of internal diseases if it invades vital organs.
This document discusses different types of lacerations including split lacerations, stretch lacerations, avulsions, tears, and cut lacerations. It notes that lacerations on areas close to bone like the scalp or forehead can resemble incised wounds. The healing process of lacerations is described over 1-5 weeks. Complications include infection and bleeding. Forensic aspects addressed include determining the weapon and age of injury from the laceration type and features.
Medicolegal aspects of Pregnancy, Delivery and AbortionShiv Joshi
The document discusses various medicolegal aspects of pregnancy, delivery, abortion, and the laws surrounding them. It summarizes the key points of the Medical Termination of Pregnancy Act, which legalized abortion in India, and the Pre-Conception and Pre-Natal Diagnostic Techniques Act, which banned sex-selective abortions. It outlines when abortions can be performed, who is authorized to perform them, and the various civil and criminal cases where aspects of pregnancy and delivery may play a role as evidence.
The document discusses the process of putrefaction following death. It begins with an introduction defining putrefaction as the final stage of decomposition caused by bacteria after death and disappearance of rigor mortis, typically occurring 4-10 days after death. It then describes the characteristics features of putrefaction including changes in tissue color, evolution of gases causing foul smell, and liquefaction of tissues. The document also discusses factors that can affect the putrefaction process both externally such as temperature, moisture, and air exposure, and internally such as age, sex, and cause of death. It provides details on how putrefaction occurs differently in various environments like water or burial in soil.
This document discusses firearm injuries and terminology related to forensic medicine. It describes different types of firearms including shotguns and rifled weapons like pistols, revolvers, and rifles. Shotguns fire multiple pellets while rifled weapons fire single projectiles with grooved barrels. The document details entrance and exit wound characteristics for different firearm ranges from contact wounds to long range injuries. It also discusses factors that can indicate accidents, suicides, or homicides based on wound location and patterns. Doctors have a duty to preserve any foreign materials from wounds and skin samples for potential forensic testing.
This document discusses mechanical injuries, including abrasions, contusions, lacerations, and other types of wounds. It provides details on the characteristics and features of each type of injury, as well as factors that influence the nature and extent of wounds. Mechanical injuries are caused by physical forces that result in tissue damage. The summary examines the key types of mechanical injuries and their forensic significance in determining cause and manner of injuries.
The document summarizes the court system in India. It begins with definitions of courts and then outlines the hierarchy of courts from the Supreme Court at the national level down to subordinate courts at the district and local levels. The key points are:
- The Supreme Court is the highest court in India and hears appeals from high courts. It is located in New Delhi.
- Below the Supreme Court are 25 High Courts, one for each state or group of states, which hear appeals from lower courts and have original jurisdiction in some cases.
- At the district level are Sessions Courts which try serious criminal cases committed to them by magistrates.
- Below Sessions Courts are various classes of Magistrate Courts which try
This document discusses firearm injuries and ballistics. It defines key terms like firearms, ammunition, cartridges, and ballistics. It describes the parts of firearms like barrels and breech parts. It explains characteristics of different types of firearms like smooth bored guns, rifled guns, revolvers, pistols, and shotguns. It also discusses cartridges, gunpowders, primers, and projectiles. Finally, it describes characteristics of injuries caused by different firearms and their medico-legal aspects.
Abrasions are mechanical injuries to the superficial layers of the skin caused by blunt force friction against a rough surface. There are several types of abrasions including scratches, grazes, pressure abrasions, and impact abrasions. The age of an abrasion can be determined by the color, which ranges from bright red in fresh abrasions to brown or black scabs in older abrasions. Abrasions have forensic importance as the location, pattern, and age can provide clues about the circumstances of injury.
This document discusses firearm injuries caused by rifled and smooth-bore firearms. It describes the characteristics of entry and exit wounds at different ranges, including tattooing, soot deposition, abrasions and grease collars. It notes differences between entry and exit wounds and how they can be differentiated. Medicolegal aspects of firearm injuries are discussed like determining the nature of firearm used, direction and range of fire, cause and manner of death. Ballistic features like types of lead shot and unusual ballistic effects are also mentioned. Tests for detecting gunshot residue on hands like dermal nitrate test are briefly outlined.
This document contains questions related to the topic of Kaumarbhritya (Ayurvedic pediatrics). It is divided into multiple points, with each point containing questions ranging from 10 marks to 2 marks on subtopics within Kaumarbhritya. Some of the key subtopics covered include the classification of childhood periods, neonatal care practices, examination and feeding of newborns, diseases related to breast milk, and the development of the fetus and growth milestones in childhood. The document serves as a question bank to assess knowledge in Ayurvedic pediatrics.
