Resumo

RODRIGUEZ GONZALEZ, Manuel; ARTEAGA RAMIREZ, Illovis; RODRIGUEZ GONZALEZ, Osmel  e  GONZALEZ DUENAS, Yusleyvi. Analysis of the Completion of the Certificate of First Medical Assistance to an Injured Person. Medisur [online]. 2014, vol.12, n.1, pp.85-89. ISSN 1727-897X.

Background: the certificate of first medical assistance to an injured person is a medicolegal document that every medical professional should know how to complete. Any problem with the data requested in this form can cause a number of limitations on the prosecution of injury-related offenses. Objective: to characterize the process for completing the certificate of first medical assistance to an injured person. Methods: A descriptive cross-sectional study was conducted at the consultation for injured patients in the province of Cienfuegos, in the year 2012. A total of 2189 certificates were analyzed considering: medical specialty, level of care and data required in the document. Results: over 50% of the certificates issued had problems in their completion; the most frequent was non-detailed description of the lesions, present in 329 certificates (27.7%), followed by inaccurate medicolegal prognosis in 298 certificates (25.1%). Specialists in General Medicine issued the largest number of certificates and 100% of them had problems. Conclusion: attending physicians lack scientific and methodological criteria for accurately completing the certificates of first medical assistance to an injured person.

Palavras-chave : liability, legal; health certificate; wounds and injuries; medical assistance; forensic medicine.

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