Online ISSN: 2515-8260

Keywords : poisoning


Comparison of spectrum of medico-legal cases and outcomes in the emergency department of tertiary care center: A retrospective study

Dr.Shabbir Shekhli, Dr. Anila Jose ss

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 22-33

Emergency Medicine is a new discipline that started with the aim of effective and early resuscitation of critically ill patients. Medico-legal cases (MLC) are surged globally due to the population rise. Resource allocation for different MLC in terms of humans, infrastructure, and equipment is complicated. The present study aimed to find a pattern of Medico-legal cases with outcomes in the Emergency Department.

Comparison of spectrum of medico-legal cases and outcomes in the emergency department of tertiary care centre: A retrospective study

Dr. Shabbir Shekhli Dr. Vijay Kumar SS

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 91-98

AIMS: Emergency Medicine is a new discipline that started with the aim of effective and early resuscitation of critically ill patients. Medico-legal cases (MLC) are surged globally due to the population rise. Resource allocation for different MLC in terms of humans, infrastructure, and equipment is complicated. The present study aimed to find a pattern of Medico-legal cases with outcomes in the Emergency Department.
METHODS :This isaretrospective study done in a tertiary care teaching hospital over one year from January 2021 to December 2021. A total of 955 cases were registered, out of which 918 were selected. Patients data was recorded in proforma regarding the demographic profile, the pattern of MLC, and hospital outcome. Descriptive analysis expressed in frequencies and percentages using SPSS for Windows, Version 26.0. 
RESULTS : In 918 cases, males were 69.80 %, and females were 30.20%. The majority of patients were aged 21 to 40 years, accounting for 56.10%. The pattern of MLC cases is Road traffic accidents 34.50%, poisoning 23.10%, Assault 19.80%, Bites 13.6%, and burns 2.20%. Outcomes showed the discharges 55.10%, deaths 3.8%, Against Medical Advice 29.30%, and OPD Basis11.80%. Mortality was highest in road traffic accidents, accounting for 1.5%.
CONCLUSION : Present study concludes MLC cases were common in males of younger age groups. The majority of MLC cases are Road traffic accidents and poisoning. Mortality was more in Road traffic accidents. This study will guide the preparedness of the Emergency department in terms of resource allocation, training of staff, and formulation of hospital plans and policies by government /law agencies.

A Prospective Hospital-Based Study of Acute Childhood Poisoning

Yellappa Gowda N

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 762-769

Background: Poisoning in children is a worldwide epidemic, and there is no region in the world that is immune to this catastrophe. In paediatric practise, it is one of the most frequently encountered situations that could have been avoided. Both the cause of poisoning and the type of poisoning can vary greatly from one region of the world to another. This is because the availability of poison to children is influenced by a variety of factors, including population, socioeconomic standing, level of education, as well as local beliefs and practises.
Martial and Methods: A future hospital-based study in India with a prospective design. Over the course of three years, beginning in June 2021 and ending in June 2022, children hospitalized to Sambaram Institute of Medical Sciences and Research with suspected acute poisoning were the subjects of a study that was designed as a prospective investigation. A parent or other relative who was present throughout the interview provided background information about the youngster.
Results: 210 children were found to be suffering from acute poisoning. There were 125 males, and there were only 85 girls. In 110 of the instances, household goods were involved, while pharmaceuticals were involved in 62, toxic plants were involved in 21, agrochemicals were involved in 13, and other substances were involved in 4.
Conclusion: In conclusion, I would like to offer some suggestions for some strategies that can assist to minimize the prevalence of childhood poisoning in India, in addition to the morbidity and death associated with it. Keep the containers of kerosene oil securely sealed and out of the reach of youngsters at all times. Do not keep kerosene oil in soft drink bottles. Make people aware of the potential risks associated with vomiting after consuming kerosene oil. Keep any agricultural chemicals in a secure location. Instruct the general public on how to properly dispose of unused medication.

A study of profile of medicolegal autopsy cases due to poisoning

R. Karthick

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4987-4992

Background: Acute poisoning by pesticides is becoming a serious global problem.
Knowledge of general pattern of poisoning in a particular region can hopefully lead to early
diagnosis and control of poisoning crises, thereby bringing down the morbidity and mortality
to minimum. Present study was an attempt to find out some epidemiological factors, pattern
and other significant features of poisoning among poisoning cases at a tertiary care hospital.
Material and Methods: The present study was a retrospective study conducted in cases of
medicolegal autopsy with history of poisoning and in cases that were diagnosed as poisoning
after post mortem examination.
Results: Of the total 3275 cases of postmortem, poisoning constituted 433 cases amounting
to 13.22% during this study period. Majority of cases were from 21-40 yrs (52.66%) followed
by 41-60 yrs (27.71%). Majority of cases were males (66.74%) as compared to females
(33.26%). Majority were illiterate (62.59%) as compared to literate (36.26%). In present
study, majority were married (64.9%), from nuclear family (95.38%), from low
socioeconomic class (81.29%). Majority cases survived for less than 1 day period (54.73%) &
had manner of death as suicidal (94.46%). In present study, most common poison used were
organo-phosphorous compounds (64.43%), aluminum phosphide (5.77%), zinc phosphide
(5.77%), corrosive acid poison (5.08%) & carbonates (4.62%).
Conclusion: An overall look at the autopsies of the cases of poisoning led to the conclusion
that the people were more prone to consume poison in the second to fourth decade of their
life & suicide was the dominant manner of death in most of the cases.

Comprehensive analysis of postmortem cases due to poisoning: A retrospective study

R. Karthick

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4993-4998

Background: Poisoning is a major epidemic of non-communicable disease in the present
century. Poisoning is common in the world including India but modes of poisoning varies as
it may result from the attempt of suicide, homicide and accidents. Present retrospective study
was aimed to analyse deaths due to poisoning at a tertiary care hospital.
Material andMethods: Present study was retrospective study, conducted with medical &
case-records of victims of poisoning whose body was autopsied in the mortuary of tertiary
care hospital.
Results: In this study, of the total of 3275 cases of postmortem, poisoning constituted 433
cases amounting to 13.22%. Most of cases were from the age group of 21-30 yrs (27.48%)
followed by 31-40 yrs (25.17%) & 41-50 yrs (16.4%). Most of cases were males (66.74%) as
compared to females (33.26%). Most of cases survived for less than 1 day period (54.73%) &
had manner of death as suicidal (94.46%). In present study, most common poison used were
organo-phosphorous compounds (64.43%), aluminium phosphide (5.77%), zinc phosphide
(5.77%), corrosive acid poison (5.08%) & carbonates (4.62%). In present study, negative
chemical analysis report (50.35%) were more common than positive chemical analysis report
(49.65%). In present study, common reason for intake of poison were physical illness
(41.11%), marital dispute (20.32%), economic crisis (13.16%), love failure (6.47%) &
accidental (5.54%). Other less common causes were conflict with parents (3.46%), family
dispute (3.46%), mental illness (3%) & academic failure (2.77%).
Conclusion: We noted that male sex, age group from second to fourth decade of their life,
married,low socioeconomic status are at high risk for poisoning.