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Now in full colour, this new and revised edition of The Hospital Autopsy presents a clear and systematic approach to safe and effective modern autopsy practice for pathologists. It begins by discussing issues such as legislation governing autopsies, religious attitudes and ensuring safety, before covering the procedures of external examination, evi
A mainstay for pathology residents, Autopsy Pathology is designed with a uniquely combined manual and atlas format that presents today's most complete coverage of performing, interpreting, and reporting post-mortem examinations. This lasting and useful medical reference book offers a practical, step-by-step approach to discussing not only the basics of the specialty, but the performance of specialized autopsy procedures as well. Material is divided into two sections for ease of use: a manual covering specific autopsy procedures, biosafety, generation of autopsy reports, preparation of death certificates, and other essential subjects; and an atlas, organized by organ system, which captures the appearance of the complete spectrum of autopsy findings. Offers expanded coverage of microscopic anatomy. Includes a chapter on performing special dissection procedures that may not be covered during a typical residency. Examines important techniques, such as autopsy photography and radiology, microscopic examination, supplemental laboratory studies, and other investigative approaches. Addresses the latest legal, social, and ethical issues relating to autopsies, as well as quality improvement and assurance. Presents more than 600 full-color photographs depicting common gross and microscopic autopsy findings for every part of the body. Correlates pathologic findings with their clinical causes to enhance diagnostic accuracy. Improved images in the Atlas section provide greater visual understanding. Additional online features include dissection videos demonstrating autopsy techniques; downloadable, commonly used forms for autopsy reports; and calculators for weights and measures. Expert Consult eBook version included with purchase. This enhanced eBook experience offers access to all of the text, figures, images, videos, forms, calculators, and references from the book on a variety of devices.
The US Department of Justice's National Institute of Justice (NIJ) asked the Institute of Medicine (IOM) of The National Academies to conduct a workshop that would examine the interface of the medicolegal death investigation system and the criminal justice system. NIJ was particularly interested in a workshop in which speakers would highlight not only the status and needs of the medicolegal death investigation system as currently administered by medical examiners and coroners but also its potential to meet emerging issues facing contemporary society in America. Additionally, the workshop was to highlight priority areas for a potential IOM study on this topic. To achieve those goals, IOM constituted the Committee for the Workshop on the Medicolegal Death Investigation System, which developed a workshop that focused on the role of the medical examiner and coroner death investigation system and its promise for improving both the criminal justice system and the public health and health care systems, and their ability to respond to terrorist threats and events. Six panels were formed to highlight different aspects of the medicolegal death investigation system, including ways to improve it and expand it beyond its traditional response and meet growing demands and challenges. This report summarizes the Workshop presentations and discussions that followed them.
Handbook of Autopsy Practice, Fourth Edition is divided into three parts. Part I contains six new chapters in which the reader will find an assortment of tools that will increase the value of the autopsy. Included in the section are valuable resources and tools such as a sample next-of-kin letter, a quality assurance worksheet, new discourse on the dissection procedure which is accompanied by a worksheet and template for the gross description. There is also a new, detailed discussion of the safe handling of sharps, complete with photographs and the reader will also find the updated requirements of the Eye Bank of America and the U.S. Food and Drug Administration for ocular tissue transplantation. Part II has been updated with new diseases and recent references added. Practicing autopsy pathologists, residents and students are invited to review this alphabetical listing of disorders before each autopsy in order to re-acquaint themselves with what they might encounter. Part III provides a series of tables providing organ weights and body measurements for fetuses, children and adults. Handbook of Autopsy Practice Fourth Edition is an essential resource for clinicians, pathologists, residents and students who strive to hone their trade and increase the value of the autopsies they perform.
A comprehensive reference guide to the successful performance of pediatric autopsies and to the optimal recognition and interpretation of their pathologic findings. The authors cover such major developmental disorders as hydrops, chromosomal defects, and congenital abnormalities, metabolic disorders, and review the major organ systems. Additional chapters address sudden infant death, cytogenetics, the medical and forensic autopsy, special procedures, cultures and infection control, and biological hazards at the autopsy. Numerous standard reference tables, copious illustrations and drawings, and an appendix at the end of each chapter provide a wealth of practical information and bibliographic citations.
Contains thorough explanations and descriptions Offers clear informative diagrams and photographs Aimed at pathologists in training, medical students, and mortuary technicians Thoroughly revised 2nd edition includes the most recent guidance to an accurate mortem diagnosis from the Royal College of Pathologists and from the College of American Pathologists
Medical examiners play an increasingly important role in society as unexpected and violent deaths increase, not only due to crime, but also due to new toxins in the environment, emerging diseases crossing from animals to humans, bizarre suicides, sadistic sexual practices, and other non-natural causes. John Miletich and Tia Lindstrom take us into the world of these medical detectives. Biological clues from bite marks and skin abnormalities to blood chemical levels and brain oxygenation are just some factors exposed in their quest for truth and justice. We learn the basics of death determination from rigor and livor mortis to signs of death by design, drug use, disease, suicide, and more. We also come to understand the tools of this work, from the Stryker's Saw to the grocer's scale, and tests that reveal factors from DNA evidence to toxins from insect bites. Each case begins with a biological mystery and ends with a conclusion that can provide loved ones with relief, or shock. Miletich, who trained at the Alberta Office of the Chief Medical Examiner and with the Royal Canadian Mounted Police, teams with Lindstrom to introduce readers to the medical examiner's role, including autopsy techniques and analysis. Twists and turns emerge as what was initially thought to be a murder proves to be suicide; what was suspected to be a natural death proves to be murder or environmental poisoning; or what was thought to be an accidental death proves to be something more sinister. This work includes appendices with guides to Medical Examiner organizations, seminars, and conventions.
Now in full colour, this new and revised edition of The Hospital Autopsy presents a clear and systematic approach to safe and effective modern autopsy practice for pathologists. It begins by discussing issues such as legislation governing autopsies, religious attitudes and ensuring safety, before covering the procedures of external examination, evisceration, dissection of internal organs and report writing. Six new chapters have been added and contemporary specialist techniques, such as near virtual autopsy, are covered in depth, with chapters devoted to complex issues including perinatal autopsies, maternal deaths and autopsies where the cause of death is unascertained. The Hospital Autopsy is an indispensable resource for pathologists in training, as well as a concise reference for practicing pathologists and autopsy technicians.
Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Generally, the majority of diagnostic failures are attributed to the clinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to severe, life-threatening disorders. The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision making, rather than knowledge deficits.