Topic A - Forensic Medicine > Section A.2.0. Forensic Roles > Unit.A.2.1. Coroner/Medical Examiner

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Unit.A.2.1. Coroner/Medical Examine

Australia
focus points

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Canada
focus points

role of the medical examiner /pathologist

"The morgue autopsy: an open dissection of the body, usually in which three cavities of the body are opened - head, chest, and abdomen. Organs are removed and examined individually by the medical examiner/pathologist" (Alberta Justice, 1993, p. 9).

role of the medical photographer

"The medical photographer provides photography at post-mortem examinations. Additionally scene of death photography is taken by medical examiner's investigators using "Polaroid" photography. This provides a quick view of the each death scene for the medical examiner at the morning case review" (Alberta Justice, 1993, p. 16).

"The photographer's job includes film processing, filing, duplication of slides and production of both color and black and white prints. The photographer assembles collections of slides, often for educational presentations and prints for court work" (Alberta Justice, 1993, p. 16).

International
focus points

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United Kingdom
focus points

role of coroner

1100's - "Medicolegal activities or the role of coroner began in England for the purpose of preventing financial abuses against the crown by English Sheriffs" (Fisher, 1973; Paul, 1974, cited in Henson, 1987, p. 76).

1100's - "Forensic medicine evolved in England from the medicolegal need to determine cause of death, so that the decision to impose a suicide penalty could be rendered" (Spitz & Fisher, 1980, cited in Schramm, 1991 p.670).

Crowner - was the original name for the coroner. Coroners are not doctors.

Original duties of the coroner in medieval England:

  • "Hold inquests on deaths,
  • Inspect wounds, and arrest the accused if those wounds were likely to be fatal,
  • Attach or arrest witnesses or suspects,
  • Safeguard lands and other property that belonged to the crown under such circumstances as death by suicide"

(Henson, 1987, p. 76).

United States
focus points

role of the forensic pathologist

"At the turn of the century most murders went unsolved - the dead took their secrets with them to the grave. It would take years before science could understand the language of the dead" (Video HBO Studio Production, 1993-Autopsy 2).

"Today, the forensic pathologist has the tools to interpret their language with amazing accuracy. Now we can enter this world, both fascinating and forbidden. It is the world of forensic pathology, where the dead reveal their secrets to the living through the mysteries of the autopsy" (Video HBO Studio Production, 1993-Autopsy.

role of the coroner/ medical examiners

"By 1860, in the United States, medical expertise became a formal aspect of the coroner's job (Fisher, 1973). The old system of electing a lay person to be coroner is gradually being replaced with medical examiners offices" (Henson, 1987, p. 76).

"The title of Medical Examiner in the United States was created in 1915. At this time, the office of Coroner was retained, which the head pathologist, who directed investigations, and was given the new title" (Henson, 1987, p.82).

"Coroners and medical examiners who perform medicolegal duties might be identified as the last line of defense against undetected human abuse" (Henson, 1987, p.82).

responsibilities of the coroner today
  • "Inquire into the circumstances of sudden unexpected deaths,
  • Assess the circumstances of death,
  • Ensure the prosecution of those responsible for death,
  • Protect the living through research into the prevention of death and injury of a variety of types of human abuse, including child abuse, drug abuse, patient abuse, and employee endangerment"

(Henson, 1987, p. 77).

preventive roles of medical examiners
  • "Identification of the types of abuse of children, elderly, nursing home or hospital patients have prevented injuries or deaths of other siblings, older adults or institutionalized patients,
  • Investigation of fatalities due to toxic wastes at worksites and factories have prevented additional injury or loss of life of workers and consumers,
  • Consultation for research findings in the study of products for safe human consumption have prevented adverse reactions or death from ingested substances,
  • Postmortem investigations of sudden, violent and or unexpected deaths are frequently the source of crucial criminal court evidence, that results if the conviction of abusers,
  • Examination of the role of alcohol in deaths from a variety of causes have resulted in recent nationwide campaigns to decrease alcohol consumption and eliminate drunken driving" (Henson, 1987, p. 81-83).
role of forensic dentistry

"Forensic dentistry is integral to the investigation of murder involving bite marks, child and sexual abuse in living victims, the identification of the dead in plane crashes and other mass disasters. Police agencies seeking to identify unknown corpses turn to dentists to help in determining a patient name - they may also ask a dentist for records of someone who is missing" (Jakush, 1989, p. 356).

role of chief medical examiner

"The Chief Medical Examiner Responsibilities are to investigate deaths for causality in cases of:

  • criminal violence,
  • suicide,
  • sudden death when in apparent good health,
  • any unusual or suspicious manner of death, · deaths of bodies of those to be cremated" (Schramm, 1991, p. 673).
Sheriff-Coroner Department, 1993

"The coroner or the coroner's appointed deputy, on being informed of a death and finding it to fall into the classification of deaths required of his or her inquiry, may immediately proceed to where the body lies, examine the body, make identification, make inquire into the circumstances, manner and means of death, and circumstances warrant, either order its removal for further investigation or autopsy, or release the body to the next of kin for disposition" [Government Code Section 274931.2(a)].

role of the forensic pathologist

"Forensic pathology, like forensic medicine is a diagnostic subspecialty of medicine that primarily concerns itself with medico legal issues for living and deceased victims of trauma. Forensic pathologists (also referred to in the USA as medical examiners and coroners by the laity) provide crucial testimony in courtroom settings" (Taft & Boglioli, 1998, p. 80).

 

Focus Points Reference

Alberta Justice. (1993). What's going on here? Chief Medical Examiner's Office in Alberta: Author.

Butt, J (2002). Pathfinder Forum - Consulting in Forensic Medicine and Pathology. Retrieved May 18, 2002 from http://www.pathfinderforum.com/

Henson, T. K. (1987). Medicolegal role in detection and prevention of human abuse. Holistic Nursing Practice, 1(2), 75-83.

Jakush, J. (1989). Forensic dentistry. JADA, 119(9), 355-368

Schramm, C.A. (1991). Forensic medicine: What the perioperative nurse needs to know? AORN American Operating Nurses Journal, 53(3), 669-692.

Sheriff-Coroner Department (1993). Deputy Coroner (Coroner Investigator). Author: Santa Anna, County of Orange, California.

Taft, M. L. & Boglioli, L.R. (1998). Science and politics of cutting and stabbing injuries in the USA. Journal of Clinical Forensic Medicine, 5, 80-84.


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From 'forensic presentations' in the forensic sourcebooks the following presentations have been selected for this unit:

Unit.A.2.1. Coroner/Medical Examiner

Australia
Presentation(s)

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Canada
Presentation(s)

A.2.1.(a).CA_2000_ME_DrJohn Butt_Keynote_Swiss Air 111.

United Kingdom
Presentation(s)

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United States
Presentation(s)

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This section will continually be added to with guest presentations from forensic experts locally, nationally and internationally and with student presentations.

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From 'forensic cases' in the forensic sourcebooks the following case studies have been selected for this unit:

Unit.A.2.1. Coroner/Medical Examiner

Australia
case study

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Canada
case study

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United Kingdom
case study

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United States
case study

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From 'forensic experts' in the forensic sourcebooks the following panel of experts has been selected for this unit:

Unit.A.2.1. Coroner/Medical Examiner

forensic panels of experts

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Australia
authors/experts

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Canada
authors/experts

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United Kingdom
authors/experts

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United States
authors/experts

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