Article

Audit of sharp weapon deaths in metropolis of Karachi--an autopsy based study.

Department of Forensic Medicine, Dow Medical College, DUHS, Karachi, Pakistan.
Journal of Ayub Medical College, Abbottabad: JAMC 10/2010; 22(4):176-8.
Source: PubMed

ABSTRACT

Sharp weapons are one of the most violent and abhorrent means of deaths. This study assesses the frequency of sharp weapon deaths in Karachi.
This was a cross sectional study, and involves the deaths by sharp weapons autopsied in Karachi during Mar 2008-Feb 2009.
This study reports that the frequency of sharp weapon deaths in Karachi is similar to some other studies conducted in different regions of Pakistan, yet it is very high as the population of Karachi is way more than any other metropolis of Pakistan. Our study reported that out of 2090 medico-legal deaths in Karachi during the study period, 91 deaths were due to sharp weapons, including 73 (80.2%) males and 18 (19.8%) females. 100% of the deaths were homicides, so none were suicides. Deaths were more frequent in age group ranging from 20-39 years (59.3%).
Sharp weapon deaths continue to be a means of quite a number of deaths in Karachi. Such violence depicts intolerant and frustrated nature of the citizens.

Download full-text

Full-text

Available from: Farhat Mirza, Mar 07, 2014
  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction: Medicolegal cases are an integral part of medical practice that is frequently encountered by Medical Officers working in casualty department and dealing with Police/Court cases. To prevent the problem of increasing violence and criminal assault result in personal injury or death deserves a detailed examination. Objective: To present the profile of medicolegal cases reported in the Sandeman Civil Hospital Quetta, a teaching hospital of Bolan Medical College Quetta, a tertiary care health delivery and medicolegal center for the entire city as well as its suburbs, with in the period of one year that is 2009. To highlight the vulnerable gender, age, cause (motive) and type of weapons used with seasonal frequency to assess the trend of the incidences and frequency of crime committed in different area of Quetta Balochistan with comparison to other parts of the country. Study Design: Retrospective study Place and Duration of Study: This study was conducted in medicolegal section of Sandeman Civil Hospital Quetta, from 1 st January to 31 st December, 2009. Materials and Methods: 9915 medicolegal cases admitted in medicolegal registers/record by medicolegal officers were included. Cases found non-medicolegal excluded. The variable considered were gender, age, weapon or cause of injury, inhabitant and seasonal variations in medicolegal cases. Findings were expressed in numbers and percentages. Results: Out of these 9915 medicolegal cases males were 8636 (87.1%) and females 1279 (12.9%).Maximum (33.46%) victims were age group of 20-29 years followed by 26.13% victims in age group of 30-39 years. Among this sample, the most common type of injury was Assault caused by blunt and hard object 5665 (57.13%) followed by Road traffic accidents 1945(19.61%), firearms 558 (05.62%), Urban inhabitant victims were 6143 (61.96%) and rural 3772 (38.04%). Most of cases occurred in summer than in winter. Conclusion: Majority of victims were young adult males, urban inhabitants, blunt and hard weapons were commonly employed in this region for assault cases. More trauma care centers with necessary facilities are suggested in remote areas so the burden on main hospital can be decreased and life of trauma patients could be saved. Proper counseling for developing positive attitude and controlling the aggression in youth have to be promoted.
    No preview · Article · Sep 2012 · Medical Forum Monthly
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective:To describe the pattern of visceral injuries in penetrating trauma patients, their association with entry wounds and to observe the outcome of patients after surgical intervention. Methodology: This study included 79 patients with abdominal trauma who presented in the Accident and Emergency department of Civil Hospital, Karachi, Pakistan and underwent exploratory laparotomy from October 2011 to April 2013. A proforma was used to document patient's demography, findings and final outcome. Results: 42.7% patients were in the age group of 21 to 30 years. 76 (96.2%) were male and 3 were female. Most entry wounds were found on ventral abdominal wall (57%), involving the left upper quadrant in 31.6% patients. Intra-abdominal injuries, included liver (n=14, 17.7%), spleen (n =12,15.2%), kidney (n=4, 5.1%), pancreas (n=4, 5.1%), stomach (n=12, 15.2%), small bowel (n=34, 43%) and large bowel (n=35, 44.3%). 41 patients have multiple organ injury. Associated injuries were present in 50.6% cases. Postoperative complication included wound infection in 30.4%, wound dehiscence in 6.3%, abdominal sepsis in 3.8% and mortality in 8 (10.1%) patients. Average hospital stay was 8 days. Conclusion: This study has highlighted the pattern of visceral injuries that can be predictable in firearm trauma patients even before exploration. The entry wound, clinical stability and the surface area of visceral organs are the major determinants in predicting pattern of visceral involvement.
    No preview · Article · Jan 2014 · Rawal Medical Journal
  • [Show abstract] [Hide abstract]
    ABSTRACT: Weapons are instruments used with the aim of causing damage or harm to living beings. They are used to increase the efficacy and efficiency of tasks such as in humans fighting, defence, the committing of criminal acts and the preserving of law and order. Weapons are employed individually or collectively either by single assailant or multiple assailants. Commonly knives, daggers, choppers, bamboo sticks are used to inflict injuries. A cross sectional study was conducted in the Department of Forensic Medicine, Victoria Hospital, Bengaluru over a period of 1 year from Jan 2010 to Dec 2010 to highlight the weapons examined related to mechanical injuries in fatal cases of assault autopsied. Single weapon was commonly used in 20 (46.51%) cases of assault. Face (67.44%) was most commonly injured. Sharp heavy weapons like choppers were commonly used in assault cases.
    No preview · Article · Jan 2015 · Journal of Indian Academy of Forensic Medicine
Show more