Post-mortem Examination - mbbsclub.commbbsclub.com/download/3/Forensic Medicine/inquest for... ·...
Transcript of Post-mortem Examination - mbbsclub.commbbsclub.com/download/3/Forensic Medicine/inquest for... ·...
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Post-mortem Examination
A medical examination of the dead body conducted in
accordance with the laws of the state
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• Types – Clinical /hospital autopsy – Forensic /medicolegal autopsy – Psychological autopsy
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CLINICAL AUTOPSY
• Performed with the consent of the deceased person’s relative
• Purpose Providing correlation of clinical diagnosis and clinical symptoms Determining the effectiveness of therapy Study natural course of disease process Educating students and physicians
• This type of autopsy should not be held to determine the nature of
fatal cause
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MEDICO-LEGAL AUTOPSY
• Performed on the behest of some legal authority responsible for the investigation of
sudden suspicious Obscure unnatural or frank criminal deaths
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Inquest
• legal or judicial inquiry to ascertain matter of fact
• An Inquiry into the cause of death
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Inquest An inquest is judicial inquiry in common law jurisdictions
help to determine the cause of a person’s death
Conducted by judge, jury ,or government official
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Indication for inquest
Sudden death Suicide Homicide Infant death Drugs/poisons Abortion Operational deaths Allegation of medical negligence Industrial accidents Road accidents Domestic accidents Death in custody
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PURPOSE OF MEDICO-LEGAL INVESTIGATION OF DEATH
Detection of crime.
Investigation of medical aspects of certain deaths.
Citizens rights.
Statistics.
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Systems of death investigation
Coroner system
Medical Examiner system
Police system
Continental system
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Medical Examiner system in the USA. Coroner system of England and Wales.
Procurator Fiscal system of Scotland.
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MEDICAL EXAMINER SYSTEM
• Prevalent in some states of USA medical person appointed to hold an inquest determine cause and manner of death No power to summon witness and examine them under oath Submit report to District Attorney action
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unnatural death.
Jurisdiction of Medical Examiner
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Coroner
under the Local Government Act 1972. Most are Solicitors or Medical Practitioner of
at least five years standing. The role of the Coroner is to investigate
sudden deaths and to hold inquests where appropriate.
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• There is a duty in common law for every person "about a body" to notify the Coroner of circumstances likely to.
As a general rule all Inquests are held in public to which the press and all members of the public are entitled to be present and witness the proceedings.
He receives reports and statements.
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ROLE OF CORONER IN INVESTIGATION
He can order a post mortem examination. He may certify the cause of death as determined by the post
mortem. Following the autopsy he may decide to hold an inquest.
Inquests must always be held when death is due to an unnatural event.
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Jury
• There are some circumstances in which the summing of a Jury is compulsory:-
• A Jury is comprised of between 7 and 11 members taken from the Crown Court Jury List.
• The Coroner may accept a majority verdict providing not more than two Jury members disagree.
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Procurator Fiscal
The Procurator Fiscal is appointed by the Lord Advocate and is always a Lawyer. The Procurator Fiscal prosecutes in the Sheriff
Courts and District Courts. Has wide powers in the investigation of
criminal matters. He requests for autopsy to be performed by a
forensic pathologist.
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Duty of the procurator fiscal
• It is the duty of the Procurator Fiscal to enquire into certain categories of death Minimize the risk of undetected homicide or other crime Ensure that full and accurate statistics are
compiled Secure and preserve evidence relevant to the
rights of interested parties
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When all the information necessary is to hand, the Fiscal will decide on the need for an autopsy.
If the Procurator Fiscal is satisfied that death is due to natural
causes and that there is no element of criminality or negligence, he will invite the GP or hospital doctor to issue a death certificate.
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• In • DEATHS REPORTABLE AFTER INVESTIGATION
BY THE FISCAL TO THE CROWN OFFICE
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CONTINENTAL SYSTEM
No provision for sudden and unexplained death Only those subjected to investigation in which foul
play is suspected
No identifiable executive officer
Criminal death reported to the police
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MODIFIED CONTINENTAL SYSTEM
All sudden and unexplained deaths are not investigated
Section 174 of criminal procedure code empowers the area police to investigate suicide homicide and deaths due to accidents
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LEGAL AUTHORIZATION IN PAKISTAN
Section
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LEGAL AUTHORIZATION IN PAKISTAN -(Contd)
Exhumation: Whenever it is considered necessary to make an examination dead body of any person who has already been interred (buried), the magistrate under section 176(2) of the Criminal Procedure Code of Pakistan, may cause the body to be disinterred and examine in order to discover the cause of death.
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MAGISTRATE INQUEST
Death of convict in jail Death of a person in police custody During interrogation Police shooting or killing
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Purpose of magistrate inquest
No death
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Objectives of PME
Identification of victims Identification of accused /criminal Identification of suspect weapon Document cause and nature of injuries Determine the cause of death Determine time since death
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Identification of motives Documenting evidence for corroboration of
facts/events/statements Forensic reconstruction of events Determine manner of death Separating death due to disease from death due to
external causes Provide factual objective medical report for law
enforcement ,prosecution and defense agencies
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PRELIMINARIES FOR AUTOPSY
Valid legal authority in respect of particular dead body to perform autopsy
Copies of inquest report FIR In hospital deaths, a copy of case sheet of the
deceased person
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Stages of a Forensic PME
1 Examination at the scene of death
2 Examination in the PM Room
3 Revisiting the scene of Death