1) Three patients presented to the emergency department with various injuries following an alleged assault. One patient could not speak and had cold limbs, another had a deformed and painful leg, and the third had no injuries but insisted a medical legal case (MLC) be filed quickly. 2) The document discusses filling out paper MLC forms, gaps in the paper format, and the concept of an electronic MLC (e-MLC) to address these issues. 3) Potential issues with implementing e-MLC are discussed, as well as future possibilities like integrating e-MLC with photo identity, wound photos, and electronic court/police records.

1. e-MLC
Dr Sanjeev Bhoi MD
Associate Professor
Department of Emergency Medicine
JPN Apex Trauma Centre
All India Institute of Medical
Sciences
Dr Deepak Agrawal
Incharge Department of IT
Associate Prof, Neurosurgery
JPN Apex Trauma Centre
All India Institute of Medical
Sciences

2. 3patients reportsto thecasualtyafter alleged
historyof assault.
• Patient No1: Unable to speak, cold and clammy extremities
• Patient No 2: Shouting with pain with a deformed leg
• Patient No 3: No injuries but screaming at you to make MLC
fast so that
What will you do next for these
patients??????????

3. Save life first with
a
concept
to
Treat first that kills first

4. • How do I fill a MLC?
• Various domains of a MLC form
• Gaps in paper format of MLC forms
• e- MLC
• Issues and hurdles pertaining to e-MLC
• Future vistas

5. How do I fill a MLC?
• Demographic details
• Date and time of
Exam
• Brief Alleged history
and examination
• Particulars of
injury(s)
• Opinion
• Nature of injury
• Kind of weapon used
• Name and address of
doctor with
designation and
signature with date

6. Various domains of a MLC form

7. Find problems?????

8. Find a problem???

9. Find Problems???

10. Find Problems???

11. Find Problems???

12. Find Problems???

13. Find Problems???

14. Find Problems???

15. Find Problems???

16. Find Problems???

17. Can u Guess ??????

18. Find Problems?????

19. Find Problems?????

20. Find Problems?????

21. Gaps
• Handwriting issues
• Non-Reproducibility
• Signature
• Address, designation and registration
number of Doctor
• Not tamper proof
• Storage issue

22. e-MLC
Conceptualization
to
implementation

23. e- MLC Concept
• Hand writing not a problem
• Reproducible
• Tamper-proof
• Electronic signature
• Identity of issuing doctor
• Space

28. Issues and hurdles pertaining to e-
MLC
•Motivation levels of doctor
•Login problems
•Server downtime issues
•Technical glitches??
•Court observations

29. e- MLC Future Vistas
•Photo identity
•Wound photographs with
legends
•Integration with e-courts/e-
police station