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Forensic medical examination to determine the severity of injuries

Analysis of the circumstances of the occurrence of damage and comparing them with objective data obtained in the process of expert examination, create the opportunity to answer important for the investigation and judicial authorities the question of the mechanism of injury and the possibility (or impossibility) of damage under specific conditions, which gave witness, victim, suspect or accused. It should be borne in mind that testify to report to the expert circumstances lesions and presenting complaints may, for whatever reasons and considerations to distort the facts, to specify a wrong timing of the damage, etc. In connection with this anamnestic data obtained from the witness, must be critically assessed in accordance with the objective results of the survey.
Very important is the acquaintance of experts with the originals of medical documents. Often the victims before the examination treated in medical institutions (polyclinics, hospitals), and at some time in their recovery. In this regard, the original appearance of the damage can vary considerably (under the influence of surgical intervention or conservative treatment), and some of damage, such as scratches, bruises, fully isparitsya. In these cases, the question of the existence, characteristics and severity of the damage can be solved only by their description in medical documents. However, the data available in these documents must also be subjected to critical analysis.
The examination begins with a detailed examination of the body. If damaged, the study recommended with a magnifying glass. Consistently exploring the parts of the body and on damage, expert describes them, be sure to enter the part of the body, the distance from the identification and anthropometric points, shape, size, color, objective characteristics of damage. Each point of damage should be described separately; it is forbidden to describe corruption generally.
The nature of the object that caused the injury is established by the expert in each case according to morphological features of the lesions (see Chapter 18-23). For the establishment of mechanisms of occurrence of damage to the forensic expert not only analyzes their morphological features, but maps and objective data obtained during the study, with data related to the circumstances and conditions of injury.
The possibility of determining the limitation of occurrence of injury is based on knowledge and accounting processes and phenomena occurring in a living organism in the dynamics of healing.
In the criminal codes of the Union republics contains articles on liability for intentional or negligent infliction of bodily harm. In the criminal code of the RSFSR liability for bodily injury is provided by senior p.108-114.
In Art. 108, 109 and 112 of the criminal code of the RSFSR are signs of a grave, less grave and light bodily injuries. In accordance with these signs and with the "Rules of forensic medical evaluation of the severity of bodily injuries" (1979), which provide specific medical criteria signs of physical injuries of various severity level, the medical examiner determines the severity of injuries.
To determine the severity of the injury rather the presence of any one of the signs defining the severity of the damage.
Assessing damage, depending on their severity, should be taken into account: 1) the risk of injuries to life; 2) the harm caused to health arising out of bodily injury, i.e., effects and outcomes of injuries that can be expressed as: (a) in a permanent loss of earning capacity varying degrees; b) in long-term or short-term health disorder.