Applicability of the Abbreviated Injury Scale in Forensic Medical Practice in Bulgaria
Scripta Scientifica Medica
It is crucial for forensic science to establish objective criteria for scaling the severity of health impairments. In Bulgaria there is a lack of official legal rules that clearly regulate the medico-biologi-ABSTRACT INTRODUCTION: The present study offers a detailed analysis of the principles of the American system for trauma classification AIS (Abbreviated Injury Scale) and tests the possibility of its application in the field of forensic-medicine in Bulgaria, where currently traumas are
... y traumas are classified according to the experts' subjective judgments. MATERIALS AND METHODS: For the purposes of the study, expert reports have been used by 20 Bulgarian forensic doctors, written between 2009 and 2013, describing at least one temporarily life-threatening trauma. The severity of the traumas was evaluated according to AIS by the authors. RESULTS: The comparison between the reports and the results of AIS indicates that the scale is applicable for forensic medical purposes and in determining life-threatening conditions. At the same time, differences have been discovered between the medico-biological qualifications of the Bulgarian experts regarding the same trauma; apparently as a result of the ambiguous wording of the Bulgarian Penal Code (unchanged since 1896). CONCLUSION: These differences accentuate the need for accepting a unified method of evaluating trauma severity. Taking such a step would dramatically improve the quality of Bulgarian forensic-medical reports.