Beyin kanamas� ile acil servise ba�vuran 0�3 ya� �ocuklar�n fiziksel istismar a��s�ndan medikolegal de�erlendirilmesi

K�rc�, G�ven Se�kin; B�l�kba��, Hac� Seyit; �zt�rk, Deniz Utku; �ak�r, Hilal; �zer, Erdal

Cilt : 29 Say� : 1 Y�l : 2024

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Turkish Journal of Trauma and Emergency Surgery Beyin kanamas� ile acil servise ba�vuran 0�3 ya� �ocuklar�n fiziksel istismar a��s�ndan medikolegal de�erlendirilmesi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2023; 29(1): 105-108 | DOI: 10.14744/tjtes.2022.06730

Beyin kanamas� ile acil servise ba�vuran 0�3 ya� �ocuklar�n fiziksel istismar a��s�ndan medikolegal de�erlendirilmesi

G�ven Se�kin K�rc�, Hac� Seyit B�l�kba��, Deniz Utku �zt�rk, Hilal �ak�r, Erdal �zer
Karadeniz Teknik �niversitesi T�p Fak�ltesi, Adli T�p Anabilim Dal�, Trabzon

AMA�: �ocu�un fiziksel istismar�; bak�m veren taraf�ndan yap�lan, kaza d�� ve �nlenebilir her t�rl� fiziksel �iddet ve yaralanmay� kapsar.
GERE� VE Y�NTEM: �al��maya 2017�2021 y�llar� aras�ndaki be� y�ll�k s�re�te, 0�3 ya� grubu kafa i�i kanama bulgusu ile acil servisine ba�vuran �ocuklar�n, ya�, cinsiyet, ba�vuruyu yapan ki�i, klinik tan�, kanama d�� bulgular� y�nleriyle geriye d�n�k de�erlendirilerek, ba�vurular�n �ocu�un fiziksel istismar� a��s�ndan dikkat edilmesi gereken bulgular� literat�r e�li�inde ortaya konulmu�tur.
BULGULAR: �al��maya dahi edilen 32 olguda en s�k rastlanan kraniyal bulgu subdural hematom iken, en s�k g�zlenen ekstrakranial bulgu ekimozlar olarak tespit edilmi�tir. Olgular�n y�zde 9.37�sinin ise acil servise ba�vurusun iki g�n daha ge� s�rede yap�ld�� g�r�lm��t�r.
TARTI�MA: �ocu�un fiziksel istismar�na ili�kin bulgular ile kar��la�an hekim, ayr�nt�l� bir anamnez ve muayene sonucu elde etti�i veriler ile istismar lehinde kanaat olu�turdu�unda mutlaka adli ve sosyal bildirimi yapmal�d�r. Aksi halde davranan ya da bildirimden ka��nan hekim, ilerleyen s�re�te hem hukuki hem de vicdani sorumluluk i�inde kalacakt�r.

Anahtar Kelimeler: Beyin kanamas�, fiziksel istismar; sars�lm�� bebek sendromu.

Medicolegal evaluation in terms of physical abuse of children aged 0�3 years presenting at the emergency department with brain hemorrhage

G�ven Se�kin K�rc�, Hac� Seyit B�l�kba��, Deniz Utku �zt�rk, Hilal �ak�r, Erdal �zer
Department of Forensic Medicine, Blacksea Tecnihal Univercity Faculty of Medicine, Trabzon-T�rkiye

BACKGROUND: Physical abuse of children covers all types of non-accidental and preventable physical violence and injury perpetrated by the caregiver.
METHODS: The study included children in the 0�3 years age group who presented at the Emergency Department (ED) with the finding of intracranial hemorrhage during the 5-year period of 2017�2021. These children were evaluated retrospectively, and findings that should be considered were revealed.
RESULTS: In the 32 cases included in the study, the most common cranial finding was subdural hematoma, and the most common extracranial finding was ecchymoses. Presentation at the ED was seen to be 2 days after the trauma in 9.37% of the cases.
CONCLUSION: Any physician who encounters findings related to physical abuse of a child must make a forensic and social services report. Physicians who do not make the necessary reports or act to the contrary have both a legal and moral responsibility in the subsequent process.

Keywords: Cerebral hemorrhage, physical abuse; shaken baby syndrome.

G�ven Se�kin K�rc�, Hac� Seyit B�l�kba��, Deniz Utku �zt�rk, Hilal �ak�r, Erdal �zer. Medicolegal evaluation in terms of physical abuse of children aged 0�3 years presenting at the emergency department with brain hemorrhage. Ulus Travma Acil Cerrahi Derg. 2023; 29(1): 105-108

Sorumlu Yazar: G�ven Se�kin K�rc�, T�rkiye
Makale Dili: �ngilizce

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