Etiology and Demographic Profile of Medico-legal Cases in Emergency of a University Hospital in Nepal

Authors

  • Pratima Khatri Manmohan Cardiothoracic Vascular and Transplant Centre, Maharajgunj, Kathmandu, Nepal
  • Anita Munikar Maharajgunj Nursing Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
  • Pooja Pandit Maharajgunj Nursing Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
  • Lalita Rai Maharajgunj Nursing Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
  • Ramesh K Maharjan Department of Emergency Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Mohan R Sharma Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal

Keywords:

Emergency room, medico-legal cases, road traffic accidents, university hospital

Abstract

Introduction
Any injury or ailment where investigations by the law-enforcing agencies are crucial are considered as medico-legal cases. The objective of this study was to describe the profile of medico-legal cases presented to the Emergency Room (ER) of Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal.

Methods
A retrospective review of medical records was done to include all medico-legal cases presented from July 2018 to June 2019.

Results
Medico-legal cases comprised 1805 (3.8%) of all cases (47,289) in the study period. The category of 25- 39 years was the commonest age group involved [659 (36.5%)] followed by 15-24 years group [582 (32.2%)]. Males were almost twice (65.8%) in number compared to females (34.2%). The top three reasons for the ER visit were road traffic accidents (RTAs) [757(41.94%)], physical assaults [356 (19.72%)] and poisoning [239 (13.24%)]. Other causes were burns, falls, sexual assaults, hanging, injuries (gunshot, electrical and machinery) and drug overdose.

Conclusion
There are significant numbers and wide varieties of medico-legal cases that present in the ER of TUTH. Young males are the high-risk population and RTAs are the commonest etiology. This study will help the hospital in capacity strengthening of the ER, based on the volume of individual case types.

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Published

2022-04-30

How to Cite

Khatri, P., Munikar, A., Pandit, P., Rai, L., Maharjan, R. K., & Sharma, M. R. (2022). Etiology and Demographic Profile of Medico-legal Cases in Emergency of a University Hospital in Nepal. Journal of Institute of Medicine Nepal, 44(1), 68–71. Retrieved from http://jiomnepal.com.np/index.php/jiomnepal/article/view/211

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