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Incised wounds by Dr.M Balaji singh, ACSMCH, Chennai 2020
1.
2.
3. :1. Synonyms: cut, slash, slice.
( it is longer than it’s depth)
2. Definition: It refers to an open
wound resulting from a cut or an
incision in the skin or underlying
tissues by sharp force.
It is caused by a weapon with sharp cutting edge when it is
drawn across the skin.
.
5. 4. pressure +
movement of the weapon + sharpness
Striking force – assailant strikes on a victim by
knife
Drawing force- surgeon draws an incision on a
patient’s body by a scalpel
Sawing force – to and fro movements by sharp
weapon
6. - Shape of weapon.
- Sharpness of edge.
- Manner of infliction.
- Tissues involved.
-Relative position and reaction of the
victim
7.
8.
9. A) shape of the wound: usually spindle
shaped & gaping.
B) margins: clean & regularly cut, not
contused
C) bleeding; bleed freely & profusely due to
blood vessels are clean cut
10. d) edges: sharp, evenly divided, averted, smooth,
e) angles: sharp , acute.
f) base: intervening deeper tissues are leanly & evenly
divided.
g) dimensions: length is greater than depth and Width
of wound is.
h)pain ;relatively less
11. I) tailing of the wound:
-gradual decrease in depth of wound is seen
towards terminal end.
-So a superficial wound involving only skin is
seen at one end -This is called “ tailing of the
wound”.
-Tailing indicates direction of the application of
force.
12. J).clothes:
showing clean cuts , mostly in
case of assault.
cutson clothes may correspond
with the wound ,
but if the clothes are loose, folded
or drawn up during struggle, cuts
in clothes may not coincide with the wounds.
13. 1 manner of infliction
-self inflicted (suicidal)
-homicidal
-accidental
-surgical
2, cause of death due to incised wound is severe
bleeding- hypovolemic shock
3, Age of the wound –by findings of healing process.
14. Deliberate self harm is called para –suicide
History of similar attempts.
15.
16. Usually involve accessible body parts .
Injured parts are ‘less sensitive’ i.e. rarely
involve lips, or face.
Clothes are often intact (but not always)
Tentative or hesitation marks are
highly characteristic of self-inflicted
wounds
17. they refers to the preliminary cuts made by self,
intending to commit suicide
before gathering a sufficient courage to make a final
deep cut
CHARACTERISTICS
These are generally small, multiple superficial cuts
found at the commencement of incised wound & merging
with the main incision.
18.
19. features:
multiple, parallel , mostly superficial , super
imposed, .
found on of the body, opposite side to the dominant hand,
Seen in women >men
Self mutilation e.g. self castration usually
indicates severe mental illness
20.
21. Targets are often neck, face and chest, abdomen ‘
Usually single and deep, but multiple deep injuries
are always homicidal.
Not associated with hesitation/ tentative marks
Clothing often damaged .
May be associated with defensive injuries, or signs of
restraint.
Sweeping/ slash (striking force) in nature
Most homicidal cutthroat injuries are inflicted from behind the
victim, and the head is pulled back to expose the throat.
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32.
33. Accidental incised wounds are commonly the
result of either a fall onto broken glass, or
through a glazed surface, or during DIY or
working with sharp tools.
The wounds may be on the forearms or wrists
/
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37.
38. More in lacerated wounds
Relatively less in incision