INTRODUCTION- Pediatric medico-legal cases are important public health problems in the pediatric casualty in India. These cases are among the leading causes of pediatric disabilities and deaths. We conducted a study to evaluate the demographic features of the medico-legal cases who presented to our pediatric casualty.METHODOLOGY- : In a total of two year study period, 120 patients were presented in casualty as medico-legal cases. Information about the patients was obtained from hospital records and analysed by us from casualty. RESULTS- : 70 male (58.3%) and 50 female (41.6%) patients were included in our study. The majority of the patients were between 10- 14 years of age (n=30; 25.0%). Fall from height was the major complaint (n= 60; 50%) of our patients. Winter was the most common season (n= 37; 30.6%) and January (n=13; 11%) was the most common month for medico-legal admissions. The majority of the patients (n=42; 35%) presented to our emergency room between 18-24 hours. 78 cases (65%) had health risks at the time of presentation. Conclusion: Developing effective & preventive strategies is essential to prevent child injuries. Majority of cases were males and adolescents. There is an urgent need to focus more on this vulnerable age group i.e. adolescent age group. There should be increased awareness among pediatricians about these medico legal cases and improving counselling skills to handle relatives of patients.
World Health Organisation. World Report on Child Injury Prevention. Accessed: 12 September 2015. Available from: http://www.who. int/ violence_injury_ prevention / child/injury/world_report/report/ en/
Judy K. Unintentional injuries in pediatrics. Pediatr Rev 2011;32:431-38.
Sever M, Saz EU, Ko?argelir M. An evaluation of the pediatric medico-legal admissions to a tertiary hospital emergency department. Turk J Trauma & Emergency Surgery 2010;16: 260-67.
Rivara FP, Calonge N, Thomson RS. Population-based study of unintentional injury incidence and impact during childhood. Am Public Health 1989;79: 990-4.
Petridou E, Anastasiou A, Katsiardanis K, Dessypris K, Spyridopoulos T, Trichopoulos D. A prospective population based study of childhood injuries: The Velestino town study. European Journal of Public Health 2005;15:9–14.
Pieri R, Minotti D, Gentili L, Negosanti I, Ricci L, Bedei G, et al. Injuries in childhood: A study on emergency department admissions of pediatric population in an Emilia-Romagna USL. Pediatr Med Chir 1992;14:293–96.
Gofin R, Adler B, Hass T. Incidence and impact of childhood and adolescent injuries: A population-based study. J Trauma 1999;47:15–21.
Osberg JS, Kahn P, Rowe K, Brooke MM. Pediatric trauma: Impact on work and family finances. Pediatrics 1996;98:890–97.
Yücel AB, Sütoluk Z, Y?lmaz LH, Akbaba M, Aytaç N. Evaluation of the patients having visited Pediatric Emergency Service in the Faculty of Medicine of Cukurova University and recorded as medicolegal cases in 2004. Adli T?p Bülteni 2005;10:90-5.
Streatfield PK, Khan WA, Bhuiya A, Hanifi SM, Alam N, Diboulo E, et al. Mortality from external causes in Africa and Asia: Evidence from INDEPTH Health and Demographic Surveillance System Sites. Glob Health Action 2014:7;25366.
Turla A, Ayd?n B. Evaluation of the judicial cases that have been admitted to Ondokuz May?s University Medical Faculty. Adli T?p Bülteni 2007;12:106-11.
Watson WA, Litovitz TL, Klein-Schwartz W, Rodgers GC, Youness J, Reid N, et al. 2003 annual report of the American Association of poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 2004;22:335-404.
Kurugöl Z, Mutluba? F, Koturo?lu G, Vardar F, Özk?nay F, Özk?nay C, et al. Çocukluk ça??nda kazalar ve zehirlenmeler. Ege Pediatri Bülteni 2001;8:79-82.
Bertan M, Güler Ç. Halk Sa?l??? Temel Bilgiler. Ankara: Güne? Kitabevi, 1997:462-72
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