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1030 Forensic Pathology.docx

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Forensic Science
Hisham Ragab

Forensic Pathology - It is a sub-specialty of pathology, & is concerned with the application of pathological principles to the investigation of the medicolegal aspects of death st - Forensic pathology was 1 recognized in the USAby theAmerican Board of Pathology in 1959 - In Canada, it was formally recognized in 2003, & a formal training program (a fellowship) is currently being established under the supervision of the Royal College of Physicians and Surgeons of Canada Forensic Pathologists Are medically qualified doctors who perform autopsies (postmortem examinations) The forensic investigation of death involves the: - Pathologists - Crime scene investigators (CSI) - Forensic scientists - Other specialists, such as anthropologists, entomologists, odontologists & many other experts The Objectives of a Medicolegal Examination: - Identification of the decreased - Identify cause of death - Determine the manner of death - Interpretation of injuries - Collect trace evidence - Determine the time of death - Testify in the court to the findings Medicolegal Cases - Violent deaths - Sudden & unexpected deaths - Deaths have no attempting physician - Deaths that are suspicious, i.e., may be violent - Deaths in custody Coroner & Medical Examiner History of Both Systems - The coroner system dates back to the 9 century were Coroners were appointed by the king, they were called CROWNERS. This word changed CROWNERS. This word changed over the centuries to become Coroner - The medical examiner system originated in Boston in 1877 Coroners & Medical Examiner in USA - In the US, a coroner is typically an elected public official in a particular geographic area who investigate & certifies deaths. Most coroners lack a doctor of medicine degree - With variable amount of medical training - In contrast, a medical examiner is typically a physician who holds the degree of Doctor of Medicine. Ideally, a medical examiner has completed both a pathology residency & a fellowship in forensic pathology Canadian System - In Canada, there is a mix of coroner & medical examiner systems - In Ontario, coroners are licensed physicians - In Quebec, there is a mix - In BC, a non-physician coroner system - Alberta & Nova Scotia are example of Medical Examiner systems System in Canada - Medical Examiner must be medical doctors, but not necessarily forensic pathologists - In Ontario, Coroners are also doctors, but in the rest of Canada, coroners are lay coroners - New Brunswick has a lay coroner system; the rest of theAtlantic Provinces are under the Medical Examiner’s system - Coroner services in Canada are under the jurisdiction of Provincial or Territorial government. Coroner services is headed by a Chief coroner ( or Chief Medical Examiner) & is supported by a team of coroners or medical examiners - In the province of Alberta, Manitoba, Ontario, Nova Scotia, Newfoundland & Labrador & Prince Edward Island, all coroners or Medical Examiner are, by law physicians - In all other provinces & territories, namely Br
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