Autopsy

Prasuta Case 3girl child , 1boy died

~Post partum Haemorrhage

Allegation

Gold medalist Obs and Gyn ~ Suicide. Archana sharma of Anand Hospital

~ preventable if -  knowledge proper and Documentation done

  

POSTMORTEM  

Post---after

Mortem--Death  

ANTEMORTEM & PERIMORTEM

 

○ NECROPSY 

 Necro-Dead, Opsy-- examination / to see (Examination of Dead)  

○ THANATOPSY 

 Thantose - means death, Opsy-- examination / to see (Examination of Dead)    

AUTOPSY  

○ Auto- Self 

○ Opis- view / Examination (self examination)  

Definition: The detailed examination of both external surfaces and internal organ and contents of dead body after opening its cavities, including further examination, such as histology, biochemistry and toxicology of collected material.  

History of Autopsy  

○ More than 1800 years ago, GALEN dlid for first time dissection on animals and primates.  

○ Frederick II (1194-1250) authorised human dissection. 

 (King of Sicily and Holy Roman Emperor decree in 1231 "that no one surgeon be admitted to practice unless he be learned in the anatomy of human body")  

History of Autopsy in India  

○ Dr. Edward Bulkely performed, first  documented medico- legal au topsy  1693 in Chennai.  

○ Dr.Edward Bulkely first corner  appointed by British  

○ In 1882 first pathological autopsy was  conducted at Grant medical college,  Mumbai.  

Types of Autopsy  

1. Medico-legal autopsy  

2. Clinical/ pathological autopsy  

3.  Anatomical/ academicautopsy  

4. Psychological autopsy  

5. Virtual Autopsy  

OBJECTIVES OF PATHOLOGICAL AUTOPSY  

○ Objectives:  

1. To confirm or establish the clinical diagnosis  

2, To evaluate the effects of treatment given during life.  

3, To determine the cause of ceath.  

ANATOMICAL AUTOPSY 

PSYCHOLOGIGAL AUTOPSY  

○ It is a method  for collection of  informalion on  alleged cases of  suicide lo know  about the  mental status of  deceased al the  time of death.  

SUICIDE,

RUIN  

Violence  

○ It is perform to know about: 

•Background of person 

•His habits, mental status, personality, character 

•Relation to others 

 ○ Sources of collection of information are  Family members, friends, professional colleagues, leachers and physicians 

• NOT THE POLICE  

VIRTUAL AUTOPSY  

• It is a postmortem examination without compromising the integrity of the body, even without collection of sample 

• The radiological examination detect the cause of death 

• Methods -X-rays, ultrasound, CT scan, MRI  

OBJECTIVES OF MEDICOLEGAL AUTOPSY  

Objectives: 

 1. To establish identity of deceased...very Important.

~Government give compensation, mass incident.

 2. To determine time since death. 

 3. To establish cause of death 

 4. To establish manner of death

~ Road accident, homicide, suicide...etc

 5. To establish and rule out foul play. 

 6. To identify weapon, person or poison responsible for death. 

 7. To collect the evidence  

8.In case of new born infant to determineissue of live or still birth and viability.

9.In the cases of skeletal remains, to determine the source whether human or animal, the 

probable cause of death & time elapsed since death.

Difference blw medicolegal and Pathological Autopsy.

1. Purpose- find out cause & manner of death

2.  conducted by RMP ....... Pathologist

3. consent of relatives...   Not required.        required.

4. Ordered by IO.         Not ordered by anyone

5. Report given to IO.        None

6. Viscera.    If analysis is reqd, sent to FSL/CFSL.     if read, done within hospital.

7. Body handedver to 10...... relatives.

8.Give vidence in court read... not

9. Time for autopsy... day light ... anytime

10. Partial autospy.  Not...can

11. Ancillary... done sorely... done routinely.

Types of Medicolegal autopsy

NON...

Normal

Obscure- No clear- cut findings as to give a definite cause of death.

Negative- gross, histology and toxicological findings do not provide explanation for the cause of death.

Rules of Medicolegal Autopsy

Authorized centers unless putrefaction/ DM (L&0)

By RMP of Govt Hosp/ Put Hosp approved by Govt

Body should be labeled as soon as it arrives for Pm.

Request / order from appropriate legal authority.

Relevant documents.

No unauthorized person allowed even police official

Identification of the body prior to autopsy.

should be performed w/o delay.

All details should be noted down

All +ve/ -ve findings recorded

Preserve specimen samples-chain of custody

Preferably

PRE AUTOPSY FORMALITIES/ PROTOCOL OF AUTOPSY

VISIT OF SCENE OF CRIME

STORAGE OF DEAD BODIES

1. Long term at -20°C [for preservation] in cryo refrigerator

2. short team +4°C [for autopsy purpose] in Morbs

SECRUITINY OF POLICE PAPERS

Authorization.

DEATH REPORT FORM

FORM A...for those types of deaths which appear to be natural

FORM B...due to unnatural cause

FORM C...due to poisoning

INQUEST REPORT