Carmona R, Prince K
Department of Surgery, University of Arizona, Tucson.
J Trauma. 1989 Sep;29(9):1222-5. doi: 10.1097/00005373-198909000-00006.
Trauma physicians are frequently involved in the evaluation and treatment of patients who are victims of crimes or themselves criminals. These physicians usually have little or no training in the forensic aspects of emergency medical care and therefore necessary evidence may often be overlooked, lost, inadvertently discarded, or its admissibility denied because of improper handling or documentation. Criteria were developed to evaluate the forensic medical aspects of such trauma cases and to discern the magnitude of the problem. The majority of the cases reviewed demonstrated significant forensic medical deficiencies primarily in the areas of documentation and/or handling or securing of evidence. Trauma physicians have the responsibility and potential liability to insure that necessary evidence is properly secured and preserved while caring for their patients. Educational programs should be developed for this purpose.
创伤科医生经常参与对犯罪受害者或犯罪分子本人的评估和治疗。这些医生通常在急诊医疗护理的法医方面几乎没有或完全没有接受过培训,因此必要的证据可能经常被忽视、丢失、无意中丢弃,或者由于处理不当或记录不规范而被拒绝采纳。制定了相关标准来评估此类创伤病例的法医医学方面,并识别问题的严重程度。大多数审查的病例在记录和/或证据处理或保管方面都存在重大的法医医学缺陷。创伤科医生有责任也有潜在的责任确保在照顾患者时妥善获取和保存必要的证据。为此应制定教育计划。