NCJ Number
115543
Date Published
1986
Length
20 pages
Annotation
This manual outlines autopsy procedures designed to detect child deaths due to nonaccidental injuries.
Abstract
Prior to describing the autopsy procedures, the manual discusses the facility, personnel, photography, and the medical examiner's investigation of the case prior to the autopsy. In the autopsy, the general examination involves confirmation of identification, if known; the identification of photographs; the examination of clothing and all items accompanying the body; the search for trace evidence; and the radiologic skeletal survey. The external examination should focus on general appearance; cleanliness; nutrition; dehydration; failure to thrive; congenital anomalies; and evidence of neglect/abuse, sexual abuse, and bite marks. Evidence of external injury pertains to recent injuries, healing injuries, and healed injuries. The examiner must also be aware of evidence of internal injury, skeletal injury, resuscitation, and therapy. Guidance is also provided on systems review, microscopic examination, special studies (post mortem chemistry, toxicology, microbiology, neuropathology), pathologic diagnoses, and comment or opinion. Appendixes outline suggested documentation, interagency collaboration, radiographic guidelines for suspected child abuse, and physical growth charts.