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1. DUTIES OF MEDICAL
PRACTITIONER
Agadtantra department
Made by- Revati bhorgunde Roll no-06
Guided by- Dr pachkavde mam

12. IX.Duties of medical practitioner in
poisoning cases
◦1). Treatment
◦A) The foremost duty of the medical officer is to treat the patient
and not to allow him to die because of poisoning.the treatment
should be given on specific lines when the nature of the poison is
known and it should be on general lines of treatment in case of
unknown poisoning
◦B) If brought dead, inform police and send body for PM.
◦ 2) preliminary data
◦ preliminary data should be recorded , including name, age, sex,

13. Address, mobile number, occupation, brought by, brought at time, date,
place of examination , consent of the patient or guardian, marks of
identification.
3) History
The details of nature of the poison, time of consumption, time of onset of
manifestations, nature of manifestations, any treatment received, history of
drug hypersensitivity and motive of poisoning should be recorded.
4) Examination
a)general: Level of consciousness, behaviour, temperature, pulse, BP,
respiration, condition of skin- whether sweating, colour- if cynosis present,
condition of pupils, breath smell, vomitus stains on clothes .
b)Systemic: Detailed examination of all systems .
5) Judge
Whether poisoning is suicidal, homicidal or accidental?

14. 6) Information to authorities.
a)An institution or public hospital has to inform to police all cases of
poisoning.
b) cases of homicidal poisoning have to be informed.
c)A private practitioner is not bound to inform to police cases of suicidal and
accidental poisoning.
7) In homicidal poisoning
a)Always admit the patient.
b)Always consult a colleague for treatment.
c) Avoid any further chances of poisoning.
d) I) The food and drugs to be given, only by nursing staff.
e) II) No friend or relatives permitted to see the patient.
III) If admission of the patient is not possible- appoint 2 nurses at his.
residence to look after him .

15. ◦8) In all cases of poisoning
◦1) observe the patient for at least 24 hours.
◦2) If the patient turns serious- inform police .
◦3) If the patient is likely to die- arrange for dying declaration.
◦4) If the patient dies- death certificate should not be issued, inform the
police and the body should be sent for post mortem examination.
◦9) Material for chemical analysis
◦1) It is legally obligatory for the medical officer to send samples of gastric
lavage, blood, urine, faeces and vomitus for chemical analysis.
◦2) The suspected food, drink, drugs, utensils , bottles, and soiled clothes if
brought , should be sent for chemical analysis.
◦3) Failure to preserve samples may render him liable to be charged u/s 201
IPC for causing disappearance of evidence.

16. ◦10) Records
◦ Detailed record should be maintained of complaints, examination,
condition, progress, prognosis and treatment.
◦11) Opinion
◦1) should be based upon evidence and not on history or guess work.
◦2) Opinion about the nature of poison should only be given after receiving
the report of chemical analysis.
◦* Legal duties
◦1) Informing the cases of homicide ( sec 39 CrPc, 176 IPC)
◦2) To Furnish information to police, when asked (175 CrPC&202,
177 IPC )
◦3) Sending samples for chemical analysis ( 201 IPC)

19. ◦XII. Duties Under geneva conventions .
◦Four conventions .
◦Person it protects , whether wounded or sick of ;
◦ Armed forces (first convention)
◦ Ship wrecked person ( second convention)
◦ prisoners of war ( Third convention).
◦ Civilians of enemy nationality ( fourth convention)