Basic Medico Legal Duties of Medical Officers

BASIC MEDICOLEGAL BASIC MEDICOLEGAL DUTIES OF MEDICAL DUTIES OF MEDICAL

OFFICERSOFFICERS

DR.GUNETHILAKE KMTBDR.GUNETHILAKE KMTBMBBS.DLM.MDMBBS.DLM.MD

CONSULTANT JMOCONSULTANT JMOTHBTHB

RECOGNITION OF BASIC INJURIES RECOGNITION OF BASIC INJURIES

RECORDING AND REPORTING OF INJURIESRECORDING AND REPORTING OF INJURIES

IDENTIFICATION OF IMPORTANT MEDICOLEGAL IDENTIFICATION OF IMPORTANT MEDICOLEGAL CASESCASES

INFORMING TO RELEVENT AUTHORITIESINFORMING TO RELEVENT AUTHORITIES

BASIC ISSUSES INVOLVING DURING MANAGING THE BASIC ISSUSES INVOLVING DURING MANAGING THE PATIENTPATIENT

ETHICAL ISSUESETHICAL ISSUES

AVOID LEGAL LETIGATIONAVOID LEGAL LETIGATION

ASPHYXIAL DEATHS

BASIC INJURIESBASIC INJURIES ABRASIONSABRASIONS LACERATIONSLACERATIONS CONTUSIONSCONTUSIONS CUTSCUTS STABSSTABS BURNSBURNS FAIFAI FRACTURESFRACTURES

TORTURETORTURE

FIREARM INJURIES (ENTRY FIREARM INJURIES (ENTRY WOUND)WOUND)

ELECTROCUTIONELECTROCUTION

RUPTURED UTERUS DURING RUPTURED UTERUS DURING CHILD BIRTHCHILD BIRTH

CHILD ABUSE (BELT MARK)CHILD ABUSE (BELT MARK)

BITE MARKBITE MARK

STAB MURDERSTAB MURDER

LUST MURDER (OVER KILLING)LUST MURDER (OVER KILLING)

DEFENSE CUTDEFENSE CUT

2.RECORDING AND REPORTING2.RECORDING AND REPORTINGMO OPD,HO IN THE WARD ARE THE FIRST PERSONS WHO MO OPD,HO IN THE WARD ARE THE FIRST PERSONS WHO

EXAMINE AND SEE THE PATIENTS.SOME OF THESE CASES ARE EXAMINE AND SEE THE PATIENTS.SOME OF THESE CASES ARE MEDICOLEGALLY IMPORTANT.MEDICOLEGALLY IMPORTANT.

PROPER RECORDING OF THE INJURIES ARE VERY IMPORTANT PROPER RECORDING OF THE INJURIES ARE VERY IMPORTANT SUCH AS TYPE, SITE, SIZE, SHAPE, EXACT DIMENTION OF THE SUCH AS TYPE, SITE, SIZE, SHAPE, EXACT DIMENTION OF THE INJURY ETC….INJURY ETC….

AT LEAST DRAW A DIAGRAM AND MARK THE INJURIES AND DO AT LEAST DRAW A DIAGRAM AND MARK THE INJURIES AND DO NOT KEEP GROSS DESCREAPENCIES.SPECIAL ATTENTION NOT KEEP GROSS DESCREAPENCIES.SPECIAL ATTENTION SHOULD BE PAID WHEN SOMETHING WRITING IN THE SHOULD BE PAID WHEN SOMETHING WRITING IN THE BHT,LIKE A FILMBHT,LIKE A FILM

ANY TIME THERE IS RISK OF COURT PROCEEDINGANY TIME THERE IS RISK OF COURT PROCEEDING

SOMETIMES CASES THOSE ARE NOT REPORTED TO JMOSOMETIMES CASES THOSE ARE NOT REPORTED TO JMO

INFORM TO RELEVENT INFORM TO RELEVENT AUTHORITIESAUTHORITIES

IF NECESSORY HO TO SHO CONSULTANT ETC..IF NECESSORY HO TO SHO CONSULTANT ETC..