The document discusses medical ethics as presented in classical Ayurvedic texts like the works of Charaka and Sushruta. It provides details on the types of physicians described, including promoters of life (pranabhisara vaidya) and promoters of diseases (rogabhisara vaidya). The key qualities of a pranabhisara vaidya according to Charaka include knowledge of Ayurvedic principles, practical experience, application of therapies, and understanding of disease. Rogabhisara vaidyas are described as those who harm patients rather than help them.
The document discusses different types of wounds including bruises, abrasions, lacerations, and cuts. It describes the mechanisms of injury, appearances, distinguishing features, and forensic importance of each wound type. Bruises are caused by blunt force and appear as discoloration under the skin. Abrasions involve scraping off the outer layer of skin. Lacerations are tears in the skin or underlying tissues caused by shearing or stretching forces. Cuts are deep, penetrating injuries made by a sharp, bladed object. The document provides detailed information on wound analysis for medical-legal investigations.
This document discusses different types of inquest procedures used to investigate sudden, suspicious, or unnatural deaths. It outlines four main types of inquests - coroner's, police, magistrate, and medical examiner system. In India, the two primary types used are police inquests and magistrate inquests. The document provides details on the police inquest process, noting that the officer-in-charge conducts the inquest according to the Code of Criminal Procedure and prepares a report on the apparent cause of death, which is signed and forwarded to the magistrate.
Difference between hanging and strangulation #Hanging #StrangulationDr. Vijay Kumar Pathak
Hanging and strangulation are both methods of asphyxiation but differ in their application. Hanging involves suspension by the neck using a ligature such as a rope or cord tied around the neck, while strangulation uses direct pressure on the neck without suspension. Proper identification of the method used is important for determining cause of death in suspicious cases.
This document provides an overview of medicolegal aspects of death, including definitions of death, classifications of death, phases of death, manners of death, criteria for diagnosing death, and postmortem phenomena like changes that occur after death. It discusses topics like algor mortis, livor mortis, muscle changes including rigor mortis, decomposition processes like putrefaction and adipocere formation, and tests used to determine death. The document is presented by Pallavi Kumari as part of her studies in forensic science.
Mechanical injuries are caused by physical violence or trauma to the body. They can be blunt force injuries, which cause abrasions, bruises, and lacerations, or sharp force injuries, which cause incised wounds, stab wounds, and chop wounds. Abrasions are superficial injuries involving only the outer layers of skin. Bruises are hemorrhages under the skin caused by blunt force trauma without skin breach. Both abrasions and bruises have forensic significance in determining the cause, manner, weapon, and timing of injuries. Their appearance can provide clues to investigations.
The document discusses mechanical injuries and traumatology. It defines important terms like trauma, injury, wounds, and classifications of injuries based on the weapon used, mechanics of infliction, and time of infliction. It also covers the mechanism of wound production, factors affecting wound appearance, and methods of determining the timing of wounds including naked eye appearance, histological timing by examining wound healing stages, histochemical timing by studying enzyme activity, and biochemical timing by measuring substances like histamine and serotonin.
This document provides an overview of basic pathology concepts including cell injury, cell death, and various types of necrosis. It discusses how cells attempt to maintain homeostasis but may undergo injury when stressed beyond their adaptive capabilities. The two main types of cell death are necrosis, which occurs from external factors like lack of oxygen, and apoptosis, which is a programmed suicide process. Necrosis can be coagulative, liquefactive, caseous, involving fat or fibrinoid. The document also covers edema, hemorrhage, shock, thrombosis and embolism.
Mechanical injuries caused by sharp cutting weapons like knives can be classified as incised wounds, chop wounds, or stab wounds based on the action used. Incised wounds are caused when an object is drawn across the skin, producing a clean cut. Chop wounds result from a heavy blunt force weapon and are typically deep and gaping. Stab wounds occur when a narrow pointed object is thrust into the body, leaving a small, puncture-like entry wound. The shape, size, depth, and direction of the wound can provide clues to the weapon used and the events that caused the injury. Careful examination of wounds and potential weapons is important for medicolegal investigations.
The document discusses various types of mechanical injuries including abrasions, contusions, lacerations, incised wounds, stab wounds, and firearm injuries.
It provides details on the characteristics of each type of injury, how to determine the age of the injury, and the potential medico-legal importance. For example, abrasions can indicate the site of impact and weapon used. The shape and direction of a stab wound can reveal information about the assailant. Determining the age of wounds is also important for investigating crimes. Firearm injuries require examination by forensic ballistics experts.
The document summarizes the mythological origins, classification, signs and symptoms of loota visha (spider venom poisoning) according to Ayurveda. It describes the venom's effects based on dosha involvement and the site of envenomation (e.g. breath, teeth, excreta, etc.). Symptoms include swelling, fever, burning sensation, itching and pain that progress over days, potentially causing death within a week if left untreated. The venom has properties of all three doshas and can cause a variety of internal diseases if it invades vital organs.
