Poisoning Scenario In Chandigarh Zone Problems

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Poisoning Scenario In Chandigarh ZoneProblems
Possible Solutions

• Dr.
  PrabhSharan Singh (PG II Year)
• Dr. Dasari
  Harish (Reader)
• Dr. BR Sharma
  (Reader)
• Dr. Krishan Vij
  (Prof. Head)
• Department
  of Forensic Medicine
• Govt. Medical
  College Hospital
• Chandigarh

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Poisoning as a problem
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Year-wise break up of cases
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Age and sex-wise distribution of cases
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Marital status of fatal poisoning cases in Rural
and Urban Areas
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MALES
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Most commonly used poisons during 1994-2004
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s
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PROBLEMS

• Mismatch in History and Chemical Examiners report
• deliberate concealment by patient/relatives
• poison consumption at the spur of moment
• fallacy in lab. Analysis
• Diagnostic problem-EMO may not have
• - exact knowledge regarding manifestations
• - means to diagnose/treat poisoning cases

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PROBLEMS CONTD.

• Hospitals lack infrastructural facilities
• - Acute shortage of specific antidotes and life
  saving drugs
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• Sample collection
• - Chain of custody
• - Medium and jars used for reservation

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PROBLEMS CONTD.

• Chemical examiner report only
• Qualitative not Quantitative
• "Mere presence of a drug/poisonous substance
  in the blood and viscera does not imply that the
  concentration of the substance has surpassed the
  fatal limits."

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POSSIBLE SOLUTIONS

• Specialized Toxicological Wing
• in all major Govt. Hospitals and
• Medical Colleges
• Up gradation of Hospital infrastructure
•  

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POSSIBLE SOLUTIONS Contd.

• Refresher courses/CME to Medical Officer
• - record keeping
• - maintaining chain of custody
• - proper selection and preservation of body fluid
  
• samples
• Chemical examiners reports to be both
  qualitative and quantitative
• - regular interactions between chemical
  examiner, MO and investigating agencies

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THANK YOU