1 The Doctor and the Law 1 The legal system 2 Doctors and the law 2 Doctor in court 3 The behaviour of a doctor in court 5 Preparation of medical reports 5 Structure of a report 6 2 The Ethics of Medical Practice 8 ID: 1048429
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1. Simpson's Forensic Medicine
2. 1 The Doctor and the Law 1The legal system 2Doctors and the law 2Doctor in court 3The behaviour of a doctor in court 5Preparation of medical reports 5Structure of a report 62 The Ethics of Medical Practice 8International Code of Medical Ethics 9Medical ethics in practice 10Medical confidentiality 11Consent to medical treatment 13Chapter 1 and 2
3. 3 Medical Malpractice 15Medical negligence 15Systems of compensation 17Compensation and damages 17Types of medical negligence 17Professional misconduct 19The General Medical Council 204 The Medico-legal Aspects of Mental Disease 22Normal and abnormal behaviour 22Types of abnormal mental condition 22Mental health legislation and the criminaljustice system 23Criminal responsibility: age andmental capacity 24The effect of drink or drugs on responsibility 25Testamentary capacity 25Chapter 3 and 4
4. 5 The Medical Aspects of Death 27Definition of death 27Resuscitation 28Persistent vegetative state 29Tissue and organ transplantation 29Death certification 30Medico-legal investigation of death 32The autopsy 34Exhumation 356 Changes after Death 37Early changes 37Rigor mortis 38Cadaveric rigidity 38Post-mortem hypostasis 39Cooling of the body after death 40Estimation of the time of death 41Chapter 5 and 6
5. 7 Identification of the Living and the Dead 49Morphological characteristics 49Fingerprints 50Identity from teeth 50Identification of the origin of tissue or samples 51ContentsThe individuality of cells 51Identification by DNA profiling 52Tattoos and body piercing 53Identity of decomposed or skeletalized remains 54Facial reconstruction from skulls 558 Blood Stains 57Blood-stain patterns 57Tests for blood 58Species specificity 58Chapter 7 and 8
6. 9 The Examination of Wounds 59Law on wounding 59Reports 60Terminology 60Wounds 60Patterns of injury 66Survival 68Self-inflicted injuries 6810 Regional Injuries 70Head injuries 70Neck injuries 75Spinal injuries 75Chest injuries 76Abdomen 77Chapter 9 and 10
7. 11 Firearm and Explosive Injuries 79Types of firearms 79Gunshot wounds 81Air weapons, unusual projectiles and otherweapons 84Accident, suicide or murder? 85The doctor’s duty in firearm injuries and deaths 85Explosives 8612 Transportation Injuries 87Road traffic injuries 87The medical examination of victims of roadtraffic accidents 90Railway injuries 91Aircraft fatalities 92Mass disasters and the doctor 92Chapter 11 and 12
8. 13 Asphyxia 94Suffocation 95Smothering 96Gagging 96Choking 96Pressure on the neck 97‘Vagal inhibition’ or reflex cardiac arrest 97Manual strangulation 98Ligature strangulation 98Hanging 99The sexual asphyxias 101Traumatic asphyxia 10114 Immersion and Drowning 103Signs of immersion 103Drowning 104Laboratory tests for drowning 105Chapter 13 and 14
9. 15 Injury due to Heat, Cold and Electricity 107Injury due to heat 107Cold injury (hypothermia) 110Electrical injury 111Death from lightning 11316 Effects of Injuries 115Haemorrhage 115Infection 116Embolism 116Disseminated intravascular coagulation 118Adult respiratory distress syndrome 118Suprarenal haemorrhage 118Subendocardial haemorrhages 119Chapter 15 and 16
10. 17 Unexpected and Sudden Death fromNatural Causes 120Causes of sudden and unexpected death 120Cardiovascular system 121Respiratory system 126Gastrointestinal system 126Gynaecological conditions 126Deaths from asthma and epilepsy 12618 Sexual Offences 128Types of sexual offence 128The genuineness of allegations of sexualassault 131Forensic examination of victims of sexualoffences 131Examination of an alleged assailant 132Chapter 17 and 18
11. 19 Pregnancy and Abortion 134Conception: artificial insemination, in-vitrofertilization and embryo research 134Pregnancy 134Abortion 13520 Deaths and Injury in Infancy 141Stillbirths 141Infanticide 142The estimation of maturity of a newbornbaby or fetus 143Sudden infant death syndrome 144Child abuse 145Chapter 19 and 20
12. 21 Neglect, Starvation and Abuse of HumanRights 150Physical abuse of human rights: torture 150Neglect and starvation 15222 General Aspects of Poisoning 154The toxic and fatal dose 155Tolerance and idiosyncrasy 156The doctor’s duty in a case of suspectedpoisoning 156Samples required for toxicological analysis 157Chapter 21 and 22
13. 23 Alcohol 159Sources of alcohol 159Absorption of alcohol 160Elimination of alcohol 160The measurement of alcohol 160The effects of alcohol 160Dangers of drunkenness 161Drinking and driving 162Chapter 23
14. 24 Drugs of Dependence and Abuse 164Tolerance and synergy 164Dependence and withdrawal symptoms 165The dangers of drug dependence 165Shared syringes 165Solid drugs 165Overdosage and hypersensitivity 166Heroin, morphine and other opiates 166Barbiturates and other hypnotics 167Amphetamines 167Cocaine 167Cannabis 168Lysergic acid diethylamide (LSD) 168Solvent abuse 168Chapter 24
15. 25 Medicinal Poisons 170Analgesics 171Antidepressant and sedative drugs 172Barbiturates 172Chloral 173Phenacetin 173Lithium 173Insulin 173Chapter 25
16. 26 Corrosive and Metallic Poisons 175Corrosive poisons 175Heavy-metal poisoning 17627 Agrochemical Poisons 179Pesticides and insecticides 179Herbicides (weed killers) 17928 Gaseous Poisons 181Carbon monoxide 181Carbon dioxide 182Ammonia 183Cyanogen gas and cyanides 183Chapter 26, 27, 28
17. 29 Miscellaneous Poisons 184Strychnine 184Halogenated hydrocarbons 184Gasoline and kerosene 185The glycols 185Nicotine 185Appendix 1 Guidelines for an Autopsy andExhumation 186Guidelines for a medico-legal autopsy 186Chapter 29
18. The autopsy 187Appendix 2 Preparation of the Reagent for theKastle–Meyer Test 189Recommended Reading 190Autopsy procedures and anthropology 190Forensic medicine and pathology 190Medical ethics 190Toxicology 191Websites 191Index 193Chapter 29 …
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