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1.1overview On Forensic Science
1.1overview On Forensic Science
In modern use, the term "forensics" in the place of "forensic science" can be
considered correct as the term "forensic" is effectively a synonym for "legal" or
"related to courts". However the term is now so closely associated with the scientific
field that many dictionaries include the meaning that equates the word "forensics"
with "forensic science".
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entomology to solve (separate) criminal cases is attributed to the book of Xi
Yuan Lu (translated as "Washing Away of Wrongs"), written in Song
Dynasty China by Song Ci (1186–1249) in 1248. In one of the accounts, the
case of a person murdered with a sickle was solved by a death investigator
who instructed everyone to bring his sickle to one location. (He realized it
was a sickle by testing various blades on an animal carcass and comparing
the wound.) Flies, attracted by the smell of blood, eventually gathered on a
single sickle. In light of this, the murderer confessed. The book also offered
advice on how to distinguish between a drowning (water in the lungs) and
strangulation (broken neck cartilage), along with other evidence from
examining corpses on determining if a death was caused by murder, suicide
or an accident.
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English chemist James Marsh, who used chemical processes to confirm
arsenic as the cause of death in an 1836 murder trial.
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Forensic Scientist Job Description
2.1 Overview
Forensic scientists investigate crimes by collecting crime scene evidence and using
the natural sciences to analyze the data they recover. Forensic science technicians
are often required to go to the crime scene and collect the physical evidence that can
be found. They work closely with government officials and police detectives in
order to help solve crimes.
They often work with chemicals, fluid samples and firearms that demand safety
precautions. However, the risk of harm or contamination within these working
conditions is minimal.
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2.2 Major Roles of Forensic Science in Criminal Justice Administration:
Forensic artists can help find people who have been missing for long
periods of time through the process of image modification. In this
technique, a photograph is aged to illustrate what someone may look
like years after last being seen. This is also a tool that is used to find
criminals who have eluded justice.
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2.2.5 Profiling Criminals
Forensic scientists help collects and examine finger prints from the
crime scene. This is done to find the person whose finger prints were
collected from the crime scene.
2.2.7 Ballistics
In 1986, DNA evidence is used for the first time in connection with a
crime by Sir Alec Jeffreys who developed the first DNA profiling test.
DNA profiling was introduced for the first time in a U.S. criminal
court in 1987. Based on RFLP analysis, Tommy Lee Andrews was
convicted of a series of sexual assaults in Orlando, Florida. By 1998,
the FBI had introduced a DNA database.
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Since then, there have been many refinements in DNA techniques and
systems different types of DNA have emerged like MtDNA and so
called Touch DNA.
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Imagine a world where criminals run freely. Detectives and police officers collect
evidence much the same way as they do today, but there is one main difference.
Science is not used. Due to the lack of scientific analysis, there would not be a lot of
useful evidence. Without the use of science, criminals could not be convicted of
their crimes, ranging from common theft to a homicidal rampage, unless there was
an eyewitness present at the crime scene when the crime occurred. Murderers would
continue killing, thieves would continue stealing, and drug traffickers would
continue dealing.
Unfortunately, nine times out of ten, this person is an officer from a police
department, which is lacking in evidence collection training. In other words,
scientific concepts and principles are used to convict criminals of their crimes. Due
to the great importance of forensic science in the conviction of criminals, the basic
ideas and concepts need to be taught to officers of local police departments so that
evidence can be collected without contamination in order to keep criminals from
continuing to commit crimes that linger on forever in the minds of the victim’s
families and the nation's psyche.
Throughout history, evidence has been used to convict criminals of the crimes that
they have committed. Today’s society has improved upon the methods of the past to
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bring about more precise and accurate techniques. These techniques are more
commonly known as the field of forensic science. Richard Saferstein writes a more
specific definition than what was previously given in his book ‘Criminalistics: An
Introduction to Forensic Science’, which says that forensic science is the application
of science to those criminal and civil laws that are enforced by the police agencies in
a criminal justice system.
