Course on Scientific Investigation Level-I. Time Table

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Bureau of Police Research & Development http://www.bprd.org 1

Course on Scientific Investigation Level-I

Module-VII

: (3 days)

Medical Jurisprudence

Module Title: Medical Jurisprudence Duration: 3 days Training Faculty: CDTS offices/Guest

faculty

Group: SI/ASI.

Aim: To improve the knowledge and skills of trainees in Medical Jurisprudence and enable them to make a fair assessment of nature and cause of injuries, nature and likely cause of death and time since death.

Time Table

Day 1st Period 9.30 to 10.30 2nd Period 10.30 to 11.30 3rd Period 11.40 to 12.40 4th Period 12.40 to1.40 B R E A K 5th Period 3.00 to 4.00 6th Period 4.10 to 5.30 1 Injuries (LP-1) Changes after Death (LP-2) Death due to poisoning – Medico-legal aspects (LP-3) Death due to burning (LP-4) Death due to Asphyxia – Medico-legal aspects (LP-5) 2 Importance of Post-mortem examinatio n (LP-6)

Death due to alleged medical negligence (LP-7) Medico-legal aspects of custodial deaths (LP-8) Transport ation deaths and mass disasters (LP-9) Sexual offences – Medico-legal aspects (LP-10) 3 Observing a Post-mortem examination

(LP-11) Compariso n of notes on PM examinatio n (LP-12) Module Test

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LESSON PLAN-1

Title: Injuries Duration: 120 minutes

Trainer: Group: Scientific Investigation Level-I

Officers.

Aim: To improve knowledge of trainees in Medical Jurisprudence Objectives: At the end of the session, trainees will be able to –

1. Describe various kinds of injuries

2. Describe weapons that cause such injuries (Blunt, Sharp, Fire Arms, Explosives, Burns and Physical Force)

3. Identify all types of injuries and match weapons that caused the injuries 4. Describe how to recognise anti-mortem and post-mortem injuries

5. Describe how to decide whether the injuries are suicidal, homicidal or accidental.

TIME Content Methods and

Resources 0 to 10

minutes

Types of Injuries Lecture/Slides/Photogr

aphs 11 to 20

minutes

Weapons & Objects – Causing injuries Photos & Slides 21 to 30

minutes

Weapon & Injury Correlation Lecture with slides 31 to 40

minutes

Differentiating Ante-Mortem from Post-mortem injuries

Explanation with photos

41 to 50 minutes

Medico-Legal aspects of Injuries Lecture & Clarifications

Break for 10 minutes 61 to 90

minutes

Practice on describing injuries 91 to 110

minutes

Practice on identifying weapons that cause such injuries

111 to 120 minutes

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LESSON PLAN-2 Title: Changes after Death (May be covered

during post-mortem examination)

Duration: 60 minutes

Officers.

Aim: To improve knowledge & skills of trainees in Medical Jurisprudence Objectives: At the end of the session, trainees will be able to –

1. List out changes after death according to time space 2. List out criteria by which time of death could be assessed 3. Describe the steps to be taken to identify unidentified dead body

TIME Content Methods and

Resources 0 to 10

minutes

Diagnosis of death – Post-Mortem changes: Immediate, Early, Delayed

Lecture & Board Blasting

11 to 30 minutes

Criteria of assessing time since death Lecture & Board Blasting

31 to 40 minutes

Steps regarding identification of unidentified bodies – Fingerprints; photographs, superimposition; DNA Fingerprinting

Lecture & slides

41 to 50 minutes

Operative & anaesthetic deaths Lecture & Board Blasting

51 to 60 minutes

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LESSON PLAN-3 Title: Death due to poisoning – Medico Legal

aspects

Officers.

1. List out various poisons and method of administering them on human body. 2. List out symptoms of poisoning

3. Describe probable injuries that may cause in poisoning cases

4. Precautions to be taken while deciding about suicide, accident or homicide in poisoning cases.

TIME Content Methods &

Resources 0 to 10

minutes

Listing out poisons – Classification Lecture & Board Blasting

11 to 20 minutes

Methods of administration – Routes Lecture & Board Blasting

21 to 30 minutes

Signs & symptoms of poisoning Lecture 31 to 40

minutes

Injuries in poisoning – Preservation of material Lecture & Board Blasting

41 to 50 minutes

Nature of Poisoning – Accidental, suicidal & Homicidal

51 to 60 minutes

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LESSON PLAN-4

Title: Death due to Burning Duration: 60 minutes

Officers.

1. List out external symptoms of burning, degree of burns 2. Precautions to be taken while noting down external injuries

3. List out precautions to be taken to preserve dead body without losing vital clues

4. Describe how to decide whether it is suicide, accident or homicide

Resources 0 to 10

minutes

Degree of burns – Signs & symptoms & Burns Lecture & Board Blasting

11 to 20 minutes

Precautions to be taken to preserve clues at scene Lecture & Board Blasting

21 to 30 minutes

Ante-mortem & post-mortem Burns Lecture 31 to 40

minutes

Causes of death in burns Lecture & Board Blasting

41 to 50 minutes

Discussion regarding the nature of burns Group Discussion 51 to 60

minutes

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LESSON PLAN-5 Title: Death due to Asphyxia – Medico Legal

aspects

Officers.

1. List out various ways of death due to asphyxia 2. List out symptoms of asphyxia

3. Describe probable injuries that may cause in asphyxia cases

4. Precautions to be taken while deciding about suicide, accident or homicide in asphyxia cases.

Resources 0 to 10

minutes

Definition of Asphyxia – Types of asphyxial deaths Lecture with Photographs

11 to 25 minutes

Sings of asphyxia – Description of cyanosiz, congestion and petechial haemorrhages

26 to 40 minutes

Injuries occurring in Asphyxial deaths Lecture 41 to 50

minutes

Precautions in deciding about the nature of Asphyxia – Accidental, Homicidal & Suicidal

50 to 60 minutes

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LESSON PLAN-6 Title: Importance of Post-mortem

Examination

Officers.