This document discusses different types of lacerations including split lacerations, stretch lacerations, avulsions, tears, and cut lacerations. It notes that lacerations on areas close to bone like the scalp or forehead can resemble incised wounds. The healing process of lacerations is described over 1-5 weeks. Complications include infection and bleeding. Forensic aspects addressed include determining the weapon and age of injury from the laceration type and features.
Medicolegal aspects of Pregnancy, Delivery and AbortionShiv Joshi
The document discusses various medicolegal aspects of pregnancy, delivery, abortion, and the laws surrounding them. It summarizes the key points of the Medical Termination of Pregnancy Act, which legalized abortion in India, and the Pre-Conception and Pre-Natal Diagnostic Techniques Act, which banned sex-selective abortions. It outlines when abortions can be performed, who is authorized to perform them, and the various civil and criminal cases where aspects of pregnancy and delivery may play a role as evidence.
The document discusses the process of putrefaction following death. It begins with an introduction defining putrefaction as the final stage of decomposition caused by bacteria after death and disappearance of rigor mortis, typically occurring 4-10 days after death. It then describes the characteristics features of putrefaction including changes in tissue color, evolution of gases causing foul smell, and liquefaction of tissues. The document also discusses factors that can affect the putrefaction process both externally such as temperature, moisture, and air exposure, and internally such as age, sex, and cause of death. It provides details on how putrefaction occurs differently in various environments like water or burial in soil.
This document discusses firearm injuries and terminology related to forensic medicine. It describes different types of firearms including shotguns and rifled weapons like pistols, revolvers, and rifles. Shotguns fire multiple pellets while rifled weapons fire single projectiles with grooved barrels. The document details entrance and exit wound characteristics for different firearm ranges from contact wounds to long range injuries. It also discusses factors that can indicate accidents, suicides, or homicides based on wound location and patterns. Doctors have a duty to preserve any foreign materials from wounds and skin samples for potential forensic testing.
This document discusses mechanical injuries, including abrasions, contusions, lacerations, and other types of wounds. It provides details on the characteristics and features of each type of injury, as well as factors that influence the nature and extent of wounds. Mechanical injuries are caused by physical forces that result in tissue damage. The summary examines the key types of mechanical injuries and their forensic significance in determining cause and manner of injuries.
The document summarizes the court system in India. It begins with definitions of courts and then outlines the hierarchy of courts from the Supreme Court at the national level down to subordinate courts at the district and local levels. The key points are:
- The Supreme Court is the highest court in India and hears appeals from high courts. It is located in New Delhi.
- Below the Supreme Court are 25 High Courts, one for each state or group of states, which hear appeals from lower courts and have original jurisdiction in some cases.
- At the district level are Sessions Courts which try serious criminal cases committed to them by magistrates.
- Below Sessions Courts are various classes of Magistrate Courts which try
This document discusses firearm injuries and ballistics. It defines key terms like firearms, ammunition, cartridges, and ballistics. It describes the parts of firearms like barrels and breech parts. It explains characteristics of different types of firearms like smooth bored guns, rifled guns, revolvers, pistols, and shotguns. It also discusses cartridges, gunpowders, primers, and projectiles. Finally, it describes characteristics of injuries caused by different firearms and their medico-legal aspects.
Abrasions are mechanical injuries to the superficial layers of the skin caused by blunt force friction against a rough surface. There are several types of abrasions including scratches, grazes, pressure abrasions, and impact abrasions. The age of an abrasion can be determined by the color, which ranges from bright red in fresh abrasions to brown or black scabs in older abrasions. Abrasions have forensic importance as the location, pattern, and age can provide clues about the circumstances of injury.
This document discusses firearm injuries caused by rifled and smooth-bore firearms. It describes the characteristics of entry and exit wounds at different ranges, including tattooing, soot deposition, abrasions and grease collars. It notes differences between entry and exit wounds and how they can be differentiated. Medicolegal aspects of firearm injuries are discussed like determining the nature of firearm used, direction and range of fire, cause and manner of death. Ballistic features like types of lead shot and unusual ballistic effects are also mentioned. Tests for detecting gunshot residue on hands like dermal nitrate test are briefly outlined.
This document contains questions related to the topic of Kaumarbhritya (Ayurvedic pediatrics). It is divided into multiple points, with each point containing questions ranging from 10 marks to 2 marks on subtopics within Kaumarbhritya. Some of the key subtopics covered include the classification of childhood periods, neonatal care practices, examination and feeding of newborns, diseases related to breast milk, and the development of the fetus and growth milestones in childhood. The document serves as a question bank to assess knowledge in Ayurvedic pediatrics.
The document discusses medical ethics as presented in classical Ayurvedic texts like the works of Charaka and Sushruta. It provides details on the types of physicians described, including promoters of life (pranabhisara vaidya) and promoters of diseases (rogabhisara vaidya). The key qualities of a pranabhisara vaidya according to Charaka include knowledge of Ayurvedic principles, practical experience, application of therapies, and understanding of disease. Rogabhisara vaidyas are described as those who harm patients rather than help them.
