Wounds, stab symptoms, causes, diagnosis, and treatment information for wounds, stab wounds, stab with alternative diagnoses, fulltext book chapters, misdiagnosis. So, whether you are a prepper, outdoors person, or homesteader, if you believe in being selfreliant, then youll want to know how to treat a. Painful, gory, and potentially deadly, a stab wound requires immediate treatment to alleviate the bleeding and pain and stabilize the victim until he can be examined by medical professionals. Multiple stab wounds were present on the chest and the abdomen. Encyclopedia of forensic and legal medicine 2nd edition elsevier. J 1986 patterns in sharp force fatalities a comprehensive forensic medical study. Projectiles traveling at low velocities and stab wounds cause damage that is confined to the tract that they produce within the brain.
Most emergency departments do not see much penetrating trauma. Most knife wounds would fit in this category, as the knife doesnt pass entirely through and out of the body. Injuries involving stab wounds and hemorrhage are discussed in part 1 of this series. There was a single stab wound, less than 2 cm long just inferior to the lateral third of his right clavicle. Stab wounds are incised wounds where the length of injury on the surface is less than the depth of penetration into the body, and are the result of a thrusting. During an early morning shift, you receive a phone call regarding a patient en route from scene. Assistant professor, department of forensic medicine, ibn sina medical college, dhaka, bangladesh. Role of the pathologist determine type of wound measure the dimensions length, width, depth position relative to anatomical landmarks determine initial location if wound involves cutting, slashing, etc. While stab wounds are typically known to be caused by knives, they can also occur from a variety of implements, including broken bottles and ice picks. Medicolegal wounds lecture 2018 dr doha yahia ahmed associate professor of forensic medicine and toxicology. Healing time for wounds, cuts, and lacerations depend on the type and severity of the injury. Nov 3, 2015 the purpose of this board is for viewerstrainees to understand the violent reality of knife attacks and knife fights. No matter where it occurs on the body, a stab wound of.
A stab wound is a wound that someone has when they have been stabbed with a knife. No other objects or traces such as splashes of blood, which might point to a fight or attempted escape of the wounded victim, were found near the corpse. This paper presents the case of a 36yearold man found dead in a forest near his home with multiple stab wounds on the chest and abdomen, while the chest wounds penetrated deep into the left pleural cavity and the lung parenchyma, completely cutting through the bone sections of four ribs along the channels of the wounds. Find highquality stab wound stock photos and editorial news pictures from getty images. An elderly woman with deep stab wounds to the neck. The first british teacher of legal medicine was andrew duncan, a professor of physiology, who gave a course of lectures on legal medicine and public health, beginning in 1789. Analgesics, anxiolytics, antimicrobials skin and enteric flora, immune boosters tetanus booster, and neuromuscular blockers comprise the major classes of pharmacotherapeutic agents used for these patients. The most common sites of the wounds were the chest 143 patients and the abdomen 1 patients. Determine height of victim, other contributing factors like heart. Local exploration was an effective procedure in differentiating superficial from deep wounds. Even though the stab wound in my abdomen seemed very small and wasnt bleeding all that profusely and i was quite confident that it was n. Ideal sources for wikipedia s health content are defined in the guideline wikipedia. Visit our research pages for current research about wounds, stab treatments clinical trials for wounds, stab.
Before discussing legal medicine and forensic science, it would be helpful to have a general definition of terms. Therefore increasing the chance of maintaining composure and survival. Truncal stab wounds back, flank, abdomen 5556 blunt abdominal trauma 5758 blunt splenic trauma 5960 blunt bowel and mesenteric injury 6162 rectal injury 6364 pelvic fracture 6566 peripheral vascular injury 6768 compartment syndrome extremity 6970 compartment syndrome fasciotomy 71 trauma in pregnancy 7273 ob trauma response 74. Wound treatment is performed according to pathology, the extent, and circumstances of the. Wound treatment knowledge for medical students and. Stab wounds forensic importance reflects sharp edge, not weapon type. Perforating wounds are wounds that pass through the body, or part of the body, and result in an entry wound on one side and an exit wound on the other. Medicolegal aspects of hurt, injury and wound semantic scholar. A total of 17,245 patients with torso stab wounds were included in the study, of whom 12,628 73.
