Medical Examiner Mass Fatality Management Orientation
Transcript of Medical Examiner Mass Fatality Management Orientation
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Medical Examiner Mass Fatality Management Orientation
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Multiple Fatality Incidents Number of casualties
exceeds available resources Necessity for local
personnel to be able to sustain for at least 3 days
Basic framework of mass disaster plan Effective utilization of
trained personnel Streamlined examination
and identification of decedents No margin for error
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Pathology of Disaster First responders are often
also victims
Major drain on personnel
Wealth of documentation Antemortem /
postmortem data
Government reimbursement issues
Must be ever vigilant for the “outliers” Explosion epicenter
Staged homicide
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Multiple Fatality Incidents
Natural Events
Floods
Earthquakes
Hurricanes
Accidents
Transportation
Industrial
Terrorism
Explosives
Chemical Agents
Biological Agents
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Multiple Fatality Incidents
Mother Nature
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Multiple Fatality Incidents
Mother Nature
Accidents
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Multiple Fatality Incidents
Mother Nature
Accidents
Terrorism
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Multiple Fatality Incidents
Mother Nature
Accidents
Terrorism
Mass suicide / genocide
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Agency Involvement
FAA, FBI, NTSB, FEMA
Local and State Police
Fire, Rescue, and Hospitals
Medical Examiner
Funeral Homes, DMORT
Approved Volunteer Groups.
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Incident Command System
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Agency Responsibilities
Each agency performs their usual role…..just on a larger scale
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Agency Responsibilities
Fire Department
Scene safety
Decontamination
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Agency Responsibilities
Fire Department
Law Enforcement
Physical evidence
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Agency Responsibilities
Fire Department
Law Enforcement
Funeral Home Personnel
Recovery of decedents
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Agency Responsibilities
Fire Department
Law Enforcement
Funeral Home Personnel
Medical Examiner
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Medical Examiner Responsibilities
Coordinate recovery of remains and oversee collection point(s)
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Medical Examiner Responsibilities
Coordinate recovery of remains and oversee collection point(s)
Operate temporary and permanent morgues
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Medical Examiner Responsibilities
Coordinate recovery of remains and oversee collection point(s)
Operate temporary and permanent morgues
Examination of remains Cause & manner of death
Collect evidence
Cataloging of personal effects
Identification Coordinated release of
remains and personal effects
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Streamlining of ME Tasks
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Pre-Morgue Clearance
Decontamination
Removal of explosives
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Pre-Morgue Clearance
Decontamination
Chemical
Nuclear
Biological
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Into the Morgue…. Where the magic happens
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Hurricane Katrina
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Morgue Layout
Admitting
Photography
Pathology
Anthropology
Fingerprinting X-Ray
Odontology
DNA
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Admitting
“As is” photography
Verify remains as “safe to process”
Ensure no co-mingling of remains
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Admitting
Tracker is assigned
File is generated
Coroner / ME case #
DMORT case #
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Photography and Personal Effects
Each stage of disrobing the remains is photographed
Personal effects are cleaned and photographed
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Radiology
Projectiles
Old & new
Prior surgeries
Pacemaker
Surgical clips, screws, & plates
Hardware bearing serial numbers
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Pathology
External examination
Signs of injury
Scars
Tattoos
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Anthropology
May or may not be utilized
Anthropological assessment
Age
Sex
Ancestry
Stature
Trauma
Disease processes
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Odontology
Postmortem charting
X-ray
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Fingerprints
Complicating factors
Mummification
Adipocere
Importance of “gloves”
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DNA Collection
Standard section
Anterior tibia
May or may not be submitted
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Identification and Release
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But what can I do????
Roles of volunteers Antemortem data collection Tracker Technical assistance
Fingerprints Radiology Dental examination and
documentation Autopsy assistant Anthropology assistant
Evidence collection, documentation and management
Personal effects management Storage and release of remains Transport of remains
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Training to be made available
Dental ID – online, DVD, drill
X-ray identification -- online, DVD, drill
Autopsy assistant – tutor
Antemortem information collection and management – online, DVD
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