MEDICAL PRACTICE ISSUES IN TRAUMATIC PATIENT ASSISTANCE, VICTIM OF HETEROAGRESSION
Abstract:
When turning from mechanically traumatic patient, victim of heteroagression into a forensic
patient, multidisciplinary clinical management of traumatic patient also acquires a multisectoral character
through the involvement of the prosecution, criminal investigation, court or social services. The central
position the doctor holds, involves new responsibilities, as well the need for new knowledge that would
support his decisions. Purpose: Identifying and prioritizing the key issues, challenges and information
needs of doctors regarding the management of traumatic patient, secondary to mechanical interpersonal
aggression. Materials and methods: I conducted a qualitative, multicenter study. Recruiting the nominal
groups was achieved through a two-stage guided sampling to reproduce as faithfully as possible the share
of assistance levels and specialties involved in the healthcare of the patient who suffered a mechanical
trauma. The results were ranked and categorized by level of care / specialty. Results: The study identified
problems revealed by health professionals in health facilities belonging to three counties. The results
obtained in the three study sites were synchronous. Conclusions: There are no rules defined for the
traumatic patient’s healthcare, secondary to interpersonal aggression. There is a natural tendency of
doctors to prioritize medical care and to put on second place, the medical paperwork. Numerous
shortcomings were identified regarding how to fill out the medical, forensic and legal papers and their
circuit. There is a need expressed by physicians at various levels of healthcare to regulate the approach of
the mechanically traumatic patient with forensic aspects.
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