Law aims at the just resolution of human conflict. Truth and justice, we might
venture to say, having different aims, use different methods to achieve them.
Unfortunately, this convenient account of law and science is itself neither true nor
just. For law must know what the truth is within the context of the legal situation:
and science finds itself ever engaged in resolving the conflicting claims of theorists
putting forward their own competing brands of truth (Cowan 5). This quote roughly
means that the law needs to find the truth to resolve; human conflict; and one
method of doing so is to use the field of science.
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establishes evidence, thereby helping the court to come to a conclusion regarding
the criminals and their punishments. The field of study or examination of forensic
scientist is very wide, diverse and unpredictable. Generally the duties and
responsibilities of forensic scientist are very hazardous, onerous and risk bearing.
Because they are to deal with the material exhibits pertaining to various nature of
crimes such as murder, rape, blood, saliva, firearms, ammunitions, explosives, and
explosives substances, liquor, hashish, opium, adulterated petrol, kerosene, diesel,
etc. and other chemical vehicles involved in accidents, various types of paints.
Weapons used in burglary, arson, etc. different types of poisons and poisons and
poisonous substances, hair, skeletal remains and other plant or animal remnants.
Apart from these, forensic scientists are also to examine the forged signatures and
documents along with the photographic analysis of all materials exhibits. Any
material exhibit encountered in the way of investigation needs to be thoroughly
examined to prove or disprove its association a particular crime or criminal.
Practically the forensic scientist are to examine the material exhibits connected with
various nature of crimes covering all sections of I. P. C. and other relevant acts and
laws of the land. Unlike other research and analytical materials, forensic scientists
are required to work with limited quantity and amount of materials generally left
behind or carried away by criminals.
For better collection of exhibits for various range of studies, forensic scientist are
often summoned to the scene of crime so as to assist the investigation agencies in
determining clue by means of scientific analysis. So far I have discussed about the
duties and roles of forensic scientists as a whole and in general. Now I will discuss
about the roll and nature of forensic scientist of different branches in connection
with their respective and specialized field of work.
Let us discuss first about the forensic physicist. Generally the material exhibits
which are obtained at the scene of crime are examined by the scientist of this
division. Besides comparative studies of various impressions and marks of tools etc.
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used in commission of crime are also made in this division. Determination of forced
engine or chassis marks or restoration of an erased number upon metallic dates are
also determined by the scientist of this division. Analysis of paints and glass articles,
stamp impressions of forest authorities can be examined by these scientists to
establish the facts for the determination of clues of commission of crimes and
criminals.
Secondly the scientist of forensic chemistry is also equally busy determining clues
of crime and detection of criminals by their various methods of analysis. For
instance it is the forensic chemist who has to determine purity of petrol, diesel and
kerosene from samples. They are also to determine the quality of liquor, opium,
ganja and other chemicals, analysis of explosive and the like. From their various
methods of analysis, they have to establish facts basing upon which the investigating
officers can detect the clues of a particular crime.
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definite clue in a particular case, depending on which the investigating officer can
identify the culprit of the crime. It is the serologist who has to establish the facts of
disputed paternity cases by testing the blood group in question.
Now, coming to the ballistics branch of forensic science it may be stated that a
ballistic expert is the only person who ascertains whether a particular fire arm was
used or not while committing a crime. He is also to examine the types of fire arms
and ammunitions used in commission of a crime. He has also to establish the facts
with regard to firing ranges, distance, direction, and angle of firing. After obtaining
the opinion of a ballistic expert the investigating officers can come to a reasonable
conclusion in respect of a particular crime. Apart from the different fire arms and
ammunitions a ballistic expert is also to examine the explosive substance which is
nowadays very often used for committing heinous crimes.
A toxicologist determines the clues of the crime in which poison is used. In any
such case, be it accidental suicidal or intentional, a toxicologist analyses the viscera
and other relevant materials from which he establishes the quality and quantity of
poison used. From the report of a toxicologist, the investigating officer can usually
obtain vital clues for detecting the criminals involved. Similarly, the Court also gets
positive evidence for coming to a conclusion in any particular case.
