The document discusses medico-legal case management and procedures for doctors. It outlines what constitutes a medico-legal case and the legal requirements for doctors to register and report such cases. Key points include identifying medico-legal cases, obtaining consent for examination, properly examining and documenting injuries, collecting evidence and samples, and treating patients while fulfilling legal obligations.

1. MEDICO LEGAL CASE MANAGEMENT DR. N. C. DAS

2. LAW AND MEDICINE 1.Medical Jurisprudence : It deals with legal aspects of medical practice of doctors. 2.Forensic Medicine : It deals with medical aspects of law and medico legal case management.

3. LAWS RELATING TO MLC Sect ion 44 of IPC: Definition of Injury Any harm whatever illegally caused to any person in body, mind, reputation or property. Sect ion 319 IPC: Hurt Hurt means bodily pain, disease or infirmity caused to any person. 321 IPC: Defines “Voluntarily Causing Hurt” 322 IPC: Defines “Voluntarily Causing Grievous Hurt” 323 IPC: Describes Punishment for Voluntarily Causing Hurt . Shall be imprisonment which may extend for one year with or without fine which may be Rs 1000/ - . 324 IPC: Describes Punishment for Voluntarily Causing Hurt by dangerous weapon shall be imprisonment for up to 3 years with or without fine. 325 IPC: Describes Punishment for Voluntarily Causing Grievous Hurt . Shall be imprisonment which may extend for 7 year with or without fine.

4. Sect ion 299 IPC: Defines Culpable Homicide Whoever causing death by doing an act with the intention of causing death, or with the intent ion of causing such bodily injury that likely to cause death or with the knowledge that he is likely by such act to cause death, commits the offence of culpable homicide. Murder: Sect ion 300 IPC Culpable homicide is murder: • If the act by which the death is caused is done with the intent ion of causing death or , • If it is done with the intent on of causing such bodily injury as the of fender knows to be likely to cause death or , • If it is done with the intention of causing such bodily injury which is sufficient in the ordinary course of nature to cause death or , • If the person committing the act knows that it is so imminently dangerous, that it must in all probability cause death or such bodily injury as is likely to cause death and commits such act without any excuse.

5. Culpable homicide is not murder: If the offender whilst deprived of the power of self control by grave and sudden provocation causes the death of the person who gave the provocation, or causes the death of other person by mistake or accident

28. D.PREPARATION OF MLC RECORD An MLR comprises of three parts, namely: a) Pre-amble: includes the date, time and place of examination, name of the patient, his residential address, occupation; name of the person(s)/police official accompanying, DDR/FIR No., informed consent of the person being examined, two marks of identification, etc, wherever applicable. b) Body (Findings/Observations): includes a complete description of the injuries/any other findings present; any investigations/referrals, etc, asked for. c) Post-amble (Opinion): includes the Nature of the injury—whether simple or grievous. Weapon/Force used—whether blunt or sharp or fire-arms or burns, etc. Duration of the injuries—based on the characteristics of the external injuries. To be signed with full name of attending physician in capital letter

40. L.PROCEDURE OF DYING DECLARATION In a critically ill medico legal case that is not expected to survive, medical officer treating the case should inform the police to arrange for recording evidence so that the magistrate should come and record the dying declaration. In all the cases where there is immediate likelihood of death and it is not possible to contact a magistrate, the dying declaration must be recorded by the doctor of the unit concerned in the presence of another gazetted officer or two responsible persons, either two fellow doctors or two persons from qualified nursing staff . Statement of the witness shall be recorded, preferably in the vernacular of the patient in which he/ she speaks. In all such cases medical officer should obtain either signatures or thumb impression of the patient. The original dying declaration shall be sent to the SDM concerned in a sealed cover through the Medical Record Department. Doctor should not attest the dying declaration or act as a witness in case when police or magistrate records the dying declaration.

47. Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS