Forensic medical examination in the case of suspicion of inappropriate provision of toxicological care (a case from practice)

As an example of practical observation, the basic principles forensic medical assessment therapeutic and diagnostic processes are demonstrated in case suspicion improper provision toxicological care ethylene glycol poisoning. This study highlighted factors hindering its assessment.
 Factors such as lack information from eyewitnesses or patient himself about oral intake a liquid with potentially toxic properties possibility reliably establishing presence body only by chemical examination can hinder assessment. Toxicological care, including antidote therapy ethanol, should be used if there is reliable sufficient assuming poisoning glycol. Owing to instability hemodynamic parameters, which inevitable glycol, risk natural complications during transportation obviously higher than when he left specialized hospital high-tech equipment round-the-clock supervision.
 Cases poisoning, treatment does not bring improvements at least stability dynamics, do automatically indicate that provided was inappropriate (incorrect). In acute even proper guarantee prevention fatal outcome.