- Investigation of Wound Characteristics.clothing, bullets, bloodstains, hairs, fi of material such as fragments of metal, glass, paint, and wood should be saved and documented in all medical accident in-stances that have legal implications. e. manner consistent with the investigation. Evidence such as nurse must be able to identify include: a. b. c. g. d. f. h. Patterned Injuries:with a sharp object.the body and may reflBlunt-Force Injuries:Hesitation Wounds:from the impact of a blunt object against the body.Fast-Force Injuries:Dicing Injuries:various patterns of injury.caused by contact with shattered glass (e.g., often occur in motor vehicle accidents).Sharp-Force Injuries:to defend himself or herself from attack.Defense Wounds:wounds; often found perpendicular to the lower part of by a human or an animal.pattern of the weapon used to inflBite-Mark Injuries: wounds and other wounds resulting from penetration Multiple, minute cuts and abrasions Injuries that refl Usually gunshot wounds; may refl Specifi ect self-inflA type of patterned injury infl Usually superfi Includes cuts and bruises resulting Sharp-force injuries including stab c injuries that refl icted wounds. ict the injury. ect the victim’s attempt bers, and small pieces Forensic Nursing cial, sharp-force Wounds that the ect the ● icted^ ect^359
2 2506_Ch22_358-369.indd Sec1:359 506 Ch 22 358 - 369 .indd 3. S^ ec 1 unnatural circumstances. trauma, from self-inflcur in the emergency department as a result of abuse or acci-dent, evidence must be retained, the death must be reported tems. Deaths that are considered involve the cardiovascular, respiratory, and central nervous sys-expected. Those that are considered natural most commonly the emergency department, most deaths are sudden and un-that interferes with vital organ functioning (Lynch, 2006). In it occurs because of a congenital anomaly or a disease process to legal authorities, and an investigation is conducted. It is Deaths in the Emergency Department.therefore essential that the nurse carefully document the of death is natural or unnatural. A death is deemed appearance, condition, and behavior of the victim upon ar-other. Legal authorities must be notifiduring criminal justice proceedings.to facilitate the postmortem investigation and may be used ent and family (or others accompanying the client) may serve rival at the hospital. The information gathered from the cli-: 359 The critical factor is to be able to determine if the cause icted acts, or from injuries influnnatural ed of all deaths related to include those from When deaths oc- icted by an-natural if 1 10/1/10 9:38:15 AM 0 / 1 / 10 9 : 38 : 15 AM
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