Assaults from corrosive substances and medico legal considerations ina large regional burn centre in the United Kingdom: calls for increasedvigilance and enforced legislation

摘要

Burn injuries from corrosive substances have been recognised as a common method of assault in low and middle income countries (LMICs) motivated by various factors. Such injuries often leave survivors with severely debilitating physical and psychological injuries and scars. The number of reported cases of acid assaults within the United Kingdom (UK) appears to be on the rise. As one of the largest regional burn centres in the UK, we have reviewed our experience of chemical burns from assault. This study aims to: (1) review the demographics, incidence and patient outcomes; (2) evaluate the long-term psychosocial support provided; and (3) review current criminal litigation proceedings and preventative legislations in the UK specific to assault by corrosive substances. A 15-year retrospective review of 21 burn injuries from assault with corrosive substances presenting to a regional burn unit was conducted. Victims were mostly young men; male perpetrators were more common. The most common motive cited was assault. The most common anatomical region affected was the face and neck. The number of victims who pursue litigation is disproportionately lower than thenumber of total cases at presentation. In an effort to better understand thelegal considerations surrounding such assaults, we also collaborated withlawyers experienced in this particular field. We hope that our work will helpeducate healthcare professionals regarding the legal assistance and existinglaws available to protect these patients.