Friday 4 November 2011

Emedinews:Insights on Medicolegal issues:Police/magistrate is empowered by law in India to order a designated doctor to perform a Forensic autopsy

• A medicolegal autopsy means an examination of the body after death, which is conducted in cases where the circumstances of the death suggest that the death was caused by homicide, suicide or accident or is suspicious in nature where criminal investigation is instituted.
• Designated area Police/magistrate is empowered by law in India to request/order the designated doctor to perform a Forensic /medico-legal autopsy, hence no consent from the family/legal heir is required for forensic autopsy.
• Autopsiacadaverum or an autopsy is the post-mortem examination of corpse by a registered doctor. It is a specialized surgical procedure that consists of a thorough examination of a corpse to determine the identity of corpse, the cause and manner of death and to evaluate any disease or injury that may be present. The autopsy must be performed by a specialized experienced medical doctor; however, if possible it should preferably be done only by forensic medicine qualified/experienced doctor
• The autopsy ideally includes a thorough external examination of the body and a probing examination of the internal organs of the body. During the external examination, the doctor searches for wounds and injuries, noting deformities, absence of limbs, state of nutrition, and unusual features.
• The doctor should examine the hands, fingers, fingernails, feet, teeth, scalp, tattoos, scars, hair, skeleton remains, hair fibers, jewelry, and clothing.
• The doctor conducting the internal examination, the autopsy surgeon should remove the deceased’s chest plate, lungs, heart, liver, intestines, etc. and, with the use of a scalpel, examine these organs for wounds, disease, and deformities.
• There should be an arrangement to videotape the autopsy and the doctor must release a report detail its findings, including the cause of death to the police as early as possible. It is best and most transparent if postmortem report is handed over along with dead body only
• Autopsies, as well as the reports released by the medical examiner, vary in quality. Some medical examiners take little care in their work. A small percentage is outright incompetent.
• Once an autopsy is complete the body must be well reconstituted by sewing/suturing it back together with cosmetic care of deceased body. Suture from chin to pubic prominence should be masked by resembling skin color paste.

(Contributed by Dr Sudhir Gupta)

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