Table Of ContentMedicine
Simpson’s
For nearly 70 years, Simpson’s Forensic Medicine has been a world-renowned
introductory textbook for students in the field of forensic medicine. This first
regionalised edition, fully adapted for an Irish audience by Dr Cliona McGovern,
presents all that the generalist or student needs to know about the interface
between medicine and the law, including forensic toxicology, forensic Forensic
science, forensic odontology, forensic anthropology and both the legal
obligations and ethical responsibilities of those involved in the forensic setting.
■ Presents clear, concise text, illustrated with colour photographs of the Medicine
highest quality to help you find key information at a glance
■ Concentrates on key principles relevant to your legal system
■ Includes the input of new authors who bring you a fresh, modern
perspective
13th Edition
■ Provides expanded coverage of forensic toxicology and forensic science
along with many important subspecialties of forensic medicine
Simpson’s has a long and respected history. Read by many of today’s leading
forensic practitioners at the start of their careers, it remains the most
indispensable guide to the practice of forensic medicine worldwide.
Irish Version
About the authors
Jason Payne-James LLM, MSc, FRCS, FFFLM, FFSSoc, DFM, Director, Forensic
Healthcare Services Ltd; Honorary Senior Lecturer, Cameron Forensic Medical
Sciences, Barts & The London School of Medicine & Dentistry, London, UK
Cliona McGovern BA (Hons), MA, PhD, Lecturer in Forensic & Legal Medicine,
School of Medicine and Medical Science, Health Sciences Centre, University
College Dublin, Ireland
Richard Jones BSc (Hons), MBBS, FRCPath, MCIEH, MFSSoc, MFFLM,
Clinical Senior Lecturer in Forensic Pathology, Cardiff University, and
Registered Home Office Forensic Pathologist, Wales Institute of Forensic
Medicine, University Hospital of Wales, Cardiff, Wales, UK
Steven Karch MD, FFFLM, FFSSoc, Consultant Cardiac Pathologist and
Toxicologist, Berkeley, California, USA
John Manlove BA, MSc, DIC, PhD, FFSSoc, Director, MFL, Wantage, Oxon, UK; Jason Payne-James
Honorary Senior Lecturer, Centre for Anatomy and Human Identification,
Cliona McGovern
University of Dundee, UK
Richard Jones
Steven B Karch
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ISBN-13: 978-1-4822-2612-6
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John Manlove
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Simpson’s
Forensic Medicine
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Professor CEDRIC KEITH SIMPSON CBE (1907–85)
MD (Lond), FRCP, FRCPath, MD (Gent), MA (Oxon), LLD (Edin), DMJ
Keith Simpson was the first Professor of Forensic Medicine in the
University of London and undoubtedly one of the most eminent
forensic pathologists of the twentieth century. He spent all his
professional life at Guy’s Hospital and he became a household
name through his involvement in many notorious murder trials in
Britain and overseas. He was made a Commander of the British
Empire in 1975.
He was a superb teacher, through both the spoken and the
printed word. The first edition of this book appeared in 1947 and in
1958 won the Swiney Prize of the Royal Society of Arts for being the
best work on medical jurisprudence to appear in the preceding
ten years.
Keith Simpson updated this book for seven further editions.
Professor Bernard Knight worked with him on the ninth edition and,
after Professor Simpson’s death in 1985, updated the text for the
tenth and eleventh editions. Richard Shepherd updated Simpson’s
Forensic Medicine for its twelfth edition in 2003.
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Simpson’s
Forensic Medicine
Irish Edition
Jason Payne-James LLM MSc FRCS FFFLM FFSSoc DFM
Consultant Forensic Physician and Honorary Senior Lecturer, Cameron
Forensic Medical Sciences, Barts and The London School of Medicine and
Dentistry, London; Director, Forensic Healthcare Services Ltd, UK
Cliona McGover BA(Hons) MA PhD
Lecturer in Forensic & Legal Medicine, School of Medicine and Medical
Science, University College Dublin, Ireland
Richard Jones BSc(Hons) MBBS FRCPath MCIEH MFSSoc MFFLM
Home Office Pathologist working at the Wales Institute of Forensic Medicine,
University Hospital of Wales, Cardiff, Wales, UK
Steven B Karch MD FFFLM FFSSoc
Consultant Cardiac Pathologist and Toxicologist, Berkeley, California, USA
John Manlove BA MSc DIC PhD FFSSoc
Manlove Forensics Ltd, Wantage, Oxon, UK
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CRC Press
Taylor & Francis Group
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Boca Raton, FL 33487-2742
© 2014 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20140324
International Standard Book Number-13: 978-1-4822-2613-3 (eBook - PDF)
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Contents
About the authors vii
Foreword ix
Preface xi
Acknowledgements xiii
Authors’ note xv
List of picture credits xvii
1 Principles of forensic practice 1
2 Law & ethics in medical practice 11
3 The medical aspects of death 31
4 Identification of the living and the dead 45
5 The appearance of the body after death 53
6 Unexpected and sudden death from natural causes 67
7 Deaths and injury in infancy 79
8 Assessment, classification and documentation of injury 91
9 Regional injuries 113
10 Ballistic and explosive injuries 127
11 Use of force and restraint 137
12 Sexual assault 147
13 Child assault and protection 155
14 Transportation medicine 165
15 Asphyxia 177
16 Immersion and drowning 189
17 Heat, cold and electrical trauma 195
18 Principles of toxicology 209
19 Alcohol 217
20 Licit and illicit drugs 223
21 Medicinal poisons 237
22 Miscellaneous poisons 241
23 Principles of forensic science 247
24 Allied forensic specialties 267
Appendix 1: Guidelines for an autopsy and exhumation 273
Appendix 2: Widmark’s formula 277
Appendix 3: Diagnosing poisoning – Carbon monoxide.