The document discusses different types of wounds including bruises, abrasions, lacerations, and cuts. It describes the mechanisms of injury, appearances, distinguishing features, and forensic importance of each wound type. Bruises are caused by blunt force and appear as discoloration under the skin. Abrasions involve scraping off the outer layer of skin. Lacerations are tears in the skin or underlying tissues caused by shearing or stretching forces. Cuts are deep, penetrating injuries made by a sharp, bladed object. The document provides detailed information on wound analysis for medical-legal investigations.
Ultrasonic therapy uses high frequency sound waves above the range of human hearing to provide therapeutic effects. It works by using an electrical current to power transducers that convert the current into ultrasonic waves. These waves can then be used for diagnostic imaging, surgery, and physiotherapy. Therapeutically, ultrasonic waves create effects through thermal, mechanical, and chemical/biological interactions with tissues. Common uses are for musculoskeletal conditions like sprains, tendinitis, and arthritis. Proper application involves selecting an appropriate intensity, duration, and frequency setting based on the condition being treated. Risks like burns and tissue damage require precautions like starting with low intensities and using pulsed rather than continuous waves in some cases.
Diathermy is a therapeutic treatment that uses electric currents to generate deep heat inside tissues up to two inches below the skin's surface. It works by using electromagnetic fields to cause body tissues' dipole molecules to rearrange and generate heat, which increases blood flow and promotes healing. There are several types of diathermy that use different electromagnetic wavelengths, including shortwave, microwave, ultrasound, and longwave diathermy, which are used to treat various musculoskeletal conditions and injuries. While diathermy provides benefits like pain relief, improved flexibility and circulation, it also carries risks if used improperly or by those with implanted metal devices.
Traumatology is the science of wounds and injuries. A wound is a disruption of tissues caused by external force, while an injury can also encompass internal damage from heat, cold, chemicals, electricity or radiation. Wounds are generally classified by their cause as blunt force, sharp force, gunshot or other injuries. Blunt force injuries result from impact with a blunt object and include abrasions, bruises and lacerations.
This document discusses various types of mechanical or physical injuries caused by blunt force, including abrasions, contusions, lacerations, and bruises. It provides classifications of injuries including based on causative factor (blunt force, sharp force, firearms, thermal, chemical), severity (simple, grievous, dangerous), and time of infliction (antemortem, postmortem, perimortem). Details are given on features, appearances, complications and medicolegal importance of specific injuries like abrasions, contusions, lacerations, and factors that affect bruise formation. The document also discusses concepts like patterned injuries, migratory bruises, and differences between ante- and postmortem injuries.
Diathermy uses electric currents to generate heat deep inside tissues to provide pain relief and improved flexibility. It works by using electromagnetic fields or ultrasound waves to cause the body's tissues to heat up. The heat increases blood flow and promotes healing. There are different types of diathermy that use short waves, long waves, microwaves or ultrasound to target heat at various tissue depths. While it provides benefits like pain relief, risks include overheating implanted metals or restricted blood supply.
Penetrating trauma can cause severe injury depending on the weapon characteristics like mass, velocity, and profile. Bullets transfer kinetic energy into tissues, creating temporary cavities and damage beyond their path. Organs like the liver, spleen and lungs are especially vulnerable. Treatment requires assessing the wound pathway and potential internal injuries while stabilizing life-threatening conditions like tension pneumothorax. Scene safety and avoiding evidence disturbance are also important considerations.
This document summarizes key aspects of ultrasound therapy. It discusses ultrasound transmission and propagation through tissues, the components of an ultrasound generator including the transducer and piezoelectric effect, physiological effects including thermal and non-thermal effects, techniques for application, indications and contraindications.
This document summarizes occupational safety risks when using medical devices, with a focus on risks from physical, biological, and radiation agents. It discusses risks from electrical shock, magnetic fields, ionizing radiation, lasers, and ultraviolet light. Guidelines are provided for minimizing exposure to these hazards through safe equipment use, personal protective equipment, dose monitoring, and following radiation safety procedures.
This document discusses various types of mechanical injuries and their significance in forensic medicine. It describes abrasions as skin exfoliation caused by friction, and their forensic use in determining the direction of force. Bruises are described as ruptured blood vessels under the skin, and can indicate the shape of a traumatic object. Various types of wounds are outlined, such as bruised wounds which have torn and crushed edges from blunt force. Fractures are discussed as bone breaks from forces like bending, compression or twisting. The document provides classifications and characteristics of different injuries to help determine how they occurred.
This document summarizes information about gunshot injuries. It discusses that gunshot wounds (GSWs) are a major cause of injury, often affecting young males. The type and velocity of the bullet, as well as the location of impact, determine the degree of damage. Imaging such as CT is important for evaluation. Management involves addressing airway, hemorrhage, and infection risks. Reconstruction of bone and soft tissue defects may be needed. Proper wound management and antibiotic treatment can help prevent complications like infection.
