Main description:

Margaret Stark and a team of authoritative experts offer a timely survey of the fundamental principles and latest developments in clinical forensic medicine. Topics range from sexual assault examination to injury interpretation, from nonaccidental injury in children, to crowd control agents. Also included are extensive discussions of the care of detainees, the management of substance abuse detainees in custody, the causes and prevention of deaths in custody, and the fundamentals of traffic medicine. In the absence of international standards of training, the authors also address the basic issues of consent, confidentiality, note-keeping, court reporting, and attendance in court. Comprehensive and authoritative, A Physicians Guide to Clinical Forensic Medicine offers forensic specialists and allied professionals a reliable, up-to-date guide to proven practices and procedures for a every variety of police inquiry requiring clinical forensic investigation.

Contents:

The History & Development of Clinical Forensic Medicine Worldwide: Introduction; Historical References: Late 18th Century Onwards; Contemporary Clinical Forensic Medicine; Clinical Forensic Medicine Around the World; Conclusions, Jason Payne-James. Fundamental Principles: Introduction: Ethical Principles;Consent: Requisites For Consent: Capacity, Understanding, Risks and Warnings, Voluntary Agreement; Incompetent Adult Patients; Age of Consent; Intimate Samples, Intimate Searches; Video and Audio Recordings, Recording Telephone Calls; Emergencies;Confidentiality: Death and Confidentiality; Detention and Confidentiality; Exceptions to the General Duty of Confidentiality: The Patient's Permission; The Patient's Best Interests; The Public Interest, Interest of Others,Violent or Dangerous Patients; Medical Teaching, Research and Audit; Judicial and Statutory Exceptions; Notekeeping; Access to Health Records; Preparation of Reports; Attendance at Court: Demeanor in Court; The Duties of Expert Witnesses; Pitfalls, Roy N.Palmer. Sexual Assault Examination: Introduction; Basic Principles of the Medical Examination: Immediate Care; Timing of the Examination; Place of the Examination; Consent; Details of the Allegation; Medical and Sexual History; Nature of the Examination: General Examination; Ano-Genital Examination; Ownership and Handling of Photodocumentation; Basic Principles of the Forensic Analysis: Collection of Forensic Samples; Packaging & Continuity; Analysis; Skin: Forensic Evidence: Method of Sampling; Forensic Analysis; Persistence Data; Medical Evidence; Hair - Head and Pubic: Forensic Evidence: Method of Sampling; Forensic Analysis; Persistence Data; Medical Evidence; Nails: Forensic Evidence: Method of Sampling; Forensic Analysis; Oral Cavity: Fellatio: Definition; Frequency; Legal Implications; Forensic Evidence; Medical Evidence; Cunnilingus and Anilingus: Definitions; Frequency; Legal Implications; Forensic Evidence; Medical Evidence; Female Genitalia: Frequency; Legal Implications; Anatomy; Development; Forensic Evidence: Method of Sampling; Forensic Analysis; Persistence Data; Medical Evidence: Examination Methods; Injuries; Male Genitalia: Anatomy and Physiology: Penile Size; Erections; Production of Semen; Forensic Evidence: Method of Sampling; Forensic Analysis; Persistence Data; Medical Evidence; Perianal Area and Anal Canal: Definitions; Frequency: Consensual; Non-Consensual; Legal Implications; Anatomy and Physiology: Anus; Perianal Area; Anal Canal; Rectum; Anal Sphincters and Faecal Incontinence; Forensic Evidence: Method of Sampling; Forensic Analysis; Persistence Data; Medical Evidence: Anal Fissures, Tears and Lacerations; Anal Sphincter Tone; Rectal Lacerations; Other Injuries; Lubricants; Blood and Urine Analysis: Reason For Analysis; Method of Sampling: Blood; Urine; Forensic Analysis; Care of the Complainant: Medical Treatment; Practical; Pregnancy; Sexually Transmitted Infections; Psychological, Deborah Rogers and Mary Newton. Injury Interpretation: Introduction; Describing Injuries: Nature of the Injury; Size and Shape of the Injury; Position of the Injury; Aging Injuries; Transient Lesions; Types of Injury: Bruises; Abrasions; Lacerations; Incisions; Stab Wounds; Firearm Injuries: Smooth Bore Weapon; Rifled Weapons; Shotgun Wounds; Rifled Weapon Wounds; Defense Injuries; Torture, Jack Crane. Non-Accidental Injury in Children: Introduction: Definition; Effects of Child Abuse; Risk Factors For Abuse; Extent of Abuse; Non-Accidental Injury in Children: The Role of the Physician; Assessing the Non-Accidentally Injured Child; Pointers to the Diagnosis of NAI; Types of Injuries in NAI: Soft Tissue Injuries: Bruising; Bite Marks; Other Soft Tissue Injuries; Thermal Injury: Types of Thermal Injury; Features of Thermal Injuries Suggestive of NAI; Differential Diagnosis of Thermal Injuries; Good Practice Tips; Skeletal Injury: Dating Fractures; Differential Diagnosis of Skeletal Injury; Internal Injuri