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Forensic Medicine Introduction

Forensic Medicine Introduction. Dr. Raid Jastania. Books. Simpson ’ s Forensic Medicine, 12 th Edition Color Atlas of Forensic Pathology by Jay Dix Jastania@hotmail.com http://uqu.edu.sa/staff/ar/4180114. This Course. Elective Appreciation Orientation of Forensic Medicine

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Forensic Medicine Introduction

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  1. Forensic MedicineIntroduction Dr. Raid Jastania

  2. Books • Simpson’s Forensic Medicine, 12th Edition • Color Atlas of Forensic Pathology by Jay Dix • Jastania@hotmail.com • http://uqu.edu.sa/staff/ar/4180114

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

  4. Well,What is this Course about?

  5. 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?

  6. 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!!!

  7. Problem 3 • During your rotation in the Geriatric ward, one of you patient dies. The patient’s 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?

  8. 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?

  9. 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?

  10. 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?

  11. 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?

  12. Problem 8 • The police is investigating a case of Medical malpractice. They see your name in the patient’s 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?

  13. Forensic Medicine • Definition: • Branch of “Medical” practice concerns with • Legal issues • In Life and Death • Usually performed by Pathologists

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

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

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

  17. 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

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

  19. How do Pathologist Collect the Evidence

  20. Autopsy • Definition: • Post mortem examination of body • External • Internal organ • Types: • Clinical “Hospital” Autopsy • Forensic Autopsy • Description of Autopsy Suite

  21. Medical Reporting

  22. 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

  23. Exercise:What do we need to write in Autopsy report?Make a List!

  24. 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

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

  26. 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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