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Forensic Medicine Introduction

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Forensic Medicine Introduction Dr. Raid Jastania Tips for Reporting Make it Simple Relevant information ?Abbreviations Background of death Scene visit of death ... – PowerPoint PPT presentation

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Title: Forensic Medicine Introduction


1
Forensic Medicine Introduction
  • Dr. Raid Jastania

2
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3
Books
  • Simpsons Forensic Medicine, 12th Edition
  • Color Atlas of Forensic Pathology by Jay Dix
  • Jastania_at_hotmail.com
  • http//uqu.edu.sa/staff/ar/4180114

4
This Course
  • Elective
  • Appreciation Orientation of Forensic Medicine
  • Contents, Syllabus
  • Objectives of the the course
  • Exam

5
Well, What is this Course about?
6
Problem 1
  • You are on call in the medical ward. At 3 am the
    nurse calls you and asks you to come to see a
    patient. You come to the room and find the
    patient Dead
  • What do you do?

7
Problem 2
  • You are doing ICU rotation. You see this 24 year
    old man who had RTA and is on mechanical
    ventilation for 2 years.
  • The family approach you and ask you Is the
    patient Brain Dead? Is there a chance of
    recovery? Can you disconnect the mechanical
    ventilation?
  • Another family member starts telling a story
    about someone who has been in coma for 2 years
    and then has full recovery!!!

8
Problem 3
  • During your rotation in the Geriatric ward, one
    of you patient dies. The patients daughter comes
    to you and asks you
  • (My father was working in a factory of
    construction and isolation material, and I
    suspects that he has been exposed to a
    carcinogenic material, Asbestos. Is this death
    related to this?
  • What would you do?

9
Problem 4
  • In a fire, a man is found Dead!
  • The Police is questioning
  • Is this Accident?
  • Or is it murder?
  • What do you think?

10
Problem 5
  • During your ER rotation, you see this 5 year old
    boy with multiple injuries and bruises on the
    both legs, back and forehead.
  • You have suspicion of Child Abuse!!
  • What would you do?

11
Problem 6
  • A 23 year old boy has epilepsy and does not hold
    a driving license. However, he is found dead
    following a car accident. He is the driver!!
  • You are asked to fill in the Death Certificate
  • What is the cause of death? Is this accident? Or
    is it natural death?

12
Problem 7
  • A friend of yours calls you and ask for sick
    leave for 5 days. He knows that you work in the
    hospital and you can easily do him a favor!!
  • What would you do?

13
Problem 8
  • The police is investigating a case of Medical
    malpractice. They see your name in the patients
    file. They ask you to write a report about the
    patient. This report will be considered as
    Evidence in their investigation!
  • What would you do?

14
Forensic Medicine
  • Definition
  • Branch of Medical practice concerns with
  • Legal issues
  • In Life and Death
  • Usually performed by Pathologists

15
Aspects of Forensic Medicine
  • Life and Death
  • Medical Malpractice
  • Abuse
  • Ethics in medical practice
  • Legal issues

16
Forensic Medicine
  • Who performs what
  • It depends on the legal system of the country
  • Terms
  • Coroner
  • Medical Examiner
  • Court
  • Death certification
  • Police

17
The Law
  • Source of the Law
  • Medical Profession Rules
  • Legal vs Ethical responsibilities

18
The Legal System
  • The Criminal System
  • Offences against public interest
  • Individual is presumed innocent until found
    guilty
  • Penalties fines, imprisonment, beating,
    amputation of parts, execution
  • Civil Courts
  • Between individuals
  • Restoration of position before the event
  • Usually financial compensation

19
Doctors and the Law
  • Citizen
  • Professional witness
  • Expert witness
  • Attendance at court
  • Written reports
  • Giving evidence
  • Behavior in court

20
How do Pathologist Collect the Evidence
21
Autopsy
  • Definition
  • Post mortem examination of body
  • External
  • Internal organ
  • Types
  • Clinical Hospital Autopsy
  • Forensic Autopsy
  • Description of Autopsy Suite

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Medical Reporting
30
Medical Reporting
  • Who is requesting the Report
  • Police, judge, lawyer, government department
  • Am I entitled to write such a report?
  • Confidentiality
  • Lack of knowledge
  • Consent of living patient
  • assumed consent
  • Criminal cases

31
Exercise What do we need to write in Autopsy
report? Make a List!
32
Structure of a Report
  • Patient data
  • Doctor Data
  • Time, date, place
  • People attending autopsy
  • Consent of autopsy
  • Next of ken
  • Extent of autopsy
  • Special requests

33
Structure of a Report
  • Physical Examination
  • External
  • Internal
  • Treatment given
  • X-rays
  • Blood tests, toxicology
  • Injuries
  • Openion

34
Tips for Reporting
  • Make it Simple
  • Relevant information
  • ?Abbreviations
  • Background of death
  • Scene visit of death
  • Confidential
  • No change or delete
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