A 13-Year Study of Fatal Falls From Height in Northern Tunisia
Conclusion Understanding patterns of injury and the factors that influence death on impact may be of further interest in the prevention and management of survivors in the acute period. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - November 19, 2022 Category: Forensic Medicine Tags: Original Articles Source Type: research

Autopsy-Diagnosed Injury Deaths in Persons With Acute or Chronic Alcohol Use: A Review of 1000 Deaths With History of Alcohol Use
This study sought to determine how many decedents with a history of acute or chronic alcohol use had an internal physical injury diagnosed only at autopsy that caused or contributed to the death. The study reviewed medicolegal investigation and autopsy reports at the New York City Office of Chief Medical Examiner between January 1 and October 11, 2018, to identify 1000 consecutive persons with suspected acute or chronic alcohol use who were autopsied to ascertain whether internal physical injury caused or contributed to the death. Of 1000 persons with known or suspected acute or chronic alcohol use, 390 (39.0%) had an exte...
Source: The American Journal of Forensic Medicine and Pathology - November 19, 2022 Category: Forensic Medicine Tags: Original Articles Source Type: research

Characteristics and Geographic Variation in Sudden Unexpected Infant Deaths in the District of Columbia
Sleep-related infant death is a major cause of infant mortality in the United States. In the District of Columbia, infant mortality varies widely among regions (2 to 14 per 1000 live births). The study objectives were to analyze the patient characteristics and related variables to sudden unexpected infant deaths at 2 pediatric emergency department (ED) sites and the geographic patterns of infant deaths and their relationship to social vulnerability. This retrospective cohort study examined infants under 1 year of age presenting with cardiac arrest at 2 ED sites from 2010 to 2020. Analysis showed 81 deaths with a median pop...
Source: The American Journal of Forensic Medicine and Pathology - November 19, 2022 Category: Forensic Medicine Tags: Original Articles Source Type: research

Proliferation of Novel Synthetic Opioids in Postmortem Investigations After Core-Structure Scheduling for Fentanyl-Related Substances
New generations of novel synthetic opioids (NSOs) have emerged to fill a void in the illicit drug markets left by the decline in popularity of fentanyl analogs subsequent to core-structure scheduling of fentanyl-related substances in the United States and China. These new opioids include members of the 2-benzyl benzimidazole (eg, isotonitazene, metonitazene, N-pyrrolidino etonitazene, protonitazene, etodesnitazene), benzimidazolone (eg, brorphine), and cinnamylpiperazine (eg, AP-238, 2-methyl AP-237) subclasses. Novel synthetic opioids continue to be detected in opioid-related fatal overdoses, demonstrating the harms assoc...
Source: The American Journal of Forensic Medicine and Pathology - November 19, 2022 Category: Forensic Medicine Tags: Original Articles Source Type: research

Determination of the Force Required to Produce Stab “Wounds” in Fruit Compared With Cadaveric Chest Tissue
In laymen's terms, it can be difficult to communicate how much force is needed to create a stab wound into a person's chest. Previous work has determined the force to puncture the skin, rib cartilage, or bone but without putting the results in terms that are easy to understand. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - November 19, 2022 Category: Forensic Medicine Tags: Original Articles Source Type: research

Effectiveness of Rapid Antigen Testing in Forensic Cases of Severe Acute Respiratory Syndrome Coronavirus 2 Infection, Including Delta Variant
The polymerase chain reaction is indispensable for diagnosing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in forensic cases. However, studies regarding the effectiveness of rapid antigen testing (RAT) in forensic cases remain limited. Therefore, we investigated the efficacy of RAT compared with reverse–transcription quantitative polymerase chain reaction (RT-qPCR) for confirming SARS-CoV-2 infection (including the delta variant). Before the external examination or autopsy, we collected samples from the nasopharyngeal mucosa, which were then assessed via RAT (QuickNavi COVID-19 Ag kit, QuickNavi...
Source: The American Journal of Forensic Medicine and Pathology - November 19, 2022 Category: Forensic Medicine Tags: Original Articles Source Type: research

The Scalpel Is Passed: An Interview With Dr Mary Case
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - November 19, 2022 Category: Forensic Medicine Tags: Invited Interview Source Type: research

National Association of Medical Examiners Abstracts of the 2021 Annual Meeting
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Abstracts Source Type: research

Cardiac Fibromuscular Dysplasia of Small to Medium Caliber Arteries: An Elusive Spot Diagnosis
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Illustrated Forensic Pathology Source Type: research

Sudden Death Due to Cervical Necrotizing Soft Tissue Infection
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Illustrated Forensic Pathology Source Type: research

Brainstem Malformation Causes Sudden Death
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Illustrated Forensic Pathology Source Type: research

Wischnewsky Spots in a Death From Diabetic Ketoacidosis
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Illustrated Forensic Pathology Source Type: research

A Rare Case of Fatal Thyroid Hemorrhage After Fine-Needle Aspiration: Case Report and Review of the Literature
Sudden death due to massive hemorrhage after a mini-invasive ambulatory diagnostic procedure is extremely rare. Fine-needle aspiration (FNA) of thyroid nodules is very safe, displaying a low rate of complications, all of which mild and often self-limiting. In few cases do these complications necessitate surgical decompression, and rarely does FNA of a thyroid nodule lead to the death of the patient. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Case Reports Source Type: research

Death as a Complication of Urologic Surgery—2 Cases Identified at Autopsy
While routine medical procedures often impose some level of risk for the patient, death after routine urologic care is rare. In this series, we present 2 cases in which a relatively healthy patient ultimately died after complications, one from a prostate biopsy and one from a total nephrectomy. In case 1, a 58-year-old male died due to a 1500-mL to 2000-mL left retroperitoneal hemorrhage that occurred during insertion of a central line for sepsis treatment that resulted from an infection after a transrectal prostate biopsy. In case 2, a patient who underwent a total nephrectomy for renal cell carcinoma expired on postopera...
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Case Reports Source Type: research

A Case of Fatal Exsanguination by a Japanese Short Sword
We report a rare case of fatal exsanguination by a wakizashi, a Japanese short sword (shinken). A man in his 60s was found lying on his back on his bed. He was in cardiopulmonary arrest when the ambulance crew arrived and was pronounced dead on arrival at the hospital. A wakizashi with blood stains on the blade was found on the floor, and blood was present on the bed sheets on which the man was found. Autopsy revealed an incised wound extending diagonally from superolaterally to inferomedially on the anterior left thigh as the only injury. The wound appeared mostly straight, approximately 44 cm long and 9 cm deep, with smo...
Source: The American Journal of Forensic Medicine and Pathology - August 19, 2022 Category: Forensic Medicine Tags: Case Reports Source Type: research