Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
(2) The parts of the body where they are, and those from which they are
absent. They are never found on vital parts, but always where there
is little danger of doing harm. They are present on parts accessible
to the individual. The hands are seldom wounded, and if they be, not
severely.
(3) The clothing may not be cut, and if it be, the cuts may not go
right through, and if they do, they may not coincide with the position
of the wounds. The person should be clothed in order to determine
this. Blood-stains on the cuts in the clothing may be erratic in
distribution, some being on the inner layer only, some on the outer,
and rarely soaking through all, pointing to the probability of its
having been artificially applied.
Such self-inflicted wounds are usually produced for the purpose of
bringing a fictitious charge of assault, feigning self-defence or
provocation on the part of the assailant when accused; and in order
to divert suspicion, as in the case of a person who alleges he has
received the injuries by an assailant who was committing robbery while
he himself is guilty of it.
THE CAUSES OF DEATH FROM WOUNDS
Wounds may prove fatal from results which are (1) =directly=
due to injury--_hæmorrhage_, _shock_, or _mechanical injury
to some vital organ_, _e.g._ the heart or lung; or (2) =indirectly=
from _complications_ which may supervene such as infective
processes--erysipelas, tetanus, septic infections,
gangrene,--exhaustion, or the effects of surgical operations; or (3)
_malum regimen_ (_a_) on the part of the patient, (_b_) on the part of
the medical attendant.
1. Direct
Hæmorrhage.--Hæmorrhage may be profuse and cause rapid death if a
large blood-vessel, more especially an artery, has been injured.
The hæmorrhage may take place internally, in which case it need not
necessarily be profuse; it will depend upon the position; a small
hæmorrhage into the pericardium or in the brain may prove rapidly fatal.
Shock.--Death from shock is generally associated with severe injury,
either a single one, or from several smaller injuries, any of which
alone would not be expected to prove fatal. Death may occur from shock
when the visible injury may be slight, as in blows over the heart
and abdomen, the latter causing fatal syncope from dilatation of the
splanchnic vessels. Repeated lesser injuries as in flogging may cause
death through shock; and fatal psychical shock may be caused by mental
excitement, as, for instance, in an encounter when no physical injuries
have been received.
Mechanical Injury to Viscera.--This causes rapid death, more especially
when the viscus injured, as the heart or medulla, is necessary for
the immediate functions of life; injuries to other organs may not be
followed by immediate death unless very severe and with great shock. A
wound of the lung may not be followed by death for some time.
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