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Like all others branches of science, personnel of the photography division also play
a vital role in determining clues of crimes and detecting the criminals. It is the
forensic photographer who establishes the connecting link of various clues of a
crime by their Photographic evidence. In case of a crime where the facts of erasure
are involved, it is only the photographic evidence by which the facts of easement
can be established with any degree of precision. Thereby they are also helping the
courts to come to a definitive opinion with regard to the case.
From the above discussion it can be concluded that the forensic scientist by the very
nature of his work is duty bound for the establishment of justice for the society. As a
matter of fact forensic scientists are playing a vital role in reducing the potentiality
of crime and also in determining the root causes of crime in our society.
Once the crime scene has been thoroughly documented and the locations of the
evidence noted, then the collection process can begin. The collection process will
usually start with the collection of the most fragile or most easily lost evidence.
Special consideration can also be given to any evidence or objects which need to be
moved. Collection can then continue along the crime scene trail or in some other
logical manner. Photographs should also continue to be taken if the investigator is
revealing layers of evidence which were not previously documented because they
were hidden from sight.
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storage time in plastic is two hours or less and this is done to prevent contamination
of other evidence. Once in a secure location, wet evidence, whether packaged in
plastic or paper, must be removed and allowed to completely air dry. That evidence
can then be repackaged in a new, dry paper container. UNDER NO
CIRCUMSTANCES SHOULD EVIDENCE CONTAINING MOISTURE BE
PACKAGED IN PLASTIC OR PAPER CONTAINERS FOR MORE THAN TWO
HOURS. Moisture allows the growth of microorganisms which can destroy or alter
evidence.
Any items which may cross contaminate each other must be packaged separately.
The containers should be closed and secured to prevent the mixture of evidence
during transportation. Each container should have: the collecting person's initials;
the date and time it was collected; a complete description of the evidence and where
it was found; and the investigating agency's name and their file number.
Each type of evidence has a specific value in an investigation. The value of evidence
should be kept in mind by the investigator when doing a crime scene investigation.
For example, when investigating a crime he or she should spend more time on
collecting good fingerprints than trying to find fibers left by a suspect's clothing.
The reason is that fingerprints can positively identify a person as having been at the
scene of a crime, whereas fibers could have come from anyone wearing clothes
made out of the same material. Of course if obvious or numerous fibers are found at
the point of entry, on a victim's body, etc., then they should be collected in case no
fingerprints of value are found. It is also wise to collect more evidence at a crime
scene than not to collect enough evidence. An investigator usually only has one shot
at a crime scene, so the most should be made of it.
The following is a breakdown of the types of evidence encountered and how the
evidence should be handled:
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3.3.1 Fingerprints
Fingerprints (also includes palm prints and bare footprints) are the best
evidence to place an individual at the scene of a crime. Collecting
fingerprints at a crime scene requires very few materials, making it ideal
from a cost standpoint. All non-movable items at a crime scene should be
processed at the scene using gray powder, black powder, or black magnetic
powder. Polaroid 665 black and white film loaded in a Polaroid CU-5 camera
with detachable flash should be used to make one-to-one photographs of
prints which do not readily lift. All small transportable items should be
packaged in paper bags or envelopes and sent to the crime lab for processing.
Because of the "package it up and send it to the lab" mentality, some
investigators skim over collecting prints at a crime scene. Collecting prints at
the crime scene should be every investigator's top priority. Fingerprints from
the suspect as well as elimination fingerprints from the victim will also be
needed for comparison (the same holds true for palm and bare footprints).
Bite marks are found many times in sexual assaults and can be matched back
to the individual who did the biting. They should be photographed using an
ABFO No. 2 Scale with normal lighting conditions, side lighting, UV light,
and alternate light sources. Color slide and print film as well as black and
white film should be used. The more photographs under a variety of
conditions, the better it is. Older bite marks which are no longer visible on
the skin may sometimes be visualized and photographed using UV light and
alternate light sources. If the bite mark has left an impression then maybe a
cast can be made of it. Casts and photographs of the suspect's teeth and
maybe the victim's teeth will be needed for comparison. For more
information consult a forensic dentist.
