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INTRODUCTION TO FORENSIC MEDICINE Applicable Students: Six-year system oversea students in the department of clinical medicine. Class Hours: It takes 30 hours to study this course. TEACHING HOURS DISTRIBUTION No. Contents Hours 1 2 4 Overview of forensic medicine Introduction to death certification and determination procedures Forensic medicine related to disasters and public health Time of death and post-mortem changes 5 Several causes of sudden death 4 6 2 7 Forensic medicine related to children as well as crimes and abuse Introduction to environmental injuries: 8 Environmental injury: 1 9 Introduction to Forensic Toxicology 4 10 Introduction to forensic psychiatry 3 11 Forensic serology and DNA evidence 2 Total 24 2 3 2 2 1 1 The Basic Objectives This course is an introduction to the science of forensic medicine. Forensic medicine is a branch of medicine and pathology that deals with medical topics related to legal investigations concerning medical cases. The specialty also deals with issues related to medical surveillance, public health and toxicology. This introductory course provides an overview of several important forensic topics. Contents Knowledge 1. Overview of forensic medicine (1) Definitions of basic terms (2) Forensic pathology (3) Autopsies 352 (4) Forensic medical investigations (5) Components of medico-legal investigations (6) Death scene investigation examples (7) Overview of some common causes of death in forensic investigations (8) Further common terminologies and definitions 2. Introduction to death certification and determination procedures (1) Several common causes and mechanisms of death in forensic medicine (2) Death certification procedures (3) Legal considerations and court procedures for the forensic pathologist (4) Matters related to forensic evidence 3. Forensic medicine related to disasters and public health (1) Victim identification procedures (2) Aviation related forensic medicine/mass disasters (3) Forensic autopsy topics (4) Bioterrorism and chemical agents 4. Time of death and post-mortem changes (1) Short post-mortem changes (hours) (2) Intermediate post-mortem changes (days to weeks) (3) Extended post-mortem interval (months to years) 5. Several causes of sudden death (1) Overview of sudden death and SIDS (2) Details about SIDS (3) Details about sudden cardiac death 6. Forensic medicine related to children as well as crimes and abuse (1) Infanticide and deaths in infants (2) Child abuse (3) Sexual battery 7. Introduction to environmental injuries: (1) Submersion injuries (drowning and near drowning) (2) Electrical Injuries (3) Brief introduction to management of patient with electrical injuries 8. Environmental injury: (1) Fire related deaths (2) Deaths from hyperthermia 353 (3) Deaths from hypothermia (4) Deaths from venomous animals 9. Introduction to Forensic Toxicology (1) Forensic toxicology (2) Drug related deaths (3) Toxicological analysis (4) Post-mortem analysis of a drug death (5) Ethanol and cocaine related deaths 10. Introduction to forensic psychiatry (1) Forensic psychiatry (2) Emotional and psychiatric related deaths 11. Forensic serology and DNA evidence (1) Forensic serology (2) DNA evidence procedures (3) Use of DNA evidence in crime investigations and paternity testing Skills 1. Gain an understanding of the role of forensic medicine in health care, and its uses. 2. Gain an understanding of several of the important definitions and terms used in forensic medicine 3. Gain understanding of death certification procedures 4. Gain understanding of time of death determination and post-mortem changes 5. Introduction to use of forensic information in court procedures 6. Gain understanding of several areas of clinical forensic medicine, such as environmental injury, toxicology 7. Gain understanding of deaths and injury in children, as well as deaths related to abuse, criminal acts, as well as natural causes. 8. Introduction to forensic psychiatry 9. Introduction to use of forensic serology and DNA evidence TEACHING METHODS 1. Problem analysis related to forensic topics 2. Review questions 3. Research of interesting topics via internet, textbooks, and medical journals 4. Final Examination at end of course 354 REFERENCES 1. Internet to access numerous websites about specific forensic topics, using the main subject heading as a search term and these can be introduced during the course 2. Forensic Pathology, Principles and Practice; David Dolinak, Evan W. Matshes, and Emma O. Lew, Elsvier Inc. 2005 355