|
FORENSIC
EVIDENCE COLLECTION:
A Medical Examiner's View
|

SCHEDULE
|
| 7:15 |
- |
7:45 |
Registration |
| 7:45 |
- |
9:30 |
"Slovenly
Sleuthing in the ED and the ICU"
Cause and Manner of Death
Importance of Certain Specimens and Preservation of Evidence
Importance of “original blood” specimen and critical nature of proper labeling
Gastric washings or vomited material
• Hematomas and large blood clots
Head and facial hair (gunshot residue for range of fire?) • Head hair (repeated drug abuse?)
Blood for carbon monoxide • Paint chips and headlight glass (which vehicle?)
Substance allegedly abused (what was it?)
Chain of Custody
Proper Handling of Clothing in Violent or Suspicious Death Cases
Postmortem Care and Documentation in Special Cases
How to handle the body to make it possible to determine:
Chest tube hole vs. chest tube placed through bullet wound? • Hospital needle puncture
vs. one that was self-inflicted? • Surgical incision vs. an incision made through a wound? • Airway in the esophagus,
deliberately or inadvertently? • No urine vs. catheterized without documentation? • No internal bleeding
vs. blood previously drained?
|
| 9:30 |
- |
9:45 |
Break
|
| 9:45 |
- |
11:30 |
Forensic Potpourri
Asphyxia: Strangulation, Choking, Auto-erotic deaths
Burns, Fire, and Arson • Forensic Toxicology • Sudden Infant Death Syndrome
|
| 11:30 |
- |
12:30 |
Lunch
(on your own)
|
| 12:30
|
-
|
1:30
|
Motor Vehicle
Deaths
Questions To Be Answered:
Who was driving? Was it accidental, homicide, or suicide?
Did natural disease cause the crash?
Wound patterns and medicolegal evidence
Importance of documentation in the ED |
| 1:30 |
- |
1:45 |
Break
|
| 1:45 |
- |
2:15 |
Expert Witness
Testimony
Practical advice on how to communicate with the jury
…and be careful of lawyers (from an MD with thousands of hours of courtroom experience)
|
| 2:15
|
-
|
3:30
|
Medical Photography and Documentation
Photography has been widely used for decades in cosmetic, maxillofacial, and other specialties. With
impending changes in reimbursement for complications of medical care and hospitalization
(e.g. decubiti), it will be increasingly important to document conditions at the time of admission.
Topics include: perspective, scale, lighting, “walk-up” sequences, and thinking ahead
|
|