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3.3.3 Broken Fingernails
Much like a bullet that has individualizing striations on it, natural fingernails
have individualizing striations on them. A broken fingernail found at a crime
scene can be matched to the individual it came from many months after the
crime has been committed. Broken fingernails should be placed in a paper
packet which is then placed in a paper envelope. It can then be transported to
the crime lab for analysis. Known samples from the suspect and maybe from
the victim will be needed for comparison.
If using the RFLP method of DNA analysis, then blood and seminal fluid can
be matched back to an individual with a high degree of probability.
Currently, if using the PCR method of DNA analysis or conventional
serological techniques then blood and some body fluids can be said to come
from a certain population group to which the individual belongs. As PCR
technology advances, these population groups will become smaller,
eventually giving it the same discriminating power as RFLP analysis has
today. Dried blood and body fluid stains should be collected in the following
manner: If the stained object can be transported back to the crime lab, then
package it in a paper bag or envelope and send it to the lab; if the object
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cannot be transported, then either use fingerprint tape and lift it like a
fingerprint and place the tape on a lift back; scrape the stain into a paper
packet and package it in a paper envelope; or absorb the stain onto 1/2" long
threads moistened with distilled water. The threads must be air dried before
permanently packaging. For transportation purposes and to prevent cross
contamination, the threads may be placed into a plastic container for no more
than two hours. Once in a secure location, the threads must be removed from
the plastic and allowed to air dry. They may then be repackaged into a paper
packet and placed in a paper envelope. Wet blood and body fluid stains
should be collected in the following manner: all items should be packaged
separately to prevent cross contamination, if the item can be transported to
the crime lab, then package it in a paper bag (or plastic bag if the
transportation time is under two hours), bring it to a secure place and allow it
to thoroughly air dry, then repackage it in a paper bag. If the item cannot be
transported back to the lab, then absorb the stain onto a small (1"x1") square
of pre-cleaned 100% cotton sheeting. Package it in paper (or plastic if the
transportation time is less than two hours), bring it to a secure place and
allow it to thoroughly air dry; then repackage it in a paper envelope. UNDER
NO CIRCUMSTANCES SHOULD WET OR MOIST ITEMS REMAIN IN
PLASTIC OR PAPER CONTAINERS FOR MORE THAN TWO HOURS.
Victim and suspect's known whole blood samples will have to be collected in
yellow, red, or purple top "Vacutainers." Contact the lab to which the
samples will be submitted for specific information.
Bullets and casings found at the crime scene can be positively matched back
to a gun in the possession of a suspect. Bullets and casings can also be
examined at the crime lab and sometimes tell an investigator what make and
model of weapons may have expended the casing or bullet. A bullet found at
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the crime scene can sometimes be matched back to the same lot of
ammunition found in a suspect's possession. Tool marks can be positively
matched to a tool in the suspect's possession. Firearm safety is a must at any
crime scene. If a firearm must be moved at a crime scene, never move it by
placing a pencil in the barrel or inside the trigger guard. Not only is this
unsafe, but it could damage potential evidence. The gun can be picked up by
the textured surface on the grips without fear of placing unnecessary
fingerprints on the weapon. Before picking up the gun, make sure that the
gun barrel is not pointed at anyone. Keep notes on the condition of the
weapon as found and stops taken to render it as safe as possible without
damaging potential evidence. The firearm can then be processed for prints
and finally rendered completely safe. FIREARMS MUST BE RENDERED
SAFE BEFORE SUBMISSION TO THE CRIME LAB. The firearm should
be packaged in an envelope or paper bag separately from the ammunition
and/or magazine. The ammunition and/or magazine should be placed in a
paper envelope or bag. It is important that the ammunition found in the gun
be submitted to the crime lab. Any boxes of similar ammunition found in a
suspect's possession should also be placed in a paper container and sent to the
crime lab. Casings and/or bullets found at the crime scene should be
packaged separately and placed in paper envelopes or small cardboard
pillboxes. If knives (or other sharp objects) are being submitted to the lab
(for tool marks, fingerprints, serology, etc.), then the blade and point should
be wrapped in stiff unmovable cardboard and placed in a paper bag or
envelope. The container should be labeled to warn that the contents are sharp
and precautions should be taken. This is to prevent anyone from being
injured.