Dr. Binaya kumar Padhi presented on decubitus ulcers (pressure sores). He defined decubitus ulcers as traumatic ulcers caused by direct pressure or shearing forces on bony tissues, leading to tissue necrosis and ulceration. Risk factors include immobility, malnutrition, and spinal cord injury. Prevention focuses on frequent repositioning to reduce pressure, maintaining good nutrition, and early mobilization. Treatment involves wound cleaning, debridement of necrotic tissue, dressing changes, and sometimes flaps or skin grafts. Managing underlying risks and recurrent pressure is important for healing.
Microwave diathermy is a therapeutic modality that uses electromagnetic radiation between 300-3000MHz to induce localized heating within body tissues for conditions like soft tissue injury, pain relief, and mobilization by taking advantage of how different tissues absorb microwave energy to varying degrees. It works by using a magnetron to generate microwaves that are focused through applicators onto the target area, with circular or rectangular applicators used depending on the size of the treatment region. Risks include burns if not properly applied or if the patient has conditions like circulatory defects, impaired sensation, or implanted metals near the target area.
Microwave Diathermy (MWD) involves using electromagnetic radiation between 300-3000MHz to induce localized heating within body tissues for therapeutic purposes such as treating soft tissue injuries and pain, with its depth of penetration dependent on tissue composition and water content. MWD applicators are designed to focus microwave energy directly onto target areas while avoiding overheating, and treatments typically last 20-30 minutes daily or every other day depending on the individual. Potential risks include burns from improper application or positioning near metallic implants.
ortho 01 management of open fracture-update by kk 31052010vora kun
The document discusses the management of open fractures, including their classification, principles of treatment, debridement and irrigation procedures, fracture stabilization methods, wound coverage techniques, and antibiotic protocols. Open fractures expose the bone and surrounding tissues to contamination and have higher risks of infection, soft tissue damage, and bone and functional loss compared to closed fractures. Gustilo-Anderson classification determines treatment choices and prognosticates complications based on factors like wound size, bone loss, and high-energy mechanisms. Management involves early debridement and irrigation to remove nonviable tissue and contamination, assessing injury extent, repairing structures, stabilizing fractures, and providing wound coverage.
This topic has been introduced in the new edition of Bailey & Love - 26th. This topic covers the types, uses & special uses as well as complications of Diathermy.
Diathermy uses high-frequency electrical currents to generate deep heat in tissues for physical therapy and surgery. There are three main types: shortwave, ultrasound, and microwave diathermy. It can be used to warm tissues for pain relief or to coagulate and seal tissues during surgery. Surgical diathermy comes in monopolar and bipolar forms and is used for coagulation, fulguration, and cutting. Risks include burns, explosions from igniting flammable substances, and device malfunctions.
Major sports injuries and classification of injuries arul paul
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REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
injuries 2017
1. Department of
agada tantra evam vyavahara ayurveda
(Forensic Medicine &toxicology),
DBHPS’S
Shri C. B. Guttal Ayurvedic Medical College, DHARWAD
BY
Dr. Deepak S. Mummigatti .M. D.( Ay.)
Assistant professor
Mechanical injuries
2. CONTENTS
♣ DEFINATIONS
♣ TYPES OF INJURIES
♣ MECHANISM OF INJURY
♣ CLASSIFICATIONS OF MECHANICAL INJURY
♣ BRUISE, ABRASION, LACERATION, INCISION,
PUNTURE
Dr Deepak S.M., FMT,
SCBGAMC,DWD
3. DEFINATIONS
INJURY: from the latin injuria
(in- not, jus- the law). The term is often used
synonymously with wound but can have a wider use,
including damage to tissues by heat, cold, chemicals,
electricity, radiation, in addition to mechanical force
WOUND: (legal definition): breach of the full
thickness of the skin (or lining of lip). This excludes
abrasions, bruises, internal injuries and fractures!
WOUND: (medical definition): disruption of the
continuity of the tissues produced by
externalmechanical force'
.Dr Deepak S.M., FMT,
SCBGAMC,DWD
4. .
LESION: from the latin laesio (a hurt).
Originally meant injury, now more widely applied to
include '' any area of injury, disease or local
degeneration in a tissue causing a change in its
function or structure'‘
TRAUMA - bodily harm with or without structural
alterations resulting from interaction with
physicochemical agents, imparting energy to tissues.
