Controversies in the Assessment of Bodily Injury. Institute of Legal Medicine of Catalonia
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Controversies in the assessment of bodily injury. Institute of Legal Medicine of Catalonia Centre d’Estudis Jurídics i Formació Especialitzada Institut de Medicina Legal de Catalunya Acknowledgement As ever the contribution of senior management at the Centre for Legal Studies and Specialised Training and the highly professional staff at the Centre’s Legal and Forensic Training Unit has been essen- tial and made it possible to publish the papers about the controversial issues presented below. I would also like to express my appreciation for the enthusiastic collaboration of all the authors referred to in their relevant sections and the computer support provided by Mr. Gabriel Martí Agustí, a psychologist in the Barcelona Forensic Medicine Clin- ic Service, which has made it possible to unify the work of the various authors. All of this has been done at the Institute of Legal Medicine of Catalonia under the supervision of Dr. Jordi Medallo Muñiz who has encouraged, supported and taken part in this project. Finally I would like to mention in particular the ongoing assistance of Dr. Amadeu Pu- jol Robinat, Head of the Forensic Medicine Clinic Service of IMLC. My sincere thanks go to all of them. Dr. Lluïsa Puig Coordinator CONTROVERSIES IN THE ASSESSMENT OF BODILY INJURY. INSTITUTE OF LEGAL MEDICINE OF CATALONIA COORDINATION: DRA. LLUÏSA PUIG BAUSILI Centre d’Estudis Jurídics i Formació Especialitzada Institut de Medicina Legal de Catalunya CONTROVERSIES IN THE ASSESSMENT OF BODILY INJURY. INSTITUTE OF LEGAL MEDICINE OF CATALONIA Centre d’Estudis Jurídics i Formació Especialitzada Institut de Medicina Legal de Catalunya 5 © Generalitat de Catalunya Centre d’Estudis Jurídics i Formació Especialitzada Disclaimer: The contents of this work are licensed under a Attribution-NonCommercial- NoDerivs 3.0 Creative Commons. It allows the reproduction, distribution and public communication provided that the copyright holder is quoted (Government of Catalonia. Centre for Legal Studies and Specialized Training) and is for non commercial use. This work can not be transformed to create derivative works. The full license can be consulted at: http://creativecommons.org/licenses/by-nc-nd/3.0/legalcode First Edition: December 2014 Layout: VOLTA Disseny List of participants 6 Dra. Amorós Galitó, Esther Dr. Bernal Martí, Xavier Medical Examiner Medical Examiner Lleida Division Barcelona Ciutat i l’Hospitalet IMLC de Llobregat Division IMLC Dra. Ávila Molina, Ma Carmen Medical Examiner Dra. Bertomeu Ruiz, Antonia Barcelona Comarques Division Medical Examiner IMLC Barcelona Ciutat i l’Hospitalet de Llobregat Division Dr. Baig Clotas, Germà IMLC Medical Examiner Barcelona Comarques Division Sra. Bobes, Isabel IMLC Service of Linguistics Standardisation of the Tortosa Court Dra. Barberà Coto, Lluïsa Medical Examiner Dra. Bonastre Paredes, Ma Terres de l’Ebre Division Victoria IMLC Medical Examiner Barcelona Comarques Division Dr. Barbería Marcalain, Eneko IMLC Assistant Director of the Tarragona Division Dra. Cabús Grange, Rosa Ma IMLC Medical Examiner Terres de l’Ebre Division