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Shoeprints and tire tracks can be matched positively to a pair of shoes or to
tires in a suspect's possession. Shoeprints and tire tracks can sometimes tell
investigators what type of shoes or tires to look for when searching a
suspect's residence or vehicles. Before any attempt is made at collecting
shoeprints or tire tracks, one-to-one photographs should be made using a
tripod, ruler, and level. The flash should be held at about 45 degree angles
from the surface containing an impression. Casts can be made of impressions
using dental stone. Once hardened, the cast can be packaged in paper and
submitted to the lab. When photographing prints on hard flat surfaces the
flash should be used as side lighting. Shoeprints on hard flat surfaces can
also sometimes be lifted like a fingerprint. Dust prints on certain surfaces can
be lifted with an electrostatic dustprint lifter.
Fracture matches can positively link broken pieces at the scene with pieces
found in the possession of a suspect. For example, headlight fragments found
at the scene of a hit and run could be positively matched to a broken
headlight (just like putting together a jigsaw puzzle) on a suspect's vehicle.
Larger fragments should be placed in paper bags or envelopes. Smaller
fragments should be placed in a paper packet and then placed in an envelope.
3.3.9 Hair
If a root sheath is attached, then DNA analysis using PCR technology can
say that this hair came from a certain percentage of the population to which
the suspect belongs. If there is no root sheath, then a microscopic analysis
can say that the hair has the same characteristics as the suspect's hair and is
similar to his or her hair. At this point, no one can say that a hair came from a
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particular individual. Hair found at the scene should be placed in a paper
packet and then placed in an envelope. If a microscopic examination is
required, then 15-20 representative hairs from the suspect must be submitted
to the lab for comparison. If DNA analysis if going to be used, then a whole
blood sample from the suspect must be submitted to the lab in a
"Vacutainer." Contact a DNA lab for more information.
3.3.10 Fibers
Fibers can be said that they are the same type and color as those found in a
suspect's clothes, residence, vehicle, etc. Fibers should be collected in a paper
packet and placed in an envelope. Representative fibers should be collected
from a suspect and submitted to the lab for comparison.
3.3.11 Paint
Paint can be said that it is the same type and color as paint found in the
possession of a suspect. Paint fragments should be collected in a paper packet
and placed in an envelope. Representative paint chips or samples should be
collected from the suspect and submitted to the lab for comparison.
3.3.12 Glass
Glass can be said that it has the same characteristics as glass found in the
possession of a suspect. Smaller glass fragments should be placed in a paper
packet and then in an envelope. Larger pieces should be wrapped securely in
paper or cardboard and then placed in a padded cardboard box to prevent
further breakage.
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Sometimes during the commission of a crime, there are other items which
may be transferred to a perpetrator from the scene or from the perpetrator to
the scene (sheetrock, safe insulation. etc.). The guidelines for collecting the
evidence and obtaining known samples are about the same as for paint and
fibers. For specific information, contact your crime lab.
4.1 Overview
Let us first cultivate the legal aspect of forensic and medical evidence in the India.
As per Section 45 of Indian evidence Act 1872- When the Court has to form and
opinion upon a point of foreign law or of science or art, or as to identity of
handwriting or finger impressions, the opinions upon that point of persons specially
skilled in such foreign law, science or art, or in questions as to identity of
handwriting or finger impressions are relevant facts. Such persons are called
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experts. Further as per Section 46 of Indian evidence Act 1872- it is stated that facts,
not otherwise relevant, are relevant if they support or are inconsistent with the
opinions of experts, when such opinions are relevant.
i. The court when necessary will place its faith on skills of persons who have
technical knowledge of the facts concerned.
ii. The court will rely on the bona fide statement of proof given by the expert
concluded on the basis of scientific techniques.
iii. The evidence considered irrelevant would be given relevance in eyes of law
if they are consistent with the opinion of experts.
