Journal of Forensic and Legal Medicine
Volume 15, Issue 1 , Pages 15-19, January 2008

Assessment of abuse-related injuries: A comparative study of forensic physicians, emergency room physicians, emergency room nurses and medical students

  • Udo J.L. Reijnders, MD, PhD (Forensic Physician)

      Affiliations

    • Municipal Public Health Service, Department of Forensic Medicine, Postbus 2200, 1000 CE Amsterdam, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31 20 5555513; fax: +31 20 5555106.
  • ,
  • Georgios F. Giannakopoulos (Medical Student)

      Affiliations

    • VU University Medical Centre, Amsterdam, The Netherlands
  • ,
  • Kim H. de Bruin, MSc (Research Associate Cluster Epidemiology, Documentation and Health Promotion)

      Affiliations

    • Municipal Public Health Service, Amsterdam, The Netherlands

Received 3 March 2006; received in revised form 22 May 2006; accepted 14 June 2006.

Abstract 

A comparative study was made investigating whether emergency room physicians, emergency room nurses, forensic physicians, and interns are competent in describing, recognising and determining the possible cause of injuries.

The injury assessment scores varied from good–adequate–fail and remained blank in various participant groups.

Forensic physicians scored significantly better than emergency room staff and interns in the assessment of abuse-related injuries. There were almost no differences noted between emergency room physicians and emergency room nurses. For the functional group with more or less than 4 to 6 years of experience, no significant differences were noted for scoring good in all 5 cases.

The fact that forensic physicians scored better than the emergency room staff is probably explained by the fact that almost all practicing forensic physicians have been officially qualified. Training in this field for all professionals involved in such assessment should be mandatory.

Keywords: Assessment of (abuse-related) injuries, Domestic violence, Emergency room physicians, Emergency room nurses, Forensic physicians

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PII: S1353-1131(06)00165-9

doi:10.1016/j.jcfm.2006.06.029

Journal of Forensic and Legal Medicine
Volume 15, Issue 1 , Pages 15-19, January 2008