96. What are the warning signs related to positional asphyxia which restraining of icer should always keep in mind so that the person being restrained may not get unintentional suffocation? During physical restraint there are some warning signs related to positional asphyxia. These are: 1. An individual struggling to breath or complaining of being unable to breathe 2. Evidence of report of an individual feeling sick or vomiting 3. Swelling, redness or blood spots on the face or neck 4. Marked expansion of the veins in the neck 5. Individual becoming limp or unresponsive 6. Changes in behaviour 7. Loss or reduction in consciousness 8. Respiratory or cardiac arrest 97. Whether skin disease condition can create confusion while interpreting the indings in an alleged case of sexual assault? Yes, I have encountered a case of minor girl with alleged history of sexual assault. The injuries (7 abrasions) mentioned in examination report were of very small size (pin point). The alleged date of incidence of sexual assault was 10/10/17. The Dermatologist's report dated 18/10/17 mentioned complaint of itching all over the body since 8 days, aggravation on exposure to cold & on examination multiple excoriated discrete papule on bilateral extremities were noted along with single well de ined plaque was present on right buttock. The condition was diagnosed by dermatologist as Allergic contact dermatitis with T. Corporis. These dermatologist's indings were corroborating with the indings of forensic examination dated 10/10/17. Presence of this corroboration suggested that the scratches mentioned in the forensic examination report could be possibly due to her disease condition. Based upon absence of genital injuries, absence of any other physical injuries & FSL report negative for presence of semen/spermatozoa, it could be concluded that there were no signs suggestive of penetration of vagina/anus or sexual assault. MEDICAL DIMENSION OF FREQUENTLY ENCOUNTERED CASES | 68

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