With respect to errors in RPMs, no RPMs were error-free in this study. Several errors were identified in this study. Lack of documentation on the timing of patient admission, patient consciousness, and the name of the physician certifying the MLR were the three most common errors that occurred in more than 98.5% of cases in the current study. In contrast, a Turkish study by Aktas and colleagues found that the patient`s state of consciousness was not documented only 1.8% of the time.2 However, another Turkish study by Turla and colleagues reported a lack of documentation on the patient`s state of consciousness in 58.7% of cases. The Turkish study by Turla et al. reported that the name of the physician who wrote the MPR was not documented in 8% of cases.12 In this study, information on law enforcement personnel who received the MPR was not only documented in less than 1% of the reports, unlike the Turkish study by Turla et al., where this information was not documented in all reports.12 More than two-thirds of cases (293, 70.1%) were due to fights in which the admitted patient was also actively involved in the injury of one or more persons, followed by cases of bodily harm and assault (54, 12.9%), in which the admitted patient did not cause harm to any other person. Almost one-tenth (10%) of the cases involved traffic accidents where the patient was either a car occupant (37.8.9%) or a pedestrian (2.0.5%). In 5.7% (24) of cases, the nature of the injury was not documented (Table 2). 8. General Guidelines for the Treatment of Medico-Legal Cases (a) In an emergency, resuscitation and stabilization of the patient is performed first, and then the medical formalities are completed. Consent to processing is implied in all emergency situations. 4 b) All cases referred to an AFMS health care facility will receive medical care regardless of their request. In unjustified cases, after initial stabilization, the patient may be transferred to the nearest public hospital and, if necessary, by ambulance.
c) Cases of trauma are called MLC if there is suspicion of criminal wrongdoing, even if the incident is not of recent origin. All cases of injury to military personnel must be reported in the IAFY 2006 (Injury Report) with the appropriate classification of insignificant, moderate or severe. d) All MI wards and hospitals maintain an MLC register and the MLC is initiated and documented in the register. Personal data, identification marks, fingerprints of the person are noted. The details of the patient`s companion are also noted. (e) Medical documents should be drawn up in duplicate with the utmost care, giving all the necessary details, preferably written in ballpoint pen and avoiding being crushed. If a derogation or correction is made, it must be certified with the full signature and stamp of the OM. Abbreviations should be avoided. (f) The Commanding Officer/Commanding Officer and the Chief Registrar and their equivalents in other hospitals should be informed immediately as soon as an MLC is registered or admitted. Patient details and a brief summary of the case are mentioned in the BMD report book.
5 g) The patient is placed on SIL/DIL if necessary. (h) NOK will be notified when the address is available. (j) The police must be informed. According to article 39 of the Code of Criminal Procedure, the participating military authority is legally obliged to inform the police of the arrival of an MLC. Failure to report the occurrence of an MLC may result in prosecution under Articles 176 and/or 202 of the CPI. At the same time, the information must be transmitted to the DHA, Station Headquarters (HQ), Military Police Corps (PMC) and the unit in question (by telephone). The oral communication must be followed without exception by a written communication. k) In case of discharge/transfer/death of such a case in hospital, the police should be informed. (l) Medical documents shall be treated as confidential records and kept in a secure place to prevent falsification. Medical records must be complete and complete, and must document every significant event during the patient`s care.
All documents, including case sheets, X-rays and examination reports, are meticulously kept in the medical file for an indefinite period and, if necessary, handed over to the competent authorities (police investigator/court/investigating court). 6 m) Prompt treatment, proper triage and safe transfer of a patient from one facility to another should be carried out in all cases and not delayed due to the medico-legal nature of the case. (n) Advice on the severity of injuries should be given upon receipt of x-ray reports of bone or joint injuries.