May cause morphologically apparent damage (wound)
or produce physiological imbalance (eg
reflex cardiac arrest by neural stimulation) and
secondary effects (eg thrombosis, infection,
obstruction of tubular organs)
Dr Deepak S.M., FMT,
SCBGAMC,DWD
5. TYPES OF TRAUMA
Energy may applied to tissues in various forms :
1) Mechanical Force
Blunt force trauma (BFT)
-a moving object (KE) striking the body as in a blow
-the moving body (KE) striking a fixed object or surface as in a fall
BFT causes bruises, abrasions and lacerations
Sharp force: knife tip or edge, broken glass, jagged metal
- applied force is concentrated over a small area, requires little force to
cut tissues
Firearm; high velocity, small mass projectile
2) Thermal energy: heat or cold
3) Electrical energy: flow of current may cause localised burn if
resistance is high
4) Atmospheric Pressure: high or low, in air or water
5) Radiation: particle or radiation
6) Chemical reaction with tissue releasing energy
Dr Deepak S.M., FMT,
SCBGAMC,DWD
6. Mechanical Force may cause,Impact, Angulation, Compression,
Traction, Torsion, Shearing, Acceleration/deceleration
Different tissues have varying properties of
Elasticity (tendency of stressed material to regain its unstressed
condition
Plasticity (tendency to remain in stressed condition)
Viscosity (resistance to change in shape when stressed)
Different tissues therefore have different elastic limits (tolerance
limits or break points) and are vulnerable to different stresses.
Skin has greater elastic limit than underlying fat and blood
vessels making subcutaneous bruising more common than skin
laceration.
e.g. torsion often causes spiral fracture of tibia, soft
tissues undamaged,
Injury occurs when energy applied exceeds the elastic
limits (or tolerance) of the tissues.
Mechanism of injury
Dr Deepak S.M., FMT,
SCBGAMC,DWD
7. Mechanism..... Cont…..
Whether or not injury occurs following the
application of energy, in whatever form, depends
on Physical and Biological factors.
PHYSICAL FACTORS
1) Degree of Force or K.E. applied:
Force = Mass x Acceleration
Kinetic Energy = 1/2 Mass x Velocity2
Energy depends on half the massof weapon or
projectile, but on the square of its velocity.
That is the reason why even a small
bullet with less of weight, shot with a fire
arm in a high velocity, is capable of producing
more grievous injuries
Dr Deepak S.M., FMT,
SCBGAMC,DWD
8. 2) Area over which force is applied:
• - Same force spread over larger area is less likely to
injure at site of impact
• Edge or tip of knife allows a great concentration of force
applied
• Edge of a plank is more damaging than its flat face
Mechanism..... Cont…..
Wooden plank
Edge
Tip
Dr Deepak S.M., FMT,
SCBGAMC,DWD
9. Mechanism..... Cont…..
3) Duration over which force is applied:
• longer duration allows tissues at site of
impact to deform and dissipate the applied
energy
• eg fall onto soft surface (increases
duration and area of impact)
• seat belt stretching slows down the rate
of transfer of kinetic energy to the body
and spreads the area of impact
over the trunk,
(eg.forehead on dash)
Dr Deepak S.M., FMT,
SCBGAMC,DWD
10. 4) Direction of application:
Transfer of kinetic energy from
weapon or projectile is incomplete
with a glancing blow or exiting bullet
(some wounding potential is wasted)
and complete when the weapon or
bullet come to rest on/in the body
Dr Deepak S.M., FMT,
SCBGAMC,DWD
11. BIOLOGICAL FACTORS
1) Mobility of the body part
• Fixed parts absorbs all applied energy.
• Mobile parts are able to transform KE into
movement
2) Anticipation and coordination
• e.g.-boxer rolling with a punch spreads out
the duration of impact, catching a cricket
ball, rolling with a fall
Dr Deepak S.M., FMT,
SCBGAMC,DWD
12. 3) Biomechanical properties of tissue
Different tissues have different
strengths and weaknesses
• - Skin is elastic and more resistant than underlying tissues
(Bruise > Laceration)
• - Blood vessels more resistant to compression than
stretching
• - Bone more resistant to bending than to torsion
• - Hollow or fluid-filled organs sensitive to compression
• - Brain (semi-fluid) more resistant to direct impact than
rotational impact (--> shearing of nerve fibres)
• - Bone and joint may transmit force to a weak point
Dr Deepak S.M., FMT,
SCBGAMC,DWD
14. TYPES OF MECHANICAL INJURY
punctures contusion
incision laceration
abrasion
MECHANICAL INJURY
Scratches or linear
Grazed or sliding
Pressure ab.
Imprint or impact
stab
patterned
Deep
(sphectacal)
superficial
chopped
Puncture
Crushed Y- Shaped
Dr Deepak S.M., FMT,
SCBGAMC,DWD
15. CLASSIFICATION OF
MECHANICAL INJURIES
Bruise
from Old English b rysan- to crush,
Old French bruser-t o break
Syn. Contusion, Ecchymosis
Defn. "escape of blood from ruptured small
vessels (vein, capillaries, arterioles) into
the surrounding tissues" The resulting
discolouration is seen through the
overlying intact skin.
