1. INJURY Documentation and Interpretation

2. History How What When Any treatment Current illness Medication Physical activity Hand dominance Drugs & alcohol Clothing

3. Documentation Group Position Colour & shape Size Type

4. Classification Erythema Bruise Petechiae Abrasions Laceration Slash Stab Incision Haematoma Scratch Chop Firearms Bite

5. Mechanism BLUNT SH AR P

6. Erythema Redness Transient ! May be patterned Remember other causes

7. Bruising

8. Haemoglobin Macrophage breakdown Haem + Globulins Haem oxygenase Iron + Biliverdin Biliverdin reductase Bilirubin

9. Black eye Direct blow to orbit Injury to front of scalp # base of skull

10. Petechiae Pinpoint haemorrhages Arteriolar rupture Head and neck congestion Mouth and eyes Other mechanisms Tramline trauma Suction Vomiting

11. Tramline bruising

12. Patterns

13. Abrasion Friction Pattern Epidermal pilling

15. Laceration Ragged Inverted edges Bruising Tissue bridges

17. Incision

19. Stab wounds

21. Gunshot

22. Bite mark Position Shape Size Photograph Saliva DNA Forensic odontologist

23. Self harm self accessible site multiple regular equal depth hesitancy Scars mental health history

24. Handcuffs

25. Control & incapacitants