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Unformatted text preview: By: Ammar Mansour Incised wounds
Clean seperation or division of the full thickness of skin under the pressure of a sharp-edged instrument (knives or
broken glass) Incised wounds
Incised Types: Slash wounds: Length > depth. Generally NOT as serious as
stab wounds unless it involves major blood
vessel. Stab wounds: Depth > length. More SERIOUS as they tend to
come in contact with vital organs in chest and
Lacerations Incised wounds Trace evidence (rust or dirt) Clean
Shape is NOT according to
cause Shape is according to
cause Ragged edge
Ragged Everted edge (turning outwards)
Everted RARELY self-inflicted
RARELY May be self-inflicted Self-inflicted injuries
Self-inflicted Self-inflicted injuries
Self-inflicted Cuts are usually superficial, multiple and parallel.
parallel In right handed people most of injuries are on the left side.
left Certain sites : throats, wrists and the front of the chest are more common.
They are often multiple, but there are deep cuts. hroat In slashing throat suicidal injury ,throwing back the head, moves the carotid bundle under the protection of
the sternomastoid muscles. So if the cut is confines to
the front of the neck, only the larynx or trachea may be
Stab wounds of the neck are UNCOMMON in suicide. Wrist Deliberate cutting of the wrists is RARELY effective as a sole method of suicide but it is a COMMON injury )Chest Suicidal injury of the chest are almost always wounds stab Defense Wounds
Defense Defense Wounds
A wound sustained when a victim places a hand, arm or other body part to prevent or minimize a blow or slashing
by a sharp weapon. Usual sites: The outer-side of the forearm Back of the hand Fingers Bruises may be seen at the outer-side of the thigh as the victim crosses his legs to protect the genitalia. Duty of the Doctor
Duty Make a detailed examination and provide a medical report that can be used in subsequent criminal or civil
proceeding. The purpose of examination is to determine: The time of the wound in relation to death. How it was caused. What is the cause. What amount of force was used to produce it. The degree of injury that was caused by the wound (whether the wound influenced death or disability).
:Changing in bruising
Dark red. less than 24 hours
•Brown. From 1-3 days
•Green. 3 to 5 days
•Yellow.5 to 7 days
•Straw. How to describe a wound
How The nature of the wound (bruise, laceration or abrasion). The wound dimensions (length, width and depth). The position of the wound in relation to fixed anatomical landmarks eg: distance from the mid line, distance below the
clavicle…etc. The number of wounds. The margins of the wounds (Ragged or Everted) Factors affecting wound
HEALING Blood supply. Infections. Age Site of wound. Nutritional status. Inter current diseases. Drugs: corticosteroids, immunosuppressive, radiotherapy, chemotherapy. Complications of wounds
Infection and sepsis.
Injury to internal organs.
Formation of scar. Causes of DEATH due to
wound Injury to a vital organ eg: brain.
eg: Sever hemorrhage.
Sever hemorrhage Shock Pulmonary embolism.
Pulmonary Septicemia Renal failure due to rhabdomyolysis (crush syndrome).
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.
- Fall '11