Several more superficial cuts were also seen on the neck and the left wrist. Wounds from forensic prospectalmumtin, ahmed taher, md 2. Pdf medicolegal characteristics of defense injuries in cases of. A study was made of patients with stab wounds who attended the accident and emergency department of glasgow royal infirmary during 1978 and 1983. Types of wound medical classification stab wound produced by the penetration of sharppointed and sharp edged instrument like a knife, dagger, scissors. Ranald munro bvms, msc, dvm, dip forensic medicine, dipecvp, mrcvs, helen m.
Slain mom, kids were found with stab wounds in celebration home, dad allegedly attempted suicide this link is to an external site that may or. Autopsy history the complete history of the autopsy. Stab wound definition and meaning collins english dictionary. After turning the body over, numerous stab wounds were revealed on the chest and abdomen as well as holes in the bloody tshirt, which corresponded to the wounds. Wounds are defined as a disruption of the normal structure and function of skin and underlying soft tissue that is caused by trauma or chronic mechanical stress e. Wounds, stab symptoms, diagnosis, treatments and causes. Stab wounds to the lower chest are associated with abdominal visceral injury in 15% of cases, whereas. In general, medications used to treat victims of penetrating abdominal trauma fall into discrete categories. From my experience, only about 10 percent of all stab wounds have a knife still in the wound. This information will allow some basic interpretation of wounds.
Reviewer in legal medicine authorstream presentation. A forceful stab to the body may depress the wall allowing deeper organs to be injured, thereby creating a misleading impression of the blade length. Forensic science is a broader term than legal medicine. In general, simpler wounds sealed with stitches, glue, or staples can take about 10 days to heal.
Wound in legal medicine, it means strictly a solution of continuity. This post will describe the basics of reading stab wounds. In the category of sharp force traumas, stab wounds are incised wounds where the length of injury on the surface is less than the depth of penetration into the body, and are the result of a thrusting action, where the force is delivered along the long axis of a narrow, pointed object. Though civilian penetrating trauma has declined over recent decades and is less common than blunt trauma, penetrating trauma represents 10% of all trauma evaluations in the u. Sacramento ca county jury convicts man of murder for. The incidence of skull stab wounds is much lower in the european context compared to developing countries such as south africa. Torso stab wound survival rate depends on level of trauma. A stab wound is a specific form of penetrating trauma to the skin that results from a knife or a similar pointed object. Download premium images you cant get anywhere else. They are called penetrating wounds when they enter a cavity of body. By karyo magellan i have examined the standards of forensic medical examination that prevailed in victorian england at the time of the whitechapel murders, from 1888 to 1891, and found them to be rather more impressive than is generally believed.
The goal is to identify and treat injuries in a safe, costeffective manner. Abrasion a wound consisting of superficial damage to the skin. Your chance to have a onetoone lesson with bestselling language expert paul noble. Dr michael surgrue, trauma service, liverpool hospital. Very seriously, at least where i was, the er of a reputable urban trauma center that treats many stab wounds. Homicide sharp force injury stab wounds overkill clinical examination of offenders. Slain mom, kids were found with stab wounds in celebration. Book of 6th annual meeting of the balkan academy of forensic sciences.
Supplemental study on stab wounds in legal medicine. A stab wound can range from a needle prick to being shanked through the torso by a sharpened telephone pole. The history of legal medicine journal of the american. Print stab wounds free download as powerpoint presentation. Wounds can be broken down into acute or chronic, and open or closed. Q7 x, a doctor, wanted to kill his wife by poisoning. Wounds from forensic prospectalmumtin, ahmed taher, md. Text book of medical jurisprudence, forensic medicine. This rigmarole is going to address stab wounds that go 1 inch 2. The first book on legal medicine written in english was authored by samuel farr in 1788 and was entitled elements of medical jurisprudence, a succinct and compendious description of findings in the human body that were required for judgment by coroners and courts of law in cases of divorce, rape, and murder, among others. Marks, in encyclopedia of forensic and legal medicine second edition, 2016.
