Death and accident investigation protocols

135 Pages·2013·2.36 MB·English

by  Mary H Dudley

Mary H. Dudley, M.D.

Death and
Accident
Investigation
Protocols

Death and
Accident
Investigation
Protocols
Mary H. Dudley, M.D.
Boca Raton London New York
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© 2013 by Mary H. Dudley, M.D.
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Version Date: 20130507
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Contents
The Author vii
Introduction ix
Death and Accident Investigation Protocols 1
Death and Accidents 1
Form 1.1 Aircraft accident report 1
Form 1.2 Alcohol-related death report 3
Form 1.3 Blunt-force injury report 5
Body Examination 6
Form 1.4 Case label 6
Form 1.5 Case communications log 7
Form 1.6 Report on child fatality—abuse or neglect 8
Form 1.7 Child/infant death—investigation checklist 14
Form 1.8 Natural death, motor vehicle accident, suicide 17
Form 1.9 Death report—general 19
Death Reporting Form 23
Form 1.10 Investigator information form 23
Form 1.11 Drowning report 24
Form 1.12 Drug overdose report 27
Form 1.13 Report of death from electrocution 30
Form 1.14 Evidence release form 33
Form 1.15 Report on death from exposure 34
Form 1.16 Report on death from a fall 36
Form 1.17 Report on death from fire 41
Gunshot 44
Form 1.18 Report on death from gunshot/shotgun 44
Form 1.19 Wound key for description of injury 53
Hanging Strangulation 54
Form 1.20 Report on death by hanging 54
Form 1.21 Report on death by hanging/description chart 58
Homicide 59
Form 1.22 Report on death from homicide 59
Hospice/Hospital 64
Form 1.23 Hospice report of death 64
Form 1.24 Report on hospital death—natural 66
Form 1.25 Report on hospital death—surgical 68
Heat/Cold Death 72
Form 1.26 Report on potential heat-related death 72
Form 1.27 Heat death report—final 74
Form 1.28 Report on potential cold-related death 75
In Custody Death/Infectious Diseases/Lightning Strikes 76
Form 1.29 Report on in-custody death 76
Form 1.30 Report on death from infectious disease 77
Form 1.31 Infectious disease—reportable conditions 78
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© 2010 Taylor & Francis Group, LLC
vi Contents
Form 1.32 Inquiries report 80
Form 1.33 Report on death from lightning strike 81
Medication List 83
Form 1.34 Decedent’s medication list 83
Form 1.35 Medications, chemical agents, drugs, and paraphernalia list 84
Motor Vehicle Accident—Driver/Passenger 85
Form 1.36 Motor vehicle accident death report 85
Form 1.37 Motor vehicle accident death report—pedestrian 88
Natural and Nursing Home Death 91
Form 1.38 Report on natural death 91
Form 1.39 Nursing home report of death 93
Occupational Exposure 95
Form 1.40 Occupational exposure report 95
Form 1.41 Occupational fatality report 97
Organ and Tissue Donor 98
Form 1.42 Organ and tissue donor information report form 98
Form 1.43 Organ and tissue donor referral form 101
Photo Report 102
Form 1.44 Photo report 102
Poison and Toxic Substances 103
Form 1.45 Death from poison and toxic substances 103
Form 1.46 Report on death from poison and toxic substances 105
Sexual Assault 106
Form 1.47 Sexual assault death report 106
Sharp Force Injury 108
Form 1.48 Sharp-force injury 108
Form 1.49 Report on death from sharp-force injury 110
Skeletal Remains 111
Form 1.50 Report on skeletal remains 111
Specimen Collection 114
Form 1.51 Specimen collection form 114
Suicide 115
Form 1.52 Report on death from suicide 115
Form 1.53 Suicide risk worksheet 117
Unidentified Body 118
Form 1.54 Report on unidentified body 118
Form 1.55 Unidentified body consultation request 120
Form 1.56 Unidentified body worksheet for positive ID 121
© 2010 Taylor & Francis Group, LLC
The Author
Mary H. Dudley, MD, MS, RN, is the chief medical examiner for Jackson County, Missouri. She is board certified
in anatomic and forensic pathology by the American Board of Pathologists. She completed a 2-year fellowship in
forensic pathology at the University of New Mexico following a 4-year anatomic and clinical pathology residency
at Penrose Hospital in Colorado Springs, Colorado. Previously, Dr. Dudley was the chief medical examiner in
Sedgwick County, Kansas, and medical examiner for Maricopa County in Phoenix, Arizona. Dr. Dudley has been
active in the field of forensic medical investigation for many years. She developed the first forensic nursing program
in Colorado in 1994 and the first Forensic Medical Investigation (FMI) training course in 1996.
Dr. Dudley is a member of the following associations and committees:
• National Association of Medical Examiners
• American Academy of Forensic Sciences
• International Association of Forensic Nurses
• Registered diplomate of the American Board of Medicolegal Death Investigators
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© 2010 Taylor & Francis Group, LLC