Golden rules of medical evidenceAtkinson, Stanley B. (Stanley Bean)
Science
Golden rules of medical evidence
Atkinson, Stanley B. (Stanley Bean)
Medical jurisprudence
A =confession= (which must be quite voluntary) or a =dying
declaration= (from the lips of a victim of homicide convinced
of impending death) made in the hearing of a medical man should
be noted down at once, word for word, and, in the absence of a
magistrate, signed by all persons present. Should death be imminent
after a criminal assault (which includes abortion), the medical man
should urge the victim to make such a dying declaration.
If a patient is sent to gaol or an asylum, communicate at once, but
privately, with the medical officer should you know of any =mental or
physical abnormality=.
EXAMINATION OF THE DEAD.
=Do not order the removal= of a dead body; leave that duty to the
police or to the Coroner’s officer.
=Forbid=, however, any disturbance of a body to which you are called
until you have seen it and the circumstances.
1. Where the Coroner orders “evidence touching the external
appearance of the body, and the cause of the death”:
The body should be identified in your presence; if it cannot be
identified, special care must be taken with the inspection. A
photograph should be taken at once.
The appearance of the corpse, both when clothed and when stripped,
must be noted.
In all cases the probable time of the death must be estimated.
The presence and nature of parasites must be recorded.
Should the cause of death still =remain obscure= after a complete
inspection, the Coroner should be informed of the fact and requested
to order an anatomical _post-mortem_ examination of the body.
2. Where the Coroner orders a =full post-mortem examination=, thus:
“You are required to make or assist in making a _post-mortem_
examination of the body, which shall comprise an examination of
the viscera of the head, chest, and abdomen, and, if necessary, an
analysis of the contents of the stomach, and report thereon at the
said inquest.” As to the analysis, see the Home Office Circular
(Jan. 7, 1903).
The body must not be opened until the Coroner’s order has been
received; apart from inquests the =consent of relatives= must be
secured before a body is dissected.
Wherever manslaughter or murder is suspected, the Coroner will order
a necropsy as a matter of course.
If the deceased’s friends =charge you with negligence= in treatment,
you must not conduct the examination.
Do not commence =until the body is cold=; do not delay until marked
putrefaction has set in.
Have all necessary appliances at hand; having once started =do not
leave the room= until your final note has been made and signed.
Do not employ a hammer or a chisel.
=Remember= that it is dangerous to attend lying-in women after making
an autopsy.
If the mortuary attendant does the manual work you must watch each
step.
If portions of organs are retained for subsequent examination, have
the fact witnessed.
DRAWING UP A MEDICO-LEGAL REPORT.
In most cases the witness must recite the report in open court.
Public-domain text, read in full here on John Shaqi.
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