1. State precautions to be taken while noting external injuries 2. Describe the importance of post-mortem

3. List out precautions to be taken to preserve dead body without losing vital clues

TIME Content Methods & Resources

0 to 10 minutes

Precautions to be taken while describing injuries Lecture & Board Blasting

11 to 20 minutes

Various methods of dead body preservation Lecture & Board Blasting

21 to 35 minutes

Aims & Objectives of post-mortem examination Lecture & slides 36 to 50

minutes

Knowledge check – Objective type questions 51 to 60

minutes

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LESSON PLAN-7 Title: Deaths due to alleged medical

negligence

Officers.

Aim: To improve knowledge and skills in medical jurisprudence. Objectives: At the end of the session, trainees will be able to –

1. Describe what constitutes medical negligence, difference due to criminal and civil negligence.

2. Describe the procedure to investigate cases of deaths due to medical negligence.

Resources 0 to 20

minutes

Introduction to medical negligence – Definition, ingredients:-

1) Duty (2) Dereliction (3) Damage and (4) Direct causation (4 Ds)

Transparency-1

21 to 40 minutes

Case discussion on civil and criminal medical negligence – Differences between civil and criminal negligence. Transparencies 2 & 3 41 to 60 minutes 1. Test of Negligence

2. Proof of medical negligence 3. Burden of proof

Transparencies 4, 5 & 6

71 to 100 minutes

Investigative procedures in medical negligence Transparencies 7, 8 & 9

101 to 120 minutes

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LESSON PLAN-8 Title: Medico-Legal aspects of custodial

deaths

Officers.

Aim: To impart knowledge on Medico-Legal aspects of custodial deaths. Objectives: At the end of the session, trainees will be able to –

1. Define Custodial Deaths

2. Classify custodial deaths into different categories (natural, accidental, suicidal, homicidal, etc.)

3. List out the common causes of unnatural deaths in custody (death by hanging, poisoning, beating, injuries self-inflicted or otherwise)

4. List out precautions to be taken to avoid custodial death 5. Describe the investigation to be followed in custodial deaths.

Resources 0 to 10

minutes

Introduction, definition of custodial deaths Transparencies 1 & 2

11 to 20 minutes

Classification of custodial deaths Transparency –3 21 to 30

minutes

Common causes of deaths in custody Transparency-4 31 to 40

minutes

Precautions to be taken to avoid custodial death (Do’s & Don’ts)

Transparency-5 41 to 50

minutes

Investigation procedure to be followed in custodial death cases (Do’s & Don’ts)

Transparency-6 51 to 60

minutes

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LESSON PLAN-9 Title: Transportation deaths and mass

disasters

Officers.

Aim: To improve knowledge and skills in medical jurisprudence. Objectives: At the end of the session, trainees will be able to –

1. Identify deaths due to transportation mishaps and type and pattern of injuries sustained.

2. To reconstruct the incident from the crime scene and pattern of injuries 3. What constitutes mass disasters, problems encountered, procedure of

investigation.

Resources 0 to 10

minutes

Transportation deaths – Common factors responsible – Causes.

Transparencies 1 & 2

11 to 20 minutes

Patterns of injuries sustained: Pedestrian; two wheeler-rider/pillion, 4 wheeler occupants.

Transparencies 3 & 4 (Charts)

21 to 30 minutes

Rail and Air accidents – Patterns of injuries Transparencies 5 & 6 (Photographs & slides)

31 to 40 minutes

Mass disaster: What constitutes? – Classification Transparencies – 7, 8 & 9

41 to 50 minutes

Procedure of investigation – Crime Scene, Steps to be taken

Transparencies – 10, 11 & 12

51 to 60 minutes

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LESSON PLAN-10 Title: Sexual Offences – Medico-Legal

aspects

Officers.

Aim: To improve knowledge of trainees in Medical Jurisprudence Objectives: At the end of the session, trainees will be able to –

1. Describe probable injuries that may cause in sexual offences.

2. Describe how a death could occur without external injuries in sexual offences.

3. List out precautions to be taken while noting down injuries in sexual offences and be able to analyse the medical findings on which opinions are based.

Resources 0 to 10

minutes

Classification – Types of sexual offences Lecture/Slides 11 to 15

minutes

Injuries occurring in sexual offences Lecture & Board Blasting

16 to 25 minutes

Causes of death in sexual offences Lecture 26 to 30

minutes

Precautions while describing injuries Do’s & Don’ts for IOs.

31 to 50 minutes

Examination of accused victim – Material to be preserved for FSL - Interpretation of Medical Reports

Lecture & Group Discussion

51 to 60 minutes

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LESSON PLAN-11

Title: Observing a Post-mortem examination Duration: 4 hours

Officers.

Aim: To explore the trainees to actual conduct of a post-mortem examination

Resources 4 hours The trainees will be taken to a mortuary, by prior

arrangement, to observe a post-mortem examination. They will take notes during the examination and will be briefed by the autopsy surgeon at the end of the post-mortem examination.

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LESSON PLAN-12 Title: Comparison of notes on post-mortem

examination

Officers.

Aim: To enable the trainees to refresh their knowledge of inputs given during the module and to assess the accuracy of their own observations noted during the PM examination.

Resources 60 minutes Comparison of notes under trainer’s guidance and

Course on Scientific Investigation Level-I. Time Table

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