Due to blunt force trauma.
Site, shape, size, severity of bruising
are very variable.
Dr Deepak S.M., FMT,
SCBGAMC,DWD
18. 2) Abrasion
From Latin ab- from and radere- to scrape
Syn. Scratch, Graze
Defn. " a portion of the body surface from
which the skin or mucous membrane has been
crushed or removed by rubbing"
A superficial injury, not involving the full
thickness of the skin, i.e. confined to
epidermis/dermis.
Due to
(1) Direct impact: imprint (may reflect pattern
of causative surface) or
(2) Tangential impact: graze or scratch (may
reflect direction of impact)
Always occurs at the site of impact
Dr Deepak S.M., FMT,
SCBGAMC,DWD
20. TYPES OF ABRASIONS
LENIER ABRASION
GRASED ABRASION
PRESSURE ABRASION
IMPRINT ABRASION
Dr Deepak S.M., FMT,
SCBGAMC,DWD
21. (3) Laceration
From Latin lacerare- to tear.
Botanical term- irregular edges
Defn. Full thickness tearing of skin
or tissue due to stretching and
crushing by blunt force
Characteristics: Ragged edge,
Associated bruising/abrasion, Tissue
bridges
Provides little specific information
about the causal object
Dr Deepak S.M., FMT,
SCBGAMC,DWD
23. (4) Incised injuries
From Latin incidere- to cut into.
Surgical term incision with scalpel
Defn. Clean division of the full thickness of skin
(or other tissue) by a sharp-edged
instrument.
Characteristics: Clean cut edges, No associated
bruising/abrasion, No tissue bridges.
Incised wound is LONGER THAN IT IS DEEP.
Provides little specific information about the
causal object
Dr Deepak S.M., FMT,
SCBGAMC,DWD
25. (5) Penetrating or Puncture Wounds
Defn. Puncture is "a small hole made with a
sharp point"
ITS DEPTH EXCEEDS ITS LENGTH on the
body surface due to
1. a sharp/flat instrument, e.g. knife
(STAB),
2.a sharp/thin, e.g. needle (NEEDLE
PUNCTURE) or
3.a blunt/long/rigid, e.g. wooden stake
(PUNCTURE)
Shape and size of wound often
indicate dimensions of weapon.Dr Deepak S.M., FMT,
SCBGAMC,DWD
34. Dr Deepak S.M., FMT,
SCBGAMC,DWD
Thermal Injuries/deaths
Deaths resulting from the effects of
systemic or localised exposure to
excessive heat or cold.
Human body has a varied degrees of limit
of tolerance to both heat and cold. If the
temperature exceeds or falls than this
limit, causes local injuries or general
symptoms leading ultimately to death.
35. Thermal injury classifications
Thermal injuries
Exposure to heatExposure to cold
Generic effect
Hypothermia
Local effect
Frost bite
Trench foot
Immrn. foot
Generic effect
1.Heat stock
2.Heat cramps
3.Heat syncope
Local effect
Burns
Dry heat
Scalds
Moist heat
Dr Deepak S.M., FMT,
SCBGAMC,DWD
36. Injuries due to cold
Generic effect - Hypothermia
It is a condition where the oral or the
axillary temperature is less than 35 C.
Body tolerates dry cold better than wet
cold. The ability of hypothalamus is
completely lost below 30 C.
Fat persons and women tolerate cold
better than the lean and men.
Dr Deepak S.M., FMT,
SCBGAMC,DWD
37. Signs and symptoms of generic
effect of severe cold
Ill effects are seen in 3 stages.
i - Feels cold and shivers, temperature falls.
ii - Shivering stops when temperature is at or
below 320C. The victim becomes lethargic,
drowsy and sleepy, gradually falling into stupor
and coma. Slowly the CVS, RS and GI systems
cease from their functions.
iii - If temperature is lowered to 27oC or less,
maintained for 24hrs leads to death due to
failure of vital centers due to anoxia.
Dr Deepak S.M., FMT,
SCBGAMC,DWD
38. Local effects of cold
- Blanching and paleness of skin due to vascular
spasm
- Follows erythema, oedema and swelling due to
later vascular dilatation.
- Paralysis and increased capillary permeability.
- Tissue becomes frozen stiff and necrotic due to
direct effect of cold
OR
Necrosis followes vascular occlusion,
thrombosis, and secondary inflammation.
Dr Deepak S.M., FMT,
SCBGAMC,DWD
39. Conditions of local effects of cold
Trench foot-
Due to prolonged exposure to severs cold
(5-80C) and dampness as in soldiers during
winter warfare especially in trenches.
Immersion Foot-
local part immersed in cold water for
longer period.
Frost bite-
Occurs due to exposure to extreme
cold(-2.5oCor below), Injury occurs
commonly on extremities, nose ears and
face. Injuries presents necrosis with
blister formation and gangrene.
