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Methods of identification after death - 1. Visual

2. Photographic

3. Clothing and personal effects

4. Fingerprinting

5. Dental records

6. DNA



Early Development of Autopsy in Forensic Investigations - 1507: Bamberg Code describes the first
written records of forensic pathology, included provisions related to the investigation of crimes and
highlighted the importance of medical evidence in death cases



1530: Constitutio Criminalis Carolina (AKA Carolina)

- A more extensive and comprehensive penal code

- Aimed to standardize laws in the Holy Roman Empire

- Issued by Emperor Charles V.

- requiring a medical testimony be an integral part of the proof and trials involving decisions regarding
whether the death was a homicide, etc.

- Didn't specify performing a total autopsy but wounds were opened to determine depth & direction

- First indication of "Some degree of expertise" - people needed to be specialized in pathology



16th Century: Ambrose Pare performed medicolegal autopsies

- Examined the lungs of smothered children to understand physiological effects of different death

- Also studied the traces left by sexual assault



When do Forensic Pathologists Get Involved? - 1. When the coroner is unable to answer any of the 5
questions

2. When there is a possibility of involvement in the criminal justice system

,Why do pathologists perform an autopsy? - Two Main Reasons:

1. Discovery (cause & manner of death)

2. Documentation (details on injuries, diseases, etc.)



What is a forensic pathologist? - - A medical doctor

- Specialist certifications in anatomical pathology and additional training in forensic pathology

- Requires at least 14 years of university & postgrad training

- Most forensic pathologists also hold master's degrees or PhDs

- Has the knowledge of the effects of disease & injury on the body in the context of the law



The Pathologist Register - 1. Category A (forensic pathologists)

- Can perform autopsies on all types of medicolegal cases

- This includes homicides and criminally suspicious adult and pediatric cases



2. Category B (anatomical pathologists)

- Performs autoposies on non-homicide/non-criminally suspicious adult cases



3. Category C (pediatric pathologists)

- Performs autopsies on non-homicide/non-criminally suspicious pediatric cases



Cause of Death - The actual trauma, event, disease or illness that triggers the physiological process
resulting in death (ex: asphyxia)



Can be immediate or underlying:

--> Immediate: the disease, injury, or complication directly preceding death and which is the ultimate
consequence of the underlying cause

--> Underlying: the disease or injury initiating the chain of events that ultimately lead to the cessation of
life

,Mechanism of Death - - The physiological or functional derangement resulting in failure of one or more
vital organs

- Usually doesn't require mention in death certificates

- Ex: cardiac arrhythmia, respiratory arrest, sepsis, multisystem organ failure



Manner of death - The means by which death occurred



Five manners: accident, suicide, homicide, natural, undetermined



Pending Cause of Death - - The cause of death can be named as "pending" by the pathologist if it is still
unknown after the autopsy and there is a possibility that further information may permit his/her
determination of the cause of death

- Indicates additional studies or investigations are needed, like toxicology in drug related deaths



The Medico-Legal Autopsy - - a medical investigation on behalf of greater society to determine how and
why its citizens die

- Performed under legislation of the Coroner's Act, NOT family consent.



True or False: When a coroner takes jurisdiction of a body, the family has no rights to the remains until
the body is released back to them - True



Goals of the medico-legal autopsy: - - Determine the cause of death

- Determine the mechanism of death

- Estimate the time of death and/or timing of injuries

- Determine the nature and mechanism of injuries

- Give opinions as to the nature of instruments/weapons that might've been involved in creating the
observed injuries

- Trace evidence collection, etc.



5 Parts of the Medicolegal Autopsy - 1. Assessment of the scene & circumstances surrounding the death

2. External examination of the body

, 3. Internal examination of the body

4. Interpretation of additional studies in the context of the case (testing like toxicology if needed)

5. Synthesis of a medicolegal opinion (pathologist uses all gathered info to create a comprehensive
opinion including the cause and manner of death)



The Mortems - Antemortem: before death

--> Not of significant assistance w/ manner or cause of death

Useful for identification purposes: premortem medical/dental records, characteristics of healed injuries
and bone



Perimortem: around time of death

--> Can be associated with the manner and cause of death

--> Consider two factors:

1. Nature of the lesion (type of injury: fracture, amputation, puncture)

2. Cause of lesion (event causing the wound: knife, axe, stress injury)



Postmortem: after death

--> intentional (dismemberment) or unintentional (animal scavenging)



Bullet Wound - - A small projectile propelled at high velocity

- Pattern depends on tissue, bone and ballistic properties of the projectile

- Entrance hole usually circular

- Beveled internally, sharply edged

- Exit hole more ragged and beveled externally

- A higher velocity projectile causes greater and more rapid fracturing than low velocity

- Bullet fragmentation is common



Sharp force injury - - Knives, picks, axes, hatchets

- Leaves identifiable marks on tissue, muscle and bone

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