Thus we see that expert evidence helps the courts to draw logical conclusions from
the facts presented by experts, which are based on their opinions derived by their
specialized skills acquired by study and experience. Hence, experts are routinely
involved in the administration of justice particularly in criminal cases.
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iii. Evidence given in a previous judicial proceeding;
iv. Expert cannot be called as witness;
v. Hospital records like admission/discharge register, birth/death
certificates etc.
In, India, it is a common perception that lot of time and effort is required to
record evidence and therefore by enlarge members of the medical profession
does not like to involve in medico legal cases. Some of the possible reasons
put forward for this perception are:
Determination of parentage:
Indian courts have time and again held that the evidence for proving non-
access must be strong, distinct, satisfactory and conclusive. DNA tests can be
strong evidence as they are correct up to 99% if positive and 100% if
negative.
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In the above cases the court has laid down certain guidelines regarding DNA
tests and their admissibility to prove parentage.
Further the court said Blood-grouping test is a useful test to determine the
question of disputed paternity. It can be relied upon by courts as a
circumstantial evidence, which ultimately excludes a certain individual as a
father of the child. However, it requires to be carefully noted no person can
be compelled to give sample of blood for analysis against his/her will and no
adverse inference can be drawn against him/her for this refusal.
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examination of his person will afford evidence as to the commission of the
offence.
Sec. 54 of the Criminal Procedure Code, 1973 further provides for the
examination of the arrested person by the registered medical practitioner at
the request of the arrested person. The law commission of India in its 37th
report stated that to facilitate effective investigation, provision has been made
authorizing an examination of arrested person by a medical practitioner, if
from the nature of the alleged offence or the circumstances under which it is
alleged to have been committed, there are reasonable grounds for believing
that an examination of the person will afford evidence.
4.3 Conclusion
There is a unanimity that medical and forensic evidence plays a crucial role in
helping the courts of law to arrive at logical conclusions. Therefore, the expert
medical professionals should be encouraged to undertake medico legal work and
simultaneously the atmosphere in courts should be congenial to the medical witness.
This attains utmost importance looking at the outcome of the case, since if good
experts avoid court attendance, less objective professional will fill the gap,
ultimately affecting the justice. The need to involve more and more professionals in
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expert testimony has been felt by different organizations. The American College of
physician's guidelines for the physician expert witness emphasizes on broad
physician participation in providing this much-needed assistance to the legal system.
The college believes that more doctors should serve as experts as a component of
their professional activities in order to meet the need for medical testimony. This
objective of greater expert participation can only be achieved by addressing to the
apprehensions that ponder the mind of medical professionals. In the light of new
developments in the forensic science, the home ministry, Govt. of India constituted
a committee under the chairmanship of Dr. Justice V.S Malimath to suggest reforms
in the criminal justice system. This committee suggested comprehensive use of
forensic science in crime investigation. According to the committee DNA experts
should be included in the list of experts given in section 293(4) of Cr.P.C, 1973.
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4.5 Different aspects of the justice administration can be further
improved by the following measures:
Autopsy
Autopsies are either performed for legal or medical purposes. For example, a
forensic autopsy is carried out when the cause of death may be a criminal matter,
while a clinical or academic autopsy is performed to find the medical cause of death
and is used in cases of unknown or uncertain death, or for research purposes.
Autopsies can be further classified into cases where external examination suffices,
and those where the body is dissected and internal examination is conducted.
Permission from next of kin may be required for internal autopsy in some cases.
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Once an internal autopsy is complete the body is reconstituted by sewing it back
together.
The term "autopsy" derives from the Ancient Greek autopsia, "to see for oneself",
derived from αυτος (autos, "oneself") and όψις (opsis, "eye"). Around 3000 BC, the
ancient Egyptians were one of the first civilizations to practice the removal and
examination of the internal organs of humans in the religious practice of
mummification.
