Medicine and Surgery

GENERAL CONCEPTS Purposes and application areas of Forensic Medicine Criminal liability, the material element of the crime and the causal relationship The medico-legal criteria of judgment Causes of exclusion of punishability, illegality, culpability CRIMES AGAINST THE LIFE AND SAFETY OF THE INDIVIDUAL: Crimes against the safety of the individual: battery, personal injury, malicious personal injury, aggravated intentional personal injury, negligent personal injury Crimes against life: Murder, duties of the doctor in case of uncertain cause of death, intentional homicide, aggravating circumstances of homicide, mitigating circumstances of homicide, manslaughter, manslaughter, murder of consent, crime of feticide, crime of infanticide, medico-legal aspects of infanticide, analysis of the development of the product of conception, cause of death of the product of conception, criminal causes of neonatal death, negligence. Crimes relating to termination of pregnancy: Legal conditions for termination of pregnancy: termination of pregnancy before 90 days, termination of pregnancy after the first 90 days, termination of pregnancy and minors, termination of pregnancy in a prohibited woman, Crimes relating to termination of pregnancy: illegal termination of pregnancy, malicious abortion, unintentional abortion and acceleration of birth, negligent abortion and acceleration of birth, medico-legal investigations relating to abortion, diagnosis of abortion and time of abortion, means used and cause of abortion. Medical-legal assessment in cases of sexual violence. PROFESSIONAL RESPONSIBILITY IN THE CRIMINAL FIELD: Examination of medical behavior, incompetence, imprudence, negligence, error and adverse effect, team responsibility, responsibility of those practicing a healthcare profession. THE CIVIL CODE: Legal protection The ability to act Interdiction and disqualification Civil liability and compensation for personal injury: professional liability in civil law, non-contractual liability, contractual liability, pecuniary damage, moral and biological damage, evaluation of biological damage. Law 24/2017 MEDICAL ETHICS: Characteristics and limits of the medical profession: power to cure, compulsory healthcare treatment, treatments in limine vitae, experimentation on humans, voluntary sterilization, artificial insemination, treatment of transsexuals Legal qualifications of the doctor The medical certificate The duty to provide assistance The duty to obtain consent The duty to inform Issues relating to consent, conditions under which consent must be respected Professional secrecy, privacy, official secrecy Mandatory health reports: to the civil authority, to the health authority, the report, recipients of the report, crime report (former Report) Expertise and technical consultancy: official appraisal (criminal field), technical consultancy (criminal field), technical consultancy (civil field), the responsibility of the consultant The medical record SOCIAL AND INSURANCE MEDICINE Legislative references: - Social care - National Health System: historical notes, objectives, skills, bodies, the emergency medical service, the Urgency and Emergency Health Service (118) Civil Disability: concept of disability, accompanying disability, law 104, benefits provided, evaluation of disability Social Insurance: historical evolution of social insurance, INAIL, management and performance of INAIL, work accident, the violent case, tthe damage, professional diseases, services provided by INAIL, medico-legal activities connected to social insurance, certification and reporting of accident or occupational disease, evaluation of temporary disability, evaluation of permanent disability, Silicosis and Asbestosis, the closed tabular system and the mixed tabular system Social insurance against generic risks (INPS): historical notes on insurance activities, invalidity and incapacity, the ordinary disability allowance, the disability pension, the accompanying allowance in the INPS area, insurance against TB, related medico-legal activities to social security insurance Private accident insurance (AIIP): concept of accident in private insurance, differences in management compared to social insurance, benefits provided THANATOLOGY: Primitive or immediate abiotic phenomena: arrest of nervous activity, cardiovascular arrest, respiratory arrest. Secondary or consecutive abiotic phenomena: body cooling, disappearance of muscular excitability, dehydration, hypostasis, cadaveric rigidity (rigor mortis) Putrefactive phenomena: autolysis, chromatic or colorful stage, emphysematous stage, colliquative stage, skeletal reduction, cadaveric fauna and flora, notes on cadaveric entomology Special putrefactive phenomena: mummification, maceration, saponification, corification Mortuary Police Regulations (D.P.R. 10 September 1990 n. 285) MEDICO-LEGAL PATHOLOGY: Injuries of a mechanical nature: blunt force injuries, irritation or hyperaemia, abrasions, ecchymoses, lacerated and contused wounds, injuries to deep organs, bone fractures. Major trauma: road accidents, collision with pedestrian, injuries to vehicle passengers, collision with rail vehicles, navigation accidents, air and railway accidents, precipitation, explosions, compression of the breathing bellows. Wounds from bladed weapons: puncture wounds, stab wounds, puncture and stab wounds, stab wounds, Asphyxiology: suffocation, hanging, strangulation, choking, garroting, drowning, pathophysiology of drowning, death in water, submergence of a corpse, study of diatoms, internal submersion, clogging, external constriction of the chest. Injuries from physical agents: - Heat injuries: burns, charring, calcination, evolution of burns in the living, evaluation of the vital or non-vital nature of the injuries - Low temperature injuries: frostbite, perfrigeration, frostbite. - Injuries from electricity: injuries from industrial currents, injuries from natural currents (lightning), electric arc, injuries from electric currents and types of event. - Baropathies: compressive baropathy, compressive baropathy, scuba diving pathology - DCS, EGA. Sound and ultrasound pathology Gunshot injuries: - Single projectile gunshot injuries: entry injuries, via, exit hole, intracorporeal direction of the bullet, non-penetrating injuries, injuries on bones, injuries on organs, the shooting distance, peculiarities of the entry hole for fired shots in contact, peculiarities of the entry hole for shots fired at close range, flame effects, effect of unburned or partially burned powder particles, spurious tattooing. - Injuries from multiple charges: effects of multiple charges, shooting distance (multiple charge cartridges). TOXICOLOGY: Forensic toxicological research and poisonings: toxic action, classification of poisons, medico-legal diagnosis of poisoning, confirmatory analytical methods (thin layer chromatography, gas chromatography and mass gas) Rules of the penal code Alcohol and drug intoxication: effects of ethanol, effects of methyl alcohol, effects of cannabis, effects of amphetamine, effects of cocaine, dependence on hallucinogenic drugs, effects of morphine and heroin, tolerance and physical dependence Classification of drugs based on their effects on the CNS Poisoning by arsenic, cyanide, strychnine and carbon monoxide. CRIMINOLOGY AND FORENSIC PSYCHOPATHOLOGY Imputability, mental defect and causes of exclusion; Social danger and safety measures; Stalking; Murder of son; murder in the family; feminicide (dimensions of the phenomenon, motivations, types of perpetrators, risk factors for violent behavior); Sexual violence (dimensions of the phenomenon, motivations, types of perpetrators); Child sexual abuse; Circumvention of incapable people and abuse of states of inferiority; Mobbing and Bulling; Legal protection of states of infirmity (interdiction, incapacitation, support administration); "Natural incapacity" in the civil context; TSO and ASO for mental illness;

Knowledge of public hygiene and psychiatry

Handbook of Forensic Medicine Edited by Burkhard Madea Institute of Forensic Medicine University of Bonn Bonn, Germany Wiley

Frontal lessions

Knowledge of the reference standards in relation to the medical problem under consideration, ability for critical analysis and medical-legal reasoning, knowledge of the main problems and topics of interest and debate Those attending will be able to carry out an assessment at the end of the course via a questionnaire with multiple choice questions and possible oral integration on the day of the exam

Written and oral exam