MLC of Acid throw /Attack

MLC of Acid throw /Attack

{What to do in MLC of an Acid Attack}

It is mostly done to Kill,Mutilate,disfigure and hurt/injure a person.One should be very carefully examine nature of acid if used,degree of burn and for signs of permanent disfigurement/tissue loss which has very hard sections in law.

It could be acute or can be presented after many days,we cannot/should not conclude it as acid/corrosive unless proven otherwise.

If victim presents within few hours ,you will have different signs symptoms.

1.Write like normal mlc ,fill in History as given by victim.You can write patient gives history of some acid.

2.In acute case save the clothes if you smell any corrosive ,u have to pack it in parcel paper/wrap it double as paper may corrode for PFSA lahore.Note any discoloration,stiffness,burning/holes in clothes.Write if u smell any acid on clothes.

#Examination You can see signs of inflammation on local examination.

~Redness

~swelling

~tenderness

~Pain

~Blisters/scaring yes or not

~Hair burnt or lost at site?

~lacerations

Now you will find on examination:

(A)  #skin deep or #skull deep on face/head

(B)  #skin,Muscle,bone deep other than face/head area.

For that you can either puncture a blister and find degree of burn,1st degree if superficial skin is involved and if deep 2nd .3rd are written. To be on safe side and sometimes victims are tortured before any acid attack so dont take it on you:

#KUO and #Refer

~ Refer it to Radiologist for X ray face/skull for any injury

~Refer it to surgeon for depth of injury/muscle/bone deep or not ?

~Refer to ophthalmologist if vision is impaired

~  If you feel its deep burn or its making a Permanent tissue loss then refer it to Plastic Surgery/Ent for permanent loss evaluation.

If you find any trace of acid on body,sample it with swab and send it to PFSA lahore alongwith the samples of clothes. If patient is 3-4 days late then its not necessary means no sampling.

You will request PFSA to tell you ~kind and nature of acid ~strength of acid

~does acid on cloth and face match?

Sometimes patients fake the normal injuries as case of acid attack,they touch the skin with strong acid while other injuries are genuine to make the case strong , if u suspect this 2 numbri then KUO and linger on the result for many weeks untill reports come.

You can KUO the kind of weapon used colum in mlc register ,dont declare acid unless u r certain of it.

#Declaration of result: When all report comes to you,write it on mlc paper in detail. ~If its on face/head it falls under A1/A2 etc

~If its on body it falls under F1/F2/F3 etc like normal injuries of fight either skin ,muscle or bone deep ~If plastic surgey/ENT announces permanent tissue loss then it fall under 336 Itlaf-I-Salahiyyat-Uzw but it should be sectioned after making complete workup.

In end you may write it seems an acid/vitriol attack from investigations and physical findings but It is referred to I.O (investigationg officer) to investigate further. Thats all