The optimal management of hemodynamically stable, asymptomatic patients with anterior abdominal stab wounds aasws remains controversial. Deeper stab wounds require long term treatment and followup care outside of the emergency room setting because the body will require more time to heal from the trauma. During dinner time, he put poison on the food of his wife. The first recorded autopsy occurs when antistius examines julius caesars body after his assassination, determining which of the 23 stab wounds proved fatal. It should be performed using an appropriate instrument and supplemented by careful dissection. Dr michael surgrue, trauma service, liverpool hospital stab wounds are incised wounds where the length of injury on the surface is less than the depth of penetration into the body, and are the result of a thrusting action, where the force is delivered along the long axis of a narrow, pointed object. But it is helpful to be able to learn as much as possible from the appearance of these piercing injuries when you do see them. These results have significant implications for the legal presentation of stab forces in court. Objectives 1 different types of wounds 2 medicolegal importance of wounds 3 determination of the age of wounds.
Highvelocity missile injuries, on the other hand, cause diffuse damage which extends beyond the tract. Forensic interpretation of injurieswounds found on the. Moderate to severe wounds and lacerations may need stitches, medical treatment, or antibiotics to avoid complications like infections. Multiple severe stab wounds to chest with cuts to the ribs. The trip database provides clinical publications about. Institute of forensic medicine, school of medicine, university of belgrade, belgrade. Upon arrival, primary and secondary survey reveal a hemodynamically. Stab wound management medical preparedness doom and. Stab wounds are an example of a nonperforating wound. Browse the amazon editors picks for the best books of 2019, featuring our favorite reads in more than a. With a stab wound to a sensitive area, such as the abdomen or back, the injury.
A 43 yearold man had an alcoholfueled altercation with his better half. The physical characteristics of the stab wound will depend on the area punctured, tautness of surrounding skin, thrusting motion, bone or cartilage in the path of the weapon, wound depth and, of course, the shape and size of the weapon. Stab wounds are incised wounds where the length of injury on the surface is less than the depth of penetration into the body, and are the result of a thrusting action, where the force is delivered along the long axis of a narrow, pointed object. How to attend to a stab wound with pictures wikihow.
An injury to living tissue caused by a cut, blow, or other impacts, typically one in which the skin is cut or broken. If you work at a trauma center, then youre bound to see your fair share of abdominal stab wounds. See more ideas about medical photos, cuts and bruises and bodily injury. If its in an extremity, ill likely assess if theres enough damage to risk the. At the death scene, there was a large pool of blood in the room, with secondary droplets and stains. Abrasion, bruise, laceration, fracture, dislocation, incised wound, stab wound, puncture, penetrating wound. Typically, a mild, moderate and severe subjective scale is used to suggest the level of violence during a stabbing attack based on the sole examination of the resulting wound. Anytime someone is impaled by something, it is a stab wound. Open wound there is a break in the continuity of the skin. Brings together all appropriate aspects of forensic medicine and legal medicine. A triangular wound can possibly be sutured, depending on many considerations regarding the wound including its type, condition, location, size, shape, depth, cleanliness vs presence of debris, mechanism of injury, the force of the injury, the age of the wound, tension on the wound, the patients medical history, species if the wound is a bite, etc. Physical examination was accurate in 86% of flank and 88% of back wounds. Though most stab wounds are inflicted with knives, any pointy object, including scissors, screwdrivers, pens, and ice picks, can be used to stab someone. Stab wound stab wounds stab or punctured wound is caused by sharp pointed objects, such as, knife, dagger, nail, needle, spear, arrow, screw driver, etc.