Dr Deepak S.M., FMT,
SCBGAMC,DWD
40. Thermal burns
• flames
• hot liquids
• hot objects
• gases
Exposure to extreme heat
Dr Deepak S.M., FMT,
SCBGAMC,DWD
41. BURNS
What are burns?
Injuries to tissues caused by:
• Temperature
• Friction
• electricity
• radiation
• Chemicals
Tissue involved here may be many
but mostly the skin
Dr Deepak S.M., FMT,
SCBGAMC,DWD
42. Epidermis
Dermis
Hypodermis
Different degrees of burns are
classified on the bases of part of the
skin involved and the tissue underneath.
Dr Deepak S.M., FMT,
SCBGAMC,DWD
43. Friction burns
• rubbing of the skin
• outer layer
• Also called as brush
burn
• Studied as a type of
abrasion
Dr Deepak S.M., FMT,
SCBGAMC,DWD
44. Electrical burns
• accidental electrical
contact
• depend on:
– strength of electrical
current
– duration of contact
• common causes :
workplace injuries
• rare causes: lightning
Dr Deepak S.M., FMT,
SCBGAMC,DWD
46. Chemical burns
• strong acids
• strong bases
• detergents
• solvents
Dr Deepak S.M., FMT,
SCBGAMC,DWD
47. BURNS AND SCALDS
Extent of heat-induced injury depends on
1. the applied temperature
2. the time for which the heat is applied
3. the ability of the body surface to conduct away
the excess heat.
Five hours at 40°C or 3 seconds at 60°C
will cause a burn.
Heat may be applied by Conduction from solid,
Convection from liquid or gas,
Radiation-absorption of infra-red
Classification of severity (Wilson)
Dr Deepak S.M., FMT,
SCBGAMC,DWD
48. Injuries due to HEAT
Classification
Classification on the bases of severity (Wilson)
First degree burn superficial
Second degree burn partial thickness
Third degree burn full thickness
Fourth degree burn subcutaneous tissue, muscles, bones
Scalds (Moist)Burns (Dry)
Dr Deepak S.M., FMT,
SCBGAMC,DWD
49. BURN WOUND ASSESSMENT
• Classified according to depth of injury and
extent of body surface area involved
• Burn wounds differentiated depending on
the level of dermis and subcutaneous tissue
involved
1. superficial (first-degree)
2. deep (second-degree)
3. full thickness (third and fourth degree)
Dr Deepak S.M., FMT,
SCBGAMC,DWD
51. First-degree burns
• epidermal
• Symptoms
example – mild sunburn
erythema & blistering.
Split in epidermis or at epi/derm
junction
painful due to exposure of nerves
no loss of dermis
capillary dilation, swelling and
exudation
blister, surrounded by zone of
hyperaemia. Blister resorbs or bursts.
re-epithelialises, no scarring.
Dr Deepak S.M., FMT,
SCBGAMC,DWD
52. Second-degree burns
• epidermis and part of dermis
• symptoms
destruction of the full thickness of
skin
not painful as nerves destroyed
epidermis coagulated or charred
central necrosis surrounded by zone of
hyperaemia or FDB
central area sloughs, epidermis grows
in from edges and from epidermis in
surviving
dermal structures (sweat, hair follicle)
underlying zone of tissue is precarious,
may necrose if hypoxia or infection
supervene.
scarring centrally. Contractures may
occur
less painful than FDBexample – contact with hot
objects or flame
Dr Deepak S.M., FMT,
SCBGAMC,DWD
54. Third-degree burns
• epidermis and entire dermis
• symptoms
destruction of underlying fat, muscle, bone. When application of heat is prolonged the
tissues may be charred, carbonised or completely destroyed. Dead body may show
wide variation in severity from reddening to complete destruction of a body part. Post
mortem burning obscures ante-mortem burns. Blisters will have collapsed with shreds
and sheets of white epidermis over an angry red base.
More severe burn --> stiffened, yellow-brown leathery skin due to partial
carbonisation. PM drying of exuding skin --> parchmented surface. Skin surface often
blackened by soot deposition. Hair 'clubbed' by melting and re-solidifying, or
completely burnt away. Skin may ignite with subcutaneous fat burning as a fuel,
clothes as a wick. Under lying muscle becomes pale, brownish (part-cooked). Max.
effect with prolonged exposure – slow cooked muscle underlying intact skin. Deep
muscle dehydration and denaturation causes PM contracture;
the flexor groups more powerful --> 'pugilistic attitude'.
Intense, prolonged heat may destroy all soft tissues. Even bone may be reduced to
brittle, grey-white splinters.Spurious wounds appear e.g. heat fracture, heat
haematoma (extradural), skin splits.
example – electrical or chemical sources, flames
Dr Deepak S.M., FMT,
SCBGAMC,DWD