Health Protection Agency guidelines 279
Index 281
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About the authors
Jason Payne-James qualified in medicine in 1980 (undergraduate medical, physiotherapy and
at the London Hospital Medical College. He is a radiography students) on medico-ethical and
forensic physician and has undertaken additional medico-legal matters. She also lectures on a num-
postgraduate education to higher degree level at ber of graduate courses including healthcare risk
Cardiff Law School, the Department of Forensic management and quality and in forensic medicine.
Medicine and Science at the University of Glasgow
and with the University of Ulster, Northern Ireland. Richard Jones qualified in environmental health
He is an accredited mediator. in 1994 at the University of Wales (Cardiff Institute
He is external consultant to the UK National of Higher Education), and in medicine in 2002 at
Crime Agency and to the National Injuries Database. Guy’s, King’s and St Thomas’ School of Medicine,
He is editor-in-chief of the Journal of Forensic and London. His postgraduate medical training was
Legal Medicine. His forensic medicine clinical and in histopathology and forensic pathology and
research interests include healthcare of detainees, his name appears on the current Home Office
deaths, harm and near-misses in custody, torture, Register of Forensic Pathologists. He is the author
drugs and alcohol, wound and injury interpreta- of Forensic Medicine for Medical Students, an edu-
tion, sexual assault, neglect, non-accidental injury, cational website (www.forensicmed.co.uk).
restraint and use of force injury, conducted energy
weapons, police complaints and age estimation. Steven B Karch received his undergraduate
He has co-edited, co-authored or contrib- degree from Brown University, Rhode Island. He
uted to a number of other books including the attended graduate school in anatomy and cell
Encyclopedia of Forensic & Legal Medicine, Forensic biology at Stanford. He has an MD from Tulane
Medicine: Clinical & Pathological Aspects, Symptoms University and did postgraduate training in neu-
and Signs of Substance Misuse, Artificial Nutrition ropathology at the Royal London Hospital and in
Support in Clinical Practice, Symptoms and Early cardiac pathology at Stanford.
Warning Signs, Dr Apple’s Symptoms Encyclopaedia, He has published twelve books and is at work
Medico-legal Essentials of Healthcare, Colour Atlas on several more, including a novel on Napoleon
of Forensic Medicine, Age Estimation in the Living – and his doctors. He was a forensic science editor
a Practitioner’s Guide, Current Practice in Forensic for Humana Press and is now an associate editor
Medicine and the Oxford Handbook of Forensic for the Journal of Forensic and Legal Medicine and
Medicine. the Journal of Cardiovascular Toxicology.
Cliona McGovern received her undergraduate John Manlove graduated from Oxford University
degree from University College Dublin (UCD) in 1993 with a degree in biological sciences (1993).
where she also completed a Masters in Medical He has postgraduate qualifications from Imperial
Ethics, focusing on the diagnosis of brain death. College and London (Birkbeck) University. He is
She then attended the School of Law in the one of the directors of MFL (Manlove Forensics
University of Sheffield where she completed her Ltd), an independent forensic provider based in
PhD in 2004 on the subject of coroner’s law and South Oxfordshire providing services across the
death investigation. She has published in the criminal justice spectrum.
medico-legal, m edico-ethical and forensic medi- He has been appointed to the position of
cine areas covering topics such as murder and Honorary Senior Lecturer at Dundee University in
manslaughter, suicide, consent to intimate exami- the School of Life Sciences and is currently on the
nations, single vehicle collisions, forensic anthro- council of BAHID (British Association of Human
pology and road safety. Identification). He is a fellow of the Forensic
She is a lecturer in forensic and legal medi- Science Society and on the editorial board of
cine in UCD and lectures to a variety of students Science and Justice.
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