Original research paper comparative study of hepatic injury and its different aspects in medicolegal autopsies.

Liver being an important and highly vascular organ, hepatic injury causes huge blood loss from the body for which the condition of victims becomes grave. So it is important to know which type if force or trauma causes which type of injury and also its extent to the liver. This paper deals with different types of injuries to the liver following trauma of different origin. In case of unnatural death resulting from trauma there are many authors who worked with injuries over different part of the body but a few of them has highlighted over hepatic injuries. That is why we liked to give our attention over hepatic injury. In present study we have dealt with 100 dead bodies with mechanical injuries in Calcutta Police Morgue under Medical College Calcutta during June 2008 to December 2009. This paper can also assist the care givers of the victim with the knowledge of the golden hour of management and also to find out the site of primary injury over liver.

Medical audit and death audit.

A good death is not a single event; a good death is a series of events, relationships and preparation that takes place over time (Evans and Walsh, 2002). [1] There is no gold standard for what constitutes a good death, the definition varies between individuals and therefore quality care must be negotiated to incorporate the individual patient values and preferences (Steinhauser et al, 2000).[2] Death audit meetings are infrequent in Government hospitals in India to analyse the circumstances which led to death of patients and what are the possible steps if taken might have prevented the death(Times of India 2004).[3] Medical audit determines the quality of medical care provided to patients from analyzing the clinical records and hospital services. In the present article we have given Idea about history, purpose, and maintenance record and analysis process. Government is planning to make infant and maternal death audit by clinical team compulsory as a part of efforts to ensure that no women and child will died in state (Andhra Pradesh) in want of medical attention (The Hindu 2010).[4]