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Evaluation and Management of the
Sexually Assaulted or Sexually Abused Patient
Chapter 17
Questions to ASK: Method and/or Manner
How and where was the victim strangled?
q One Hand (R or L) q Two hands
q Forearm (R or L)
q Knee/Foot
q Ligature (Describe):_ ________________________________________________________
q How long? ______ seconds ________ minutes
Forensic Photography: Overview of Basic
Principles for Health Care Professionals
William M. Green, MD, FACEP
q Also smothered?
q From 1 to 10, how hard was the suspect’s grip? (Low): 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 (high)
q From 1 to 10, how painful was it? (Low): 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 (high)
q Multiple attempts:_ ____________________ q Multiple methods:______________________
Is the suspect RIGHT or LEFT handed? (Circle one)
Utility of Forensic Photography
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Utility of Forensic Images
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What did the suspect say while he was strangling the victim, before and/or after?
Was she shaken simultaneously while being strangled? Straddled? Held against wall?
Was her head being pounded against wall, floor or ground?
What did the victim think was going to happen?
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Review photo documentation during and after exam for:
— Technical quality of images
— Accurate representation of all findings
Consultation/second opinion
Measurements of injuries and other findings
Compare findings to published literature
Standard for subsequent exam/comparison
Court
— Preparation for testimony
— Enhances and supports testimony
Training and education
How or why did the suspect stop strangling her?
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What was the suspect’s demeanor?
Digital Forensic Photography
Describe what suspect’s face looked like during strangulation?
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Describe Prior incidents of strangulation? Prior domestic violence? Prior threats?
MEDICAL RELEASE
To All Health Care Providers: Having been advised of my right to refuse, I hereby consent to the release
of my medical/dental records related to this incident to law enforcement, the District Attorney’s Office
and/or the City Attorney’s Office.
Signature:_ ______________________________________Date:________________________
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Evaluation and Management of the Sexually Assaulted or Sexually Abused Patient | ACEP
Digital imaging is changing photography by speeding up and simplifying many photographic processes.
— Instantly review image quality, content and composition
— Easily enhance image to accurately show what the examiner saw
— Easily import images
— Easily file, store, and transfer images
— Easy means of building image databases
— Cost effective
Forensic Imaging for Non-Professional Photographers
Copyright: National Family Justice Center Alliance, San Diego, CA.
90
“A good photograph is tantamount to stopping the clock”
When injuries have healed, photographs in the medical/forensic record provide visual documentation of the
injuries
Forensic photographs document visible evidence findings before they are disturbed or collected
Excellent quality forensic images are obtainable with a basic digital camera
The more images, the better
Basic equipment, skills and techniques will address most forensic photographic situations
Practicing forensic photographic skills and techniques with mentoring and feedback is more productive than
lectures about photographic theory and philosophy
Equipment
Camera
Forensic Photography: Overview of Basic Principles for Health Care Professionals
91
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