ABSTRACT
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a complex procedure which is commonly performed at various centres. It causes considerable amount of pain and discomfort to patients, and various centres have their own protocols regarding its management. Authors aim to study the efficacy of intravenous diclofenac as a premedication to reduce the pain and discomfort during and after ERCP.Methods: This was a randomized placebo-controlled trial evaluating 40 patients. The pain and degree of discomfort was investigated using a 4- point ordinal scale questionnaire.Results: The use of intravenous diclofenac as premedication for ERCP significantly reduces pain and discomfort during and after the procedure.Conclusions: Intravenous diclofenac should be used as a premedication for ERCP procedure as it significantly reduces the pain and discomfort during and after the procedure.
ABSTRACT
Forensic medicine is the medical specialty that is practiced at the interface with the law. It involves the assessment and interpretation in an individual who has become involved either as a suspect or victim in some form of alleged criminal action. In practice however, the role of practitioners of forensic medicine has widened to include civil jurisdictions and matters of medical ethics. Clinical Forensic Medicine is the application of forensic medical techniques to living. To address the un-met forensic needs of victims who are survivors of violent crimes and trauma there is urgent need of examination of victims of violence by a specially trained person in medicolegal matters i.e. clinical forensic physicians. In this program, the clinical forensic physicians will evaluate adult and pediatric victims of blunt and penetrating trauma, sexual and physical abuse and collect evidentiary material when indicated. In this paper the importance of Clinical Forensic Medicine Program and recommendations made by the “Survey Committee Report on Medico-Legal Practices in India, 1964” regarding its implementation are presented.