Dra. Barquinero Máñez, IMLC Margarita Medical Examiner Dra. Cano Rodríguez, Elena Barcelona Comarques Division Medical Examiner IMLC Barcelona Ciutat i l’Hospitalet de Llobregat Division Dra. Basas Bacardit, Ma Mercè IMLC Medical Examiner Barcelona Comarques Division Dra. Corrons Perramon, Jordina IMLC Medical Examiner Barcelona Ciutat i l’Hospitalet de Llobregat Division IMLC Dr. Cuquerella Fuentes, Àngel Dr. González García, Juan Medical Examiner Antonio Barcelona Ciutat i l’Hospitalet Medical Examiner de Llobregat Division Barcelona Ciutat i l’Hospitalet IMLC de Llobregat Division IMLC Dra. Estarellas Roca, Aina Ma Director of the Institut de Medicina Dr. González Oliván, Francisco 7 Legal de les Illes Balears Javier Medical Examiner Dr. Fernández Doblas, Daniel Barcelona Ciutat i l’Hospitalet Medical Examiner de Llobregat Division Barcelona Ciutat i l’Hospitalet IMLC de Llobregat Division IMLC Dr. Güerri Ripol, Francesc Xavier Medical Examiner Dr. Fibla Saltó, Xavier Barcelona Ciutat i l’Hospitalet Medical Examiner de Llobregat Division Tarragona Division IMLC IMLC Dra. Idiáquez Alberdi, Itziar Dra. Fuertes López, Raquel Section Head of Forensic Psychiatry Medical Examiner IMLC Barcelona Comarques Division IMLC Dr. Jiménez Jiménez, Antonio José Dra. García García, Cristina Medical Examiner Medical Examiner Barcelona Ciutat i l’Hospitalet Barcelona Ciutat i l’Hospitalet de Llobregat Division de Llobregat Division IMLC IMLC Dra. Juan Roig, Ma Carmen Dr. Gasque López, Jesús Medical Examiner Assistant Manager of the Lleida Terres de l’Ebre Division Division IMLC IMLC Sr. López Miquel, Jordi Dra. Giménez Pérez, Dolors Psychologist of the IMLC Medical Examiner Barcelona Comarques Division Dr. Llebaría Enrich, Francesc IMLC Xavier Medical Examiner Dr. Gómez Montoro, Jerónimo Barcelona Ciutat i l’Hospitalet Medical Examiner de Llobregat Division Barcelona Ciutat i l’Hospitalet IMLC de Llobregat Division IMLC Dra. Macharé Alberni, Marta Dr. Montero Núñez, Francesc Medical Examiner Medical Examiner Barcelona Ciutat i l’Hospitalet Barcelona Ciutat i l’Hospitalet de Llobregat Division de Llobregat Division IMLC IMLC Sr. Martí Agustí, Gabriel Dra. Monzó Blasco, Ana 8 Psychologist of the IMLC Medical Examiner Tarragona Division Dr. Martin Fumadó, Carles IMLC Assistant Manager of the Barcelona Comarques Division Dr. Ortigosa Ruiz, Juan Francisco IMLC Medical Examiner Barcelona Ciutat i l’Hospitalet Dra. Martínez Alcázar, Helena de Llobregat Division Medical Examiner IMLC Barcelona Ciutat i l’Hospitalet de Llobregat Division Dra. Pedrico Serradell, IMLC Montserrat Medical Examiner Dra. Matas Heredia, Gemma Lleida Division Medical Examiner IMLC Barcelona Ciutat i l’Hospitalet de Llobregat Division Dra. Pérez Bouton, Ma Pilar IMLC Medical Examiner Barcelona Ciutat i l’Hospitalet Dra. Mateo Crevillén, Pilar de Llobregat Division Medical Examiner IMLC Barcelona Comarques Division IMLC Dra. Puig Bausili, Lluïsa Section Head of Impairment Dr. Medallo Muñiz, Jordi Assessment Director of the IMLC IMLC Dr. Melgosa Arnau, Domènec Dr. Pujol Robinat, Amadeo Medical Examiner Service Head of the Clínica Médico Barcelona Comarques Division Forense IMLC IMLC Dr. Méndez López, Horacio Dr. Ramis Pujol, Josep Medical