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Medicina Legal de Costa Rica

On-line version ISSN 2215-5287Print version ISSN 1409-0015

Abstract

MADRIGAL RAMIREZ, Edgar. Occupational medical-legal considerations of the Balthazard formula. Med. leg. Costa Rica [online]. 2023, vol.40, n.2, pp.3-13. ISSN 2215-5287.

The determination of the percentage of loss in injured patients with multiple sequelae due to occupational hazards is a real challenge for the expert, this becomes even more relevant when in the judicial system there may be discrepancies in the criteria for the use or not of mathematical formulas for the calculation. The combined sum formula, created by the Forensic Physician Victor Balthazard, is nothing more than an arrangement of a rule of three that orders the percentages given to each sequel from highest to lowest to avoid that the final percentage exceeds 100%, or that it results in a higher percentage than a single sequel scored in the scale and that due to the severity in the intensity of the same results in a lower percentage than that calculated for the multiple sequel and that has been used in labor and social security courts around the world. The Schedule contained in the Labor Code does not explicitly establish the way in which the percentage of loss for multiple sequelae is calculated, which gives the expert the freedom to use formulas, such as the combined sum formula, which allows a congruent calculation of the successive losses without exceeding the person's total general capacity of 100% or to grant higher percentages to sequelae of greater severity than the sum of the losses for the event being valued.

Keywords : Valuation; Bodily Injury; Combined sum; Balthazard; Legal Medicine; Occupational Risk; Labor Code; Multiple sequelae.

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