[On the challenges and shortfalls of expert assessment of maxillofacial injuries with concussions according to medical documents only].

Q4 Medicine

Sudebno-Meditsinskaya Ekspertisa Pub Date : 2025-01-01 DOI:10.17116/sudmed20256801154

M O Yagmurov, I A Tolmachev, A P Bozhchenko, Yu A Khrustaleva

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引用次数: 0

Abstract

Objective: To determine the shortfalls of medical documents for victims with facial injuries and concussions and the related challenges during forensic medical expert assessment of the injury.

Material and methods: The medical records of the victims and the reports of forensic examination of living persons were examined.

Results and conclusion: Facial injuries with concussion account for about 20% of all examinations of living persons. The morphological essence of the described lesions differs significantly among forensic medical experts and clinical doctors. Clinicians provide an excessive or insufficiently validated diagnosis of concussion, which is not confirmed during forensic medical examination in nearly 40% of cases. Forensic medical experts could determine the nature of trauma based on the study of medical documents only in 68% of cases. The efficacy of in-person expert examinations of victims is low. Some ambiguous provisions of regulations and medical criteria for determining the severity of harm caused to human health allow for arbitrary interpretation.

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[论仅依据医学文献对颌面部损伤伴脑震荡进行专家评估的挑战与不足]。

目的：探讨面部损伤和脑震荡受害者医疗文件的不足及其在法医鉴定损伤时面临的挑战。材料和方法：审查了受害者的医疗记录和对活人的法医检查报告。结果与结论：面部损伤合并脑震荡约占所有活人检查的20%。所描述的病变的形态学本质在法医专家和临床医生之间有很大的不同。临床医生提供的脑震荡诊断过度或不充分有效，近40%的病例在法医检查中没有得到证实。法医专家仅在68%的案例中能够根据医学文件的研究来确定创伤的性质。亲自对受害者进行专家检查的效率很低。在确定对人类健康造成损害的严重程度方面，条例和医学标准的一些含糊不清的规定允许任意解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sudebno-Meditsinskaya Ekspertisa Medicine-Pathology and Forensic Medicine

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The journal is concerned with the theory and practice of forensic medicine - the problems of thanatology, traumatology, toxicology, serology, forensic obstetrics, forensic dentistry, forensic psychiatry, forensic chemistry, physicotechnical methods of investigation, history of forensic medicine and some problems of criminology and legal laws related to forensic medicine. It publishes original studies by Russian authors, casuistry surveys, abstracts and reviews of Russian and foreign literature, scientific information, reports on scientific conferences.