Examiner Medical Examiner Barcelona Ciutat i l’Hospitalet Girona Division de Llobregat Division IMLC IMLC Dra. Rebollo Soria, Ma Carmen Dra. Millan Aguilar, Elena Medical Examiner Medical Examiner Barcelona Ciutat i l’Hospitalet Barcelona Comarques Division de Llobregat Division IMLC IMLC Dr. Recio García, Joaquín Dra. Talón Navarro, Ma Teresa Medical Examiner Medical Examiner Barcelona Ciutat i l’Hospitalet Barcelona Ciutat i l’Hospitalet de Llobregat Division de Llobregat Division IMLC IMLC Dra. Rifà Damunt, Maria Dra. Taranilla Castro, Ana Ma Medical Examiner Medical Examiner 9 Barcelona Comarques Division Barcelona Ciutat i l’Hospitalet IMLC de Llobregat Division IMLC Sra. Rudilla Soler, Cèlia Librarian of the IMLC Dra. Torralba Allué, Ma Pilar Medical Examiner Dr. Rueda Ruiz, Marc Tarragona Division Medical Examiner IMLC Barcelona Comarques Division IMLC Dra. Vela Quesada, María Medical Examiner Dr. Salort Mayans, Bernardo Barcelona Ciutat i l’Hospitalet Medical Examiner de Llobregat Division Terres de l’Ebre Division IMLC IMLC Dra. Vidal Gutiérrez, Claudina Dr. Samanes Ara, José Luis Assistant Manager of the Barcelona Medical Examiner Ciutat i l’Hospitalet de Llobregat Barcelona Comarques Division Division IMLC IMLC Dr. Soler Murall, Antonio Dra. Vilella Sánchez, Montserrat Medical Examiner Medical Examiner Barcelona Ciutat i l’Hospitalet Barcelona Ciutat i l’Hospitalet de Llobregat Division de Llobregat Division IMLC IMLC Dra. Soler Murall, Nuria Dr. Xifró Collsamata, Alexandre Assistant Manager of the Terres Medical Examiner de l’Ebre Division Barcelona Ciutat i l’Hospitalet IMLC de Llobregat Division IMLC Dra. Soler Villa, Ana Isabel Medical Examiner Tarragona Division IMLC Dra. Subirana Domènech, Mercè Section Head of Forensic Anatomy IMLC Table of Contents 10 Chapter I. Medico-Legal Criteria for Basic Medical Attention and Medical or Surgical Treatment. / 13 Dr. Alexandre Xifró Collsamata*, Dr. Germà Baig Clotas, Dr. Carles Martin Fumadó, Dr. Gemma Matas Heredia, Dr. Francesc Montero Nuñez, Sra. Cèlia Rudilla Soler and Dr. Marc Rueda Ruiz Chapter II. Sutures: Surgical treatment v basic medical attention. / 21 Dr. Montserrat Vilella Sánchez*, Dr. Margarita Barquinero Mañez, Dr. Jordina Corrons Perramon, Dr. Francisco Javier González Olivan, Dr. Helena Martínez Alcazar, Dr. Pilar Mateo Crevillen and Dr. Elena Millan Aguilar Chapter III. General and Specific Assessment of Previous Condition. / 27 Dr. Elena Cano Rodríguez*, Dr. Dolors Giménez Pérez*, Dr, Mª del Carmen Ávila Molina, Dr. Antonia Bertomeu Ruíz, Dr. Daniel Fernández Doblas, Dr. Juan Antonio González García and Dr. María Vela Quesada Chapter IV. Assessment of Diagnoses Which Are Added During the Healing Time of an Injured Person. Causation. / 57 Dr. Jesús Gasque López*, Dr. Esther Amorós Galitó and Dr. Montserrat Pedrico Serradell Chapter V. Injury Forecast Reports. / 64 Dr. Mª Teresa Talón Navarro*, Dr. F.Xavier Llebaria Enrich and Dr. Antonio Soler Murall Chapter VI. Rehabilitation, Basic Assistance or Medical Treatment. / 69 Dr. Maria Rifà Damunt*, Dr. Maria Victòria Bonastre Paredes, Dr. Josep Ramis Pujol and Dr. Joaquín Recio García Chapter VII. Assessment of Aesthetic Injury: Evaluation Criteria. / 97 Dr. Amadeu Pujol