Autopsies that opened the body to determine the cause of death are attested at least
in the early third millennium BC, although they were opposed in many ancient
societies where it was believed that the outward disfigurement of dead persons
prevented them from entering the afterlife (as with the Egyptians, who removed the
organs through tiny slits in the body). Notable Greek autopsists were Erasistratus
and Herophilus of Chalcedon, who lived in 3rd century BC Alexandria, but in
general, autopsies were rare in ancient Greece. In 44 BC, Julius Caesar was the
subject of an official autopsy after his murder by rival senators, and the physician's
report noted that the second stab wound Caesar received was the fatal one. By
around 150 BC, ancient Roman legal practice had established clear parameters for
autopsies.
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The great nineteenth-century medical researcher Rudolf Virchow, in response to a
lack of standardization of autopsy procedures, established and published specific
autopsy protocols (one such protocol still bears his name).
The principal aim of an autopsy is to determine the cause of death, the state of
health of the person before he or she died, and whether any medical diagnosis and
treatment before death was appropriate.
In most Western countries the number of autopsies performed in hospitals has been
decreasing every year since 1955. Critics, including pathologist and former JAMA
editor George Lundberg, have charged that the reduction in autopsies is negatively
affecting the care delivered in hospitals, because when mistakes result in death, they
are often not investigated and lessons therefore remain unlearned.
When a person has given permission in advance of their death, autopsies may also
be carried out for the purposes of teaching or medical research.
5.3.1 In Medicine:
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Autopsies are important in clinical medicine as they can identify medical
error and assist continuous improvement.
One study found that "Autopsies revealed 171 missed diagnoses, including
21 cancers, 12 strokes, 11 myocardial infarctions, 10 pulmonary emboli, and
9 endocarditic, among others".
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performed, as prescribed by applicable law, in cases of violent, suspicious or
sudden deaths, deaths without medical assistance or during surgical
procedures.
Autopsy room of the Charité BerlinA forensic autopsy is used to determine the
cause of death. Forensic science involves the application of the sciences to answer
questions of interest to the legal system. In United States law, deaths are placed in
one of five manners:
Natural
Accident
Homicide
Suicide
Undetermined
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biological specimens from the deceased for toxicological testing, including stomach
contents. Toxicology tests may reveal the presence of one or more chemical
"poisons" (all chemicals, in sufficient quantities, can be classified as a poison) and,
the quantity of those chemicals. Because post-mortem deterioration of the body,
together with the gravitational pooling of bodily fluids, will necessarily alter the
bodily environment, toxicology tests may overestimate, rather than underestimate,
the quantity of the suspected chemical.
Most states require the State medical examiner to complete an autopsy report and
many mandate that the autopsy be videotaped.
Clinical autopsies serve two major purposes. They are performed to gain more
insight into pathological processes and determine what factors contributed to a
patient's death. Autopsies are also performed to ensure the standard of care at
hospitals. Autopsies can yield insight into how patient deaths can be prevented in
the future.
Within the United Kingdom, clinical autopsies can only be carried out with the
consent of the family of the deceased person as opposed to a medico-legal autopsy
instructed by a Coroner (England & Wales) or Procurator Fiscal (Scotland) to whom
the family cannot object.
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bag is used for each body to ensure that only evidence from that body is contained
within the bag. Evidence sheets are an alternate way to transport the body. An
evidence sheet is a sterile sheet that the body is covered in when it is moved. If it is
believed there may be any significant residue on the hands, for instance gunpowder,
a separate paper sack is put around each hand and taped shut around the wrist.
There are two parts to the physical examination of the body: the external and
internal examination. Toxicology, biochemical tests and/or genetic testing often
supplement these and frequently assist the pathologist in assigning the cause or
causes of death.
Once the external evidence is collected, the body is removed from the bag,
undressed, and any wounds present are examined. The body is then cleaned,
weighed, and measured in preparation for the internal examination. The scale
used to weigh the body is often designed to accommodate the cart that the
body is transported on; its weight is then deducted from the total weight
shown to give the weight of the body.
