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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.
Essentials of Medicolegal Death Investigation uses a unique approach by combining medical issues, injury patterns, and investigative procedures to provide the reader with the basic fundamentals for a death investigation. The text introduces the reader to death investigation, common causes of death, and very specific types of death, including blunt-force injuries, gunshot wounds, and toxicology deaths. Each section includes case studies with written and visual descriptions. Written by a well-known and experienced medicolegal death investigator, the book fills a void in medicolegal literature for both students and professionals alike. - Provides a valuable guide to the interpretation of medical death investigation for practitioners and students - Covers the following circumstances in death investigations: asphyxiation, blunt-force injuries, sharp-force injuries, gunshot wounds, toxicology deaths, and natural causes - Includes case studies with written and visual descriptions and discussion, as well as up-to-date literature review
“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).
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.
This is not just a new edition but a different book, emphasizing trauma and wound analysis. The addition of a new co-editor, Dr. Francisco J. Diaz, has brought new ideas to this fifth edition. A chapter by Doctor Jan Leetsma, world-renowned neuropathologist, has also been included. Doctor Leetsma’s vast experience in forensic neuropathology will certainly enhance this book. Several chapters have been eliminated that are no longer applicable or which are adequately covered in other publications. Over time, in the past 48 years, since this book was first published, Medicolegal Investigation of Death has been dubbed the “Bible of Forensic Pathology.” The fifth edition includes over 600 case reports and hundreds of color photographs. The cases are from files the authors have personally handled. According to author Spitz, “We have found many times analysis of small wounds will lead to understanding of a giant case—like the case in Hawaii, where a body was found under a full-size van, with a thread mark on the cheek consistent with having been hit with a black pipe used for gas lines that were found in a bucket in the rear of the van. As it turned out, this was a murder, not an accident.” The book is full of such cases. This book will help you understand the details of injuries and how a person was injured and how they died and how these injuries, perhaps at first blush possibly seemingly insignificant, can shed new light on a case. Medicolegal Investigation of Death now embraces not just basic forensic pathology but also includes death during restraint, conscious pain and suffering and new concepts related to the interpretation of injuries by detailed wound analysis. The continued use of simple, non-technical terminology makes this book a truly unique treatise and source of information.
Estimation of the Time Since Death remains the foremost authoritative book on scientifically calculating the estimated time of death postmortem. Building on the success of previous editions which covered the early postmortem period, this new edition also covers the later postmortem period including putrefactive changes, entomology, and postmortem r