PATTERN AND MEDICOLEGAL MANAGEMENT OF POISONING CASES AT EMERGENCY CARE DEPARTMENT (CASUALTY) OF TERTIARY CARE CENTER OF RURAL TERTIARY CENTER IN EASTERN MAHARASHTRA (CENTRAL INDIA).

Main Article Content

Dr Sundeep Ingale
Dr Prakash Mohite

Keywords

Poisoning, casualty department, medicolegal management.

Abstract

Introduction: Poisoning cases are common and reported to any tertiary care hospital's emergency department (casualty). Apart from emergency medical management of poisoning cases, it has various medicolegal aspects that must be addressed appropriately by treating doctors to avoid unnecessary legal litigations. The study analyze the patterns of poisoning cases and the associated medicolegal issues reported to the casualty department.


Methods: The study was conducted at the emergency department of the medical college located in eastern Maharashtra (Central India). One hundred ninety-two cases of poisoning were included in the study over one year.


Results: Study shows a predominance of Male sex, rural residence, use of insecticide, and suicidal Manner as significant factors among the patients.


Conclusion: The current study is conducted in the Hospital's casualty department. The study will help create awareness among medical practitioners regarding the patterns and management of poisoning cases. The study is also helpful in finding various influential factors for poisoning and will help set guidelines to avoid such issues.

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References

1. Boedeker, W., Watts, M., Clausing, P. et al. The global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review. B.M.C. Public Health 20, 1875 (2020).
2. From the internet: https://www.thehindu.com/news/national/other-states/vidarbha-continues-to-record-higher-farmer-suicides/article38310096.ece
3. Unnikrishnan B, Singh B, Rajeev A. Trends of acute poisoning in south Karnataka. Katmandu University Medical Journal 2005 (cited 2014 July 13); 3 (2): 149-154. Available from: http://www.kumj.com.np/past/ vol3/issue10/145-154.
4. Dash SK, Raju AS, Mohanty MK, Patnaik KK, Mohanty S. Sociodemographic profile of poisoning cases. Journal of Indian Academy of Forensic Medicine 2005; 27 (3): 133-137.
5. Gurudutt K.S. Profile of poisoning cases at Belgaum, Karnataka: A cross-sectional study. Medicolegal Update. 2011, 11(1) : 24-27
6. Shetty VB, Pawar GS, Inamdar PI. Profile of poisoning cases in district and Medical College Hospitals of north Karnataka. Indian Journal of Forensic Medicine and Toxicology 2008; 2 (2): 22-26.
7. Vanaja K, Jai Prakash V, Rani S.R.H., Kiran N. Pattern of poisoning reported at south Indian tertiary care hospital. Indian Journal of Forensic Medicine and Toxicology 2008; 2 (2): 17-19.
8. Hettiarachchi J, Kodithuwakka G.C.S., Chandrasiri N. Suicide in southern Sri Lanka. Med Sci Law 1988; 28 (3): 248-251.
9. Siwach SB, Gupta A. The profile of acute poisonings in the Harayana-Rohtak Study. J Assoc Physicians India. 1995 Nov;43(11):756-9.
10. Gupta BD, Vaghela P.C. Profile of fatal Poisoning in and around Jamnagar. Journal of Indian Academy of Forensic Medicine 2005; 27 (3): 145-148.
11. Prakash C, Joshi G, Nigam P, Joshi A, Joshi SC. Pattern of poisoning cases admitted at a Tertiary Care Centre in the Kumaon region of Uttarakhand. Indian Journal of Forensic Medicine and Toxicology 2010; 4 (1): 4-5.