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This publication reviews medicolegal investigation of sudden, unexpected pediatric deaths, focusing on systems and procedures in the United States and those deaths which remain incompletely understood or entirely unexplained. It discusses the evolution of our understanding and practice in the area of sudden, unexpected pediatric death investigation, covering the changing philosophies and medical theories as to causation and changing investigative and certification strategies. Procedural guidance for investigation, autopsy and ancillary testing, certification and reporting, and key considerations for prevention, research and working with family members and other professional team members are provided.The path to production of this publication began in 2016 when the National Association of Medical Examiners received a scientific grant from the SUDC Foundation called "Sudden Death in Pediatrics: Consensus for Investigation, Certification, Research Direction and Family Needs" to convene, in collaboration with the American Academy of Pediatrics, an expert panel to identify and discuss the diverse issues and limitations surrounding these deaths and build a foundation for national consensus. The combined effort of a panel of medical examiners, pediatricians, and federal agency representatives, representing the diverse interests of death investigation, autopsy performance, certification, clinical subspecialties (pediatrics, neurology, cardiology, child abuse, injury prevention, infectious diseases, genetics, and metabolic diseases), family needs, prevention, and epidemiology, culminated in this publication.
An “entertaining” (Booklist) account of the mysterious, hair-raising, and heartbreaking cases handled by the coroner of Marin County, California throughout his four decades on the job—from high-profile deaths and serial killers to inmate murders and Golden Gate Bridge suicides. Marin County, California is a study in contradictions. Its natural beauty attracts celebrity residents and thousands of visitors every year, yet the county also is home to San Quentin Prison, one of the oldest and largest penitentiaries in the United States. Marin ranks in the top one percent of counties nationwide in terms of affluence and overall health, yet it is far above the norm in drug overdoses and alcoholism, not to mention the large percentage of suicides that occur on the Golden Gate Bridge. Ken Holmes worked in the Marin County Coroner’s Office for thirty-six years, starting as a death investigator and ending as the three-term, elected coroner. As he grew into the job—one that is far different from the forensics we see on television—Holmes learned a variety of skills, from finding hidden clues at death scenes, interviewing witnesses effectively, managing bystanders and reporters, and preparing testimony for court to how to notify families of a death with sensitivity and compassion. He also learned about different kinds of firearms, all types of drugs—prescription and illegal—and about certain unexpected and potentially fatal phenomena, such as autoeroticism. Complete with poignant anecdotes, The Education of a Coroner is “riveting and complex…supremely entertaining reading material and…a fascinating and wildly informative dive into the mysterious world of death and decay” (Kirkus Reviews).
Through an examination and assessment of the body at a death scene, the medicolegal death investigator (MLDI) must be able to recognize circumstances that point to what manner of death occurred—be it natural causes, homicide, suicide, accident, or undetermined. A handy reference for use in the field and in the lab, Death and Accident Investigation Protocols provides 34 checklists and forms to help investigators make these determinations. Categories of death covered in this guide include: Aircraft and motor vehicle accident Alcohol- and drug-related Blunt- and sharp-force injury Drowning Electrocution, exposure, and fire Gunshot Hanging Hospital- and nursing home-related Infectious disease Natural causes Occupational exposure Poison and toxic substances Sexual assault Suicide Formatted as a convenient 8 1⁄2 x 11 spiral-bound book, this manual helps investigators know what to look for, what questions to ask, and how to categorize the scene and the physical injuries. The forms in the book can either be copied for use or downloaded from an accompanying CD, which allows for easy form modification. The text includes descriptive illustrations and diagrams associated with various categories of death. An essential tool for the busy investigator, the book facilitates the organization of information for a myriad of death scenarios.
Recounts Barb Thompson's eleven-year fight to prove that her daughter, Ronda Reynolds, did not commit suicide and offers a detailed account of the trial to determine if the coroner's office had been negligent when dealing with Ronda's death.
This practical text guides the reader in infant and child death investigation from the moment the phone rings to the final signature on the death certificate. Using an easily understood conversational writing style, the text imparts up-to-date, practice-based information on approaches to death investigation, clarifying misunderstandings and supplementing training gaps. Chapters also impart personal experiences relating to policy, procedure, standards, and the anticipation of problems during death investigations. Interspersed throughout the text are procedural standards from the National Association of Medical Examiners and Centers for Disease Control and Prevention, as well as high-quality images and observations of effective administrative and management strategies for offices involved with death investigations. The book is packaged with a password, giving users online access to all text and images. Pearls and Pitfalls in Forensic Pathology: Infant and Child Death Investigation is an essential resource for medicolegal death investigators, coroners, medical examiners, forensic pathologists, forensic laboratorians and attorneys.
After a construction worker unearths a human skull on the campus of the University of Mississippi dating to the 1960s, an older woman's desperate attempt to erase history counts down the five manners of death. Dr. Diana Bratton is a surgeon surrounded by bodies after the discovery of her Aunt Phoebe's 50-year-old note detailing the manners of death. Suicide, accident, natural cause, and one death classified undetermined are soon crossed off this list--leaving Diana to believe that only murder remains. When Diana spots photographs in a 1966 university yearbook, Phoebe is linked not only to that death, but to the recent deaths of two local men. Diana is torn between pursuing Phoebe's innocence and accepting police theory that her aunt is involved in the murder of several men she knew in college. In "The Five Manners of Death," Dr. Diana Bratton steals precious time from her young daughter, her surgical practice, and her hopes for renewed romance to clear Aunt Phoebe's name of multiple murder and uncover the significance of the list. Even as Diana searches Phoebe's home basement for evidence, she works to trump the police and outrun the conspiracy between her ex-husband and Phoebe's long-time lover--her quest to expose the truth overshadowed by a need to rebury the past. Even though she realizes there is a chance to save her shrinking family, Diana understands that of the five ways to die, murder is her family secret.
“Fun…and full of smart science. Fans of CSI—the real kind—will want to read it” (The Washington Post): A young forensic pathologist’s “rookie season” as a NYC medical examiner, and the hair-raising cases that shaped her as a physician and human being. Just two months before the September 11 terrorist attacks, Dr. Judy Melinek began her training as a New York City forensic pathologist. While her husband and their toddler held down the home front, Judy threw herself into the fascinating world of death investigation—performing autopsies, investigating death scenes, counseling grieving relatives. Working Stiff chronicles Judy’s two years of training, taking readers behind the police tape of some of the most harrowing deaths in the Big Apple, including a firsthand account of the events of September 11, the subsequent anthrax bio-terrorism attack, and the disastrous crash of American Airlines Flight 587. An unvarnished portrait of the daily life of medical examiners—complete with grisly anecdotes, chilling crime scenes, and a welcome dose of gallows humor—Working Stiff offers a glimpse into the daily life of one of America’s most arduous professions, and the unexpected challenges of shuttling between the domains of the living and the dead. The body never lies—and through the murders, accidents, and suicides that land on her table, Dr. Melinek lays bare the truth behind the glamorized depictions of autopsy work on television to reveal the secret story of the real morgue. “Haunting and illuminating...the stories from her average workdays…transfix the reader with their demonstration that medical science can diagnose and console long after the heartbeat stops” (The New York Times).