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If not already within an autopsy room, the body is transported to one and
placed on a table. A general description of the body as regards ethnicity, sex,
age, hair color and length, eye color and other distinguishing features
(birthmarks, old scar tissue, moles, etc.) is then made. A handheld voice
recorder or a standard examination form is normally used to record this
information. In some countries e.g. France, Germany, and Canada, an
autopsy may comprise an external examination only. This concept is
sometimes termed a "view and grant". The principles behind this being that
the medical records, history of the deceased and circumstances of death have
all indicated as to the cause and manner of death without the need for an
internal examination.[citation needed]
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A single vertical cut is made from the middle of the
neck (in the region of the 'adam's apple' on a male body)
In all of the above cases the cut then extends all the way down to the pubic
bone (making a deviation to the left side of the navel).
At this point, shears are used to open the chest cavity. It is also possible to
utilize a simple scalpel blade. The prosector uses the tool to saw through the
ribs on the lateral sides of the chest cavity to allow the sternum and attached
ribs to be lifted as one chest plate; this is done so that the heart and lungs can
be seen in situ and that the heart, in particular the pericardial sac is not
damaged or disturbed from opening. A scalpel is used to remove any soft
tissue that is still attached to the posterior side of the chest plate. Now the
lungs and the heart are exposed. The chest plate is set aside and will be
eventually replaced at the end of the autopsy.
At this stage the organs are exposed. Usually, the organs are removed in a
systematic fashion. Making a decision as to what order the organs are to be
removed will depend highly on the case in question. Organs can be removed
in several ways: The first is the en masse technique of letulle whereby all the
organs are removed as one large mass. The second is the en bloc method of
Ghon. The most popular in the UK is a modified version of this method
which is divided into four groups of organs. Although these are the two
predominant evisceration techniques in the UK variations on these are
widespread.
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One method is described here: The pericardial sac is opened to view the
heart. Blood for chemical analysis may be removed from the inferior vena
cava or the pulmonary veins. Before removing the heart, the pulmonary
artery is opened in order to search for a blood clot. The heart can then be
removed by cutting the inferior vena cava, the pulmonary veins, the aorta and
pulmonary artery, and the superior vena cava. This method leaves the aortic
arch intact, which will make things easier for the embalmer. The left lung is
then easily accessible and can be removed by cutting the bronchus, artery,
and vein at the hilum. The right lung can then be similarly removed. The
abdominal organs can be removed one by one after first examining their
relationships and vessels.
Some pathologists, however, prefer to remove the organs all in one "block".
Then a series of cuts, along the vertebral column, are made so that the organs
can be detached and pulled out in one piece for further inspection and
sampling. During autopsies of infants, this method is used almost all of the
time. The various organs are examined, weighed and tissue samples in the
form of slices are taken. Even major blood vessels are cut open and inspected
at this stage. Next the stomach and intestinal contents are examined and
weighed. This could be useful to find the cause and time of death, due to the
natural passage of food through the bowel during digestion. The more area
empty, the longer the deceased had gone without a meal before death.
The body block that was used earlier to elevate the chest cavity is now used
to elevate the head. To examine the brain, an incision is made from behind
one ear, over the crown of the head, to a point behind the other ear. When the
autopsy is completed, the incision can be neatly sewn up and is not noticed
when the head is resting on a pillow in an open casket funeral. The scalp is
pulled away from the skull in two flaps with the front flap going over the
face and the rear flap over the back of the neck. The skull is then cut with
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what is called a Stryker saw, named for its manufacture, to create a "cap" that
can be pulled off, exposing the brain. The brain is then observed in situ. Then
the brain's connection to the cranial nerves and spinal cord are severed, and
the brain is then lifted out of the skull for further examination. If the brain
needs to be preserved before being inspected, it is contained in a large
container of formalin (15 percent solution of formaldehyde gas in buffered
water) for at least two but preferably four weeks. This not only preserves the
brain, but also makes it firmer allowing easier handling without corrupting
the tissue.
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