INVESTIGATION OF SUSPICIOUS DEATHS FORENSIC PATHOLOGY

Pathologist’s Viewpoint “What we require” INFORMATION Status of the Scene Liaison with Technical Bureau/ Scenes of Crime for Scene Visit Coroner MUST be informed!

SCENE VISIT Forensic Suit,Overshoes,Mask,Gloves etc. Photography/Video first Limit Examination of Body at Scene----DO NO DAMAGE! Body Temperature—may be preferable to defer until mortuary SWABS—if essential and can be taken without major disturbance

SCENE BAGGING of HEAD and HANDS PAPER v.Plastic bags

Removal of Clothing Disturbance Loss of Evidence Usually best avoided at Scene---unless special circumstances

Potential Weapons BAG for Scientific Examination Avoid bringing into mortuary dissecting room Can examine in a sealed container or bag,in an office,outside the P.M.suite While weapon still secure in a container,can take a photocopy

Body Temperature Of little evidential value Best left until mortuary Rectal temperature --- after swabs taken Ambient temperature at scene Mortuary has Space,Light,Technical Assistance

AUTOPSY Autopsy is NOT the end of the process,just the beginning Alcohol Toxicology for Drugs (Prescription and Illicit) Histology Neuropathology Cardiac Pathology etc. in rare instances

AUTOPSY Debriefing at end of P.M. Summary of Findings Statement if required N.B.--- the Pathologist’s provisional opinion may be revised by the time of the final report

ORGAN RETENTION MAY BE REQUIRED IN EXCEPTIONAL CASES Brain for Neuropathological Examination is commonest Heart for expert cardiac pathology Lungs --- Industrial Lung Disease MUST notify Next of Kin of Organ Retention

GLOSSARY WOUNDS and INJURIES 1. Bruises 2. Abrasions 3.Lacerations 4. Incised wounds (Slash wounds) 5. Stab (Penetrating) wounds

WOUNDS and INJURIES SIZE SHAPE POSITION --- relate to at least two anatomical landmarks Ageing of Injuries

PLEA to INVESTIGATORS PLEASE!!! Follow up with additional information requested by us Background Information Medical History Case Notes Clinical Summary (if patient was in hospital)

Investigation of a Suspicious Death Accurately establish the circumstances surrounding the death

Investigating Officer ASKS Has a crime been committed? If so,who is responsible? If the person responsible is traced,is there sufficient evidence to charge that person and support a prosecution?

Role of the Forensic Pathologist Cause of Death --- prompt P.M. Circumstances of Death --- Natural,Accident,Suicide or Homicide Time of Death --- Body Cooling,Rigor Mortis Identification --- Visual, Dental, DNA Collection of Trace Evidence

SCENE WHERE THE BODY IS DISCOVERED Where the person died? Where the person was injured? Where body moved to,or was moved to? Where the body was concealed? Where the body was removed from? THE BODY!!!

Why Visit the Scene? Because Someone Asked Me To To View the Body In-Situ --- cf relationship to furniture,signs ofdisturbance,bloodstains,potential weapons Assess how long dead Preliminary Assessment of Cause and Mechanism of Death --- marks,pattern of injury

Why Not Visit the Scene? No Body at Scene Pathologist does not routinely visit Scene Pathologist too Distant from Scene Pathologist 2nd,3rd,4th to be involved Swift removal of body from scene is desirable Scene is Unsafe Initially not regarded as Suspicious

“REVISIT” the SCENE In Person after the P.M. View Photographs View Video Modern Technology --- Video links Sketches Witness Statements

Why Visit or Re-Visit Reconstruct Events Identify potential weapons,objects or surfaces that may have caused injuries Identify where the injuries were sustained Assess order of injuries Post-Injury Movement Continuous Attack v. Repeated Attacks