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2019, Number 4

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Mediciego 2019; 25 (4)

Imminent danger to life from heart injury

Pérez-Pérez V, Burgos-Suárez N
Full text How to cite this article

Language: Spanish
References: 7
Page: 482-489
PDF size: 374.64 Kb.


Key words:

heart injuries, heart/wounds and injuries/classification, stab wounds, health certificate, forensic medicine, case reports.

ABSTRACT

Introduction: among the violent acts whose medical-legal consequences are evaluated in the Department of Legal Medicine of Ciego de Ávila, the crime of injuries is the one that most frequently requires the completion of the health certificate. According to the Cuban Criminal Code, serious injuries are those that involve imminent danger to the victim's life, and leave deformities or sequelae (anatomical, functional or psychic).
Objective: to present the case of a patient injured by a knife with heart involvement, whose injury – when evaluated for the health check-up after hospital discharge– was described as serious with imminent danger to life.
Case presentation: white, female patient, 25 years old, with no pathological history. According to the facts presented in the documentation provided for review by legal doctors, she was attacked by another person with a knife that caused a 1,5 cm perforating cut in the precordial region (sixth intercostal space and left clavicular midline). In compliance with the requirements established for the medical-legal action, the documentation provided was reviewed and the injured patient was examined to issue the health opinion, consisting of a serious injury with imminent danger to life.
Conclusions: the correct medical action in this case facilitated the subsequent medical and legal qualification of the injuries suffered by the victim. The imminent danger to life was determined by the state, real and proven, of the possibility of death of the victim after suffering a penetrating cardiac trauma.


REFERENCES

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  2. Baguet-Toledo AE. Enfoque didáctico sobre el pronóstico médico legal de las lesiones. Gac Méd Espirit [Internet]. Dic 2013 [citado 19 Mar 2019];15(3):243-53. Disponible en: http://scielo.sld.cu/pdf/gme/v15n3/gme01313.pdf

  3. Rodríguez-González M, Arteaga-Ramírez I, Ortiz-Sagasti M, Allegues-Suárez R. Manual para la confección del certificado de asistencia de primera intención de un lesionado. Medisur [Internet]. Oct 2014 [citado 18 Mar 2019];12(5):763-80. Disponible en: http://scielo.sld.cu/pdf/ms/v12n5/ms13512.pdf

  4. Larrea-Fabra ME. Trauma torácico y abdominal. Caracterización. Consideraciones para un mejor diagnóstico y tratamiento [Internet]. La Habana: Universidad de Ciencias Médicas; 2015 [citado 18 Mar 2019]. Disponible en: http://eduniv.mes.edu.cu/bd/td/Larrea%20Fabra%2C%20Martha%20Esther/Trauma%20toracico%20y %20abdominal.%20Caract%20%28798%29/Trauma%20toracico%20y%20abdominal.%20Ca%20- %20Larrea%20Fabra%2C%20Martha%20Esther.pdf

  5. Wall MJ, Tsai PI, Mattox KL. Heart and thoracic vascular injuries. En: Moore EE, Feliciano DV, Mattox KL, editores. Trauma. 7 ed. New York: McGraw-Hill Education; 2013. p. 485-511.

  6. Pereira-Warr S, Chavarriaga-Zapata JC. Traumatismo cardíaco con lesión del sistema de conducción, supervivencia de un paciente. Cir Cardiov [Internet]. Dic 2017 [citado 18 Mar 2019];24(6):350-2. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0- S1134009617300669.pdf?locale=es_ES&searchIndex=

  7. Méndez EA, Zamora J, Zeledón F, Zamora F. Trauma cardíaco: una revisión práctica. II Parte. Traumatismo Penetrante. Rev. costarric. cardiol [Internet]. Ene 2005 [citado 18 Mar 2019];7(1):39-46. Disponible en: https://www.scielo.sa.cr/scielo.php?pid=S1409- 41422005000100007&script=sci_arttext&tlng=en




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Mediciego. 2019;25