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Answers 2023
Responsibilities of Medical Examiner include: - ANS • Determine cause of death
• Determine manner of death
• Obtain positive identification
• Provide expert testimony in court
Operation and staffing of the Office of the Medical Examiner and the capabilities of the
office. - ANS ♦ OME is a subsidiary of the Utah Department of Health and has statewide
jurisdiction
♦ OME Staff Positions
• Forensic Pathologists
• Deputy Medical Examiners
• Investigators
• Forensic Anthropology Consultants
• Forensic Odontology Consultants
Who can pronounce someone dead? - ANS Any reasonable person
Who can sign a death certificate? - ANS A physician licensed to practice in the state of
Utah
Attended/Unattended deaths - ANS • Attended death is a death which results from
natural causes and where the physician has seen the patient within the last 30 days
• A regular physician may sign the death certificate on an attended death
• All other cases are considered unattended and must be reported to the Medical
Examiner
Appropriate and inappropriate activities by officer on the scene of a dead body: - ANS
When an officer arrives at the scene and a death has been determined, all activity
involving the body should cease
• Officers should not allow movement, cleansing, viewing by family or other activities
that will interfere with the investigation
,• Appropriate activities, such as viewing by family, may be allowed after the on-scene
investigation is concluded
Officer responsibilities at the scene of a dead body: - ANS Initial duties:
• If the death appears to be natural, question family, friends, witnesses and look for
medications that will establish medical history
• Contact the attending physician and determine whether they will sign the death
certificate
Determine what the "scene" is
♦ Secure and restrict unnecessary movements and contamination
♦ Obtain statements from the people present
Secure and preserve evidence
Extra officer responsibilities at the scene of a dead body: - ANS • An attended death
may be released to the mortuary of the family's choosing and need not be reported to
OME
• All other cases must be reported
• If you have any doubts or questions, call OME for assistance• For most cases that are
under the jurisdiction of the Medical Examiner, an OME investigator will respond to the
scene
Initial responding officer should wait for the OME investigator before collecting or
processing evidence
• OME is entitled to the body and anything associated with the body
• This evidence must be viewed in its original state for documentation and assessment
of what occurred
• The death scene is a joint jurisdictional investigation and the needs of all parties must
be satisfied
Considerations for evidence collection from a dead body: - ANS ♦ Physical evidence on
the body should be preserved for the forensic pathologist to see in its place of discovery
• It will be collected during the OME examination
♦ Hair, fiber, fingernails, clothing, Code "R" sexual assault at the request of the
investigating agency, and trace evidence will be collected and released to law
enforcement investigators for further forensic examination
♦ Gunshot Residue (GSR) test
• GSR tests are no longer routinely performed on gunshot wound victims
• GSR tests will only be conducted at the specific request of the investigating law
enforcement agency and released to a representative of the agency for disposition
• In all homicide or suspicious death cases, the victim's hands should be covered with
paper bags prior to transport to protect trace evidence. NEVER use plastic bags.
,When visual identification of a dead body not possible by family or through proper
identification: - ANS • Severe traumatic injury or decomposition changes may prohibit
visual identification
• The deceased will then be positively identified through scientific means such as
fingerprints, dental x-rays or DNA comparison
• Except under exigent circumstances, family or friends should not be used at the scene
to identify the body
Fingerprinting at the scene for identification may only be done with the knowledge and
consent of the OME representative: - ANS • In most cases, there is no problem with this
procedure
• Homicide victims or suspected homicide victims should not be fingerprinted at the
scene because of contamination of trace evidence
• Complete fingerprinting will be done during the OME examination (Can also identify by
tattoos, jewelry)
Considerations for toxicology sampling: - ANS ♦ Specimens for toxicology are collected
on all OME jurisdiction cases
♦ Samples for testing include blood, urine, vitreous (fluid from the eyeball), liver and bile
♦ Testing determined by nature of the case
• Testing for alcohol, abused drugs and prescription medications is routine
• Most toxicology is performed at the State Health Dept. Laboratory
Certain poisons and other substances must be sent to other facilities for testing
Common postmortem changes: - ANS ♦ Rigor mortis (stiffening of muscles)
♦ Livor mortis (pooling of blood)
♦ Algor mortis (cooling of core )
♦ Decomposition
♦ Skeletonization
♦ Changes are affected by the environment around the body
• Temperature may accelerate or delay onset of these changes
Blunt force injuries - ANS • Laceration
• Contusion
• Abrasion
• Patterned injuries
Sharp force injuries - ANS • Stab
• Incised
, • Puncture
• Chop
Gunshot wounds - three classifications, determined by range of fire - ANS • Contact
• Intermediate
• Indeterminate
Characteristics of entrance and exit gunshot wounds - ANS • Margin of abrasion, bullet
wipe
• Soot deposit
• Stellate laceration
• Stippling, or powder tattooing
• Beveling of bone
• Skin tags
Antemortem/ premortem - ANS before the time of death
Perimortem - ANS Around the time of death
Postmortem - ANS After death
Indications of suicide and the importance of documentation: - ANS * Statements by
decedent to others
♦ Notes or documents
♦ Previous gestures or attempts
♦ Physical evidence
♦ Departure from usual behavior patterns
♦ Insurance issues/family perceptions
Indications of overdose: - ANS ♦ Accident/Suicide/Undetermined
♦ Illicit drugs, such as heroin, cocaine, methamphetamine
♦ Prescription medication
♦ Drugs, paraphernalia with residue and medications will accompany the body to OME
for accounting and toxicology
♦ Toxicology determines what substances are present and the levels of each
Infant death factors: - ANS ♦ Natural/Abuse
♦ Sudden Infant Death Syndrome (SIDS)
• SIDS is a diagnosis of exclusion, requiring autopsy and scene investigation
• SIDS deaths usually occur between the ages of 1 month and 1 year