RELEVENT MEDICOLEGAL CASES TO THE RELEVENT MEDICOLEGAL CASES TO THE JMO,POLICE ETCJMO,POLICE ETC

1).laceration top of the head 2).reconstruction of the event

3).imprint abrasion,perforated laceration 4).same injury as in injury 03

5).reentry wound in abdomen 6).bullet recovered left base of the neck

MEDICAL NEGLIGNECEMEDICAL NEGLIGNECE

PROFESSIONAL MISCONDUCTPROFESSIONAL MISCONDUCT

CONSENTCONSENT

PROFESSIONAL SECRACYPROFESSIONAL SECRACY

PROFFESSIONAL SECRACYPROFFESSIONAL SECRACY Cannot tell patients information to a 3Cannot tell patients information to a 3rdrd party with out party with out

patients consent.patients consent. Don’t tell to spouse.Don’t tell to spouse. Don’t tell the domestic servant’s secrets to his or her master Don’t tell the domestic servant’s secrets to his or her master

or mistress.or mistress. Don’t tell the government servant’s secrets to the Don’t tell the government servant’s secrets to the

government.government. Don’t tell the prisoner’s secrets to police or custody.Don’t tell the prisoner’s secrets to police or custody. Not even to the insurance corporation with out his consent.Not even to the insurance corporation with out his consent. In medical journals, the photos should be unidentifiable.In medical journals, the photos should be unidentifiable. At PM- should not divulge the personal informations. Affect At PM- should not divulge the personal informations. Affect

the respect of the deceased or family without relatives the respect of the deceased or family without relatives consent. consent.

PRIVILLAGE COMMIUNITYPRIVILLAGE COMMIUNITY

PROFESSIONAL MISCONDUCTPROFESSIONAL MISCONDUCT Can erase or cancel the registration of the Can erase or cancel the registration of the

doctor if he act below a certain level of a doctor if he act below a certain level of a doctor. doctor.

(A(A66 F F66))1.1. Abortion- cannot be doneAbortion- cannot be done2.2. Alcohol – cannot be used while on duty.Alcohol – cannot be used while on duty.3.3. Adultery- using professional privilege to approach a female.Adultery- using professional privilege to approach a female.4.4. Addiction- heroin/ cannabis/ pethi,Addiction- heroin/ cannabis/ pethi,5.5. Advertising – name – must be in small print. Qualifications in Advertising – name – must be in small print. Qualifications in

small print. Can advertise among doctors. But cannot small print. Can advertise among doctors. But cannot advertise among patients. If change of working place, in advertise among patients. If change of working place, in private practice, can send postcards saying the new address. private practice, can send postcards saying the new address.

6.6. Association- keeping unqualified assistants, association with Association- keeping unqualified assistants, association with MLT or Pharmacist.MLT or Pharmacist.

1.1. False certificate issuing.- by carelessly or False certificate issuing.- by carelessly or deliberately.deliberately.

2.2. Fraud- deliberate false claiming of Fraud- deliberate false claiming of subsistence or travelling.subsistence or travelling.

3.3. Force- physically violent. Force- physically violent. 4.4. Fee splitting- between doctors, pharmacists, Fee splitting- between doctors, pharmacists,

drug companies, labs.drug companies, labs.5.5. Failure to attend to a patient- medical Failure to attend to a patient- medical

negligence, negligence, 6.6. False behaviours- examination of a female False behaviours- examination of a female

with out a chaperon, breaking professional with out a chaperon, breaking professional confidentiality.confidentiality.

•MEDICAL NEGLEGENCE?•CRIMINAL,CIVIL•DOCTOR PATIENT RELATION SHIP(AGREE TO HEAL OR TREAT BEST OF HIS ABILITY)•BREACH•DAMAGE•PROVE RELATION SHIP•RES IPSA LOQUITOR

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