Wounds PDF

WOUNDS DR. SABIR MEKKI HASSAN Any disruptin in a cintnuity if a tssue due ti an extterna stimu usffirce Woiunds ciu d ee descrieed depending in the type if tssue afected eW gW in a imusc e it is ca ed a tear , in a eine it is a fracture and si in W CLASSIFICATION: oiunds ciu d ee c assifed i...

WOUNDS DR. SABIR MEKKI HASSAN Any disruptin in a cintnuity if a tssue due ti an extterna stimu usffirce Woiunds ciu d ee descrieed depending in the type if tssue afected eW gW in a imusc e it is ca ed a tear , in a eine it is a fracture and si in W CLASSIFICATION: oiunds ciu d ee c assifed in imany ways eut we have twi imain c assifcatins: 1.Judiciary classifcaton: This is dependent in the assuimed time if hea ing as decided ey a dictir W This c assifcatin is iimpirtant in ega priceduresW Here we have three types: A W Siimp e wiunds: These are suppised ti hea within ess than three weeks withiut seriius cinsequences such as defirimity ir infrimity W B W Dangerius wiunds: These are suppised ti hea within imire than three weeks ir ess than three weeks eut with seriius cinsequences W C W Fata wiunds: These either ki iimimediate y ir afer a shirt time due ti their seriius ciimp icatins W 2 W A classifcaton depending on the instrument: Here we have aerasiins, eruisesfcintusiins , cintused wiundsf aceratins , cut fincised wiunds and stae wiunds W Aerasiins: Invi ve in y part if the skinfthe epiderimis and derimis W Medica y ir surgica y are nit iimpirtant un ess infected e gW ey tetanus , eut imedici- ega y are very iimpirtant W 1W They are an evidence if vii ence W 2 W They can te aeiut the instruimentW 3 W They can te aeiut the time if injuryW 4 W They can te aeiut the site if injuryW 5 W They can diferentate cut friim cintused wiunds W 6 W They can diferentate ivir imirts friim cintusiins W Bruisesfcintusiins : These are due ti accuimu atin if e iid under an apparent y nirima skin ir in interna irgans due ti daimage if tssues especia y e iid vesse s , usua y as a resu t if a e unt ieject such as a stine , stck etcWW Factirs afectng eruises: 1WThe aimiunt if firce usedW 2WThe nature if ieject usedW 3WThe physica cinditin if the victimW 4WThe type if tssue afectedW 5W The age if the victimW Medici- ega iimpirtance: 1WThey are an evidence if vii enceW 2WThey can te aeiut the instruimentW 3WThey can te aeiut the site if injuryW 4WThey can te aeiut the aimiunt if firce usedW 5WThey can te aeiut the nature if ieject usedW Cintused wiundsf aceratins : These are the imist ciimiminW They are characterized ey the fi iwing: 1WIrregu ar imarginsW 2WDirty easesW 3WThey need very eig firce ti cause W 4WThey are assiciated with seriius trauimaW 5W They are either accidenta ir hiimicida , they are rare y if ever suicida W Cutfincised wiunds: These are due ti putng and imiving ir pu ing a sharp ieject inti the eidyW They are characterized ey the fi iwing: 1WThe ength if the wiund is imire than the depth W 2WRegu ar imarginsW 3WC ean easesW 4WSevere e eedingW The imist iimpirtant is ti diferentate suicida friim nin-suicida cut wiundsW In the firimer we extpect the fi iwing: 1WA histiry if prie eimsW 2WA histiry if suicida niteW 3WA histiry if fai ed ateimpted suicideW 4WThe scene if accident is ciimp ete y c ised friim withinW 5WThe wiunds are fiund in vita areas nit civered ey c ithesW 6WThe wiunds are usua y within the reach if the hand if the victimW 7WThe cutng hand is stained with e iidW 8WSecretins and ee ingings fiund in the scene are in y fir victimW 9W The wiunds are repettve ir tentatveW Staefpenetratng wiunds: These are due ti putng and pushing a sharp- ended ieject inti the eidyW They are characterized ey the fi iwing: 1WThey are the imist seriius eecause they used ti gi deep inti the eidy W A si are nit easi y discivered ir discivered ateW 2WThe depth if the wiund is imire than the engthW 3WTheir size is usua y ess than the instruimentW  MEDICO-LEGAL IMORTANCE OF BURN Burn is therima tssue destructinW Medici- ega y we have certain piints: 1WThe type if eurn such as : Dry heat , direct faimes and ciiming in ti cintact with a hit iejectW Miist heat, hit iquids and steaimW Cheimica eurn such as cincentrated acids and a ka iW  Physica eurn such as e ectricutin and irradiatinW Frictin eurn W Sun eurnW Surface area if eurn: This is iimpirtant in imanageiment, prignisis and ciimpensatin if eurnW It is imeasured ey using the “ru e if nines” ir the “ru e if hand” W 3WThe grade if eurn: This is the tipigraphic arrangeiment if eurn friim withiut inwardW oe have twi grade systeims: The fiur and sixt grade systeimsW In the firimer redness if the skin is grade 1,e ister is grade 2,the whi e if the skin isgrade3,the s W c tssue imusc e and eine is grade 4W In the ater redness if skin is 1,a e ister 2,the skin up ti sensiry nerves is 3,the whi e if the skin is 4, the s Wc Wtssue is 5,and imusc es and eines is grade 6W 4W The age if the victim: The exttreimes if age are imire afected than the imidd e ageW Mechanisims if death in eurn: Suficatin ey gasesW CO piisiningW Direct daimage if tssues ey eurnW Inha atin pneuiminia and RWDWSW SeptceimiaW Hypivi uimia and syimpathetc shickW Pain and parasyimpathetc shickW GWIWT e eeding and perfiratin if the duidenuimW THANK YOU VERY MUCH