1. Calumet County Medical Examiner County Board Update June 2014

2. Who are we??  Medical Examiner appointed January 1, 1999  Three deputies  PPP Committee

3. Kent Katalinick

4. Kevin Johnson

5. Regina Behnke

6. Personnel  Michael Klaeser  1985  Certified Registered Nurse Anesthetist  CMC since 1978

7. Expertise That we Rely On Fond du Lac County Medical Examiners Office Dr. Doug Kelly Dr. Kristenza Giese

8. Forensic Pathology

9. What We Do  ss. 979, 59, HSS  Investigate Deaths per ss.979  Order Autopsy  Assist Law Enforcement and District Attorney  Maintain Records  Provide Information  Determine/Certify the Cause and Manner of Death

10. How We Do It  On Call 24/7  Respond to Death Scenes  Interview Family and Witnesses/Caretakers as Available  Review Medical Records  Examine the Body  Record notes  Take Pictures

11. If we Need Help  Order Autopsy  Consult with Each Other  Consult with Physicians or other Caretakers  Order Toxicology  Research

12. Sometimes it’s Messy

13. Messy

14. Toxic

15. Sometimes it’s Tragic

16. Tragic

17. So What’s New?  Autopsies 2014 YTD = 16  Autopsies 2013 YTD = 10  Expenditures 2014 vs 2013  Wages >2000  Pathology >8000  Mass Casualty Plan

18. Why?  Increase in Deaths due to Overdose  Increase in Deaths by Suicide  Complicated Medical History  Industrial Factors

19. Dilemmas  Why do we Need an Autopsy?  Where can we examine a body?  How Much Time Should we Spend?

20. Wish List  People  Education (D-ABMDI)  Time  Technology  Location/Facility  ss. 979 Revision