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The absence of mercy : a novel
\"When a brutally murdered teenager is discovered in the woods surrounding a small Ohio town, Dr. Ben Stevenson- the town's medical examiner- must decide if he's willing to put his family's life in danger to uncover the truth. Finding himself pulled deeper into an investigation with devastating consequences, he discovers shocking information that will shatter his quiet community, and force him to confnt a haunting truth.\"--Amazon.com
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Deciphering Suicide and Other Manners of Death Associated with Drug Intoxication: A Centers for Disease Control and Prevention Consultation Meeting Summary
Manner of death (MOD) classification (i.e., natural, accident, suicide, homicide, or undetermined cause) affects mortality surveillance and public health research, policy, and practice. Determination of MOD in deaths caused by drug intoxication is challenging, with marked variability across states. The Centers for Disease Control and Prevention hosted a multidisciplinary meeting to discuss drug intoxication deaths as they relate to suicide and other MOD. The meeting objectives were to identify individual-level, system-level, and place-based factors affecting MOD classification and identify potential solutions to classification barriers. Suggested strategies included improved standardization in death scene investigation, toxicology, and autopsy practice; greater accountability; and creation of job aids for investigators. Continued collaboration and coordination of activities are needed among stakeholders to affect prevention efforts.
Journal Article
Medical examiner service in children’s deaths: a survey of current practice in paediatric intensive care units in England and Wales
IntroductionA statutory system of medical examiners (ME) was introduced in England and Wales in September 2024. The next of kin will be given the opportunity to speak to the ME and all medical certificates of cause of death (MCCDs) will require an ME countersignature. In children, there is already established guidance for a comprehensive child death review (CDR) that encompasses best operational practice with statutory requirements that must be followed.Objective and designA national survey of all paediatric intensive care units (PICUs) in England to evaluate the processes where both systems have been adopted.Results21 of 23 (91%) PICUs responded. 75% of the surveyed PICUs have ME services established. Of these, 60% reported that the ME reviewed all deaths, including those reported to the coroner. Out-of-hours ME provision was available in only 33% of the surveyed PICUs and no review of medical notes occurred in 27% of cases. 60% of the respondents agreed ME scrutiny improved the quality of the MCCD. 40% of the respondents believed that ME review might cause delay in cultural or religious rites and the offer of organ donation.ConclusionA national ME service has potential to improve the quality of national mortality data and give voice to bereaved families’ concerns. However, in relation to children’s deaths, it needs to interface with existing statutory expectations that have similar objectives. We recommend that prospective audit be conducted to ensure both CDR and ME systems are coordinated to each other’s mutual benefit.
Journal Article
Synthetic cannabinoid drug use as a cause or contributory cause of death
•Synthetic cannabinoid use has been associated with lethal outcomes.•Pre-existing conditions may produce greater risk for a fatal case outcome.•Differences of opinion exist regarding cause and manner of death determination.
Adverse effects associated with synthetic cannabinoid use include agitation, psychosis, seizures and cardiovascular effects, all which may result in a lethal outcome. We report the collection of data from 25 medical examiner and coroner cases where the presence of synthetic cannabinoids was analytically determined. Participating offices provided case history, investigative and relevant autopsy findings and toxicology results along with the cause and manner of death determination. This information, with the agency and cause and manner of death determinations blinded, was sent to participants. Participants offered their opinions regarding the likely contribution of the toxicology findings to cause and manner of death. The results show that some deaths are being attributed to synthetic cannabinoids, with the highest risk areas being behavioral toxicity resulting in excited delirium, trauma or accidents and as contributing factors in subjects with pre-existing cardiopulmonary disease. While insufficient information exists to correlate blood synthetic cannabinoid concentrations to effect, in the absence of other reasonable causes, the drugs should be considered as a cause or contributory cause of death based on history and circumstances with supporting toxicological data.
Journal Article
The butcher and the Wren
From the co-host of chart-topping true crime podcast Morbid, a thrilling debut novel told from the dueling perspectives of a notorious serial killer and the medical examiner following where his trail of victims leads. Something dark is lurking in the Louisiana bayou: a methodical killer with a penchant for medical experimentation is hard at work completing his most harrowing crime yet, taunting the authorities who desperately try to catch up. But forensic pathologist Dr. Wren Muller is the best there is. Armed with an encyclopedic knowledge of historical crimes, and years of experience working in the Medical Examiner's office, she's never encountered a case she couldn't solve. Until now. Case after case is piling up on Wren's examination table, and soon she is sucked into an all-consuming cat-and-mouse chase with a brutal murderer getting more brazen by the day. An addictive read with straight-from-the-morgue details only an autopsy technician could provide, The Butcher and the Wren promises to ensnare all who enter.
Book
Looking at the future of the medical certification of cause of death (MCCD) in England and Wales
Internationally, the quality of death certification is poor although there are multiple efforts underway to improve the process. In England, a new medical certification system has been proposed to improve the quality of data. We surveyed general practitioners (n = 95) across the West Yorkshire area of England to appraise their views regarding whether further possible changes to the death certification system could promote their quality.
Journal Article
A Conspiracy of Bones
What is real and what isn't? It's sweltering in Charlotte, North Carolina and Temperance Brennan, still recovering from neurosurgery following an aneurysm, is battling nightmares, migraines, and what she thinks might be hallucinations when she receives four mysterious text messages: each containing a new picture of a corpse that is missing its face and hands. Immediately, she's anxious to know who the dead man was, what his connection was to a decade-old missing child case, and perhaps most of all, how he came to have her cellphone number. But to get the answers, she must go rogue, working mostly outside the system. That's because her new boss, Dr. Margot Heavner, holds a fierce grudge against her and is determined to keep her out of the case. With help from veteran death investigator Joe Hawkins and the always-ready-with-a-smart-quip ex-homicide investigator Skinny Slidell, and utilizing new cutting-edge forensic methods, Tempe steadily unearths ever-more-bizarre and darkly significant clues. And then the unthinkable happens. Another child goes missing. And, suddenly, Tempe must race against the clock-and her own head-to uncover the truth. Praise for Kathy Reichs: 'Kathy Reichs writes smart-no, make that brilliant-mysteries that are as realistic as non-fiction and as fast-paced as the best thrillers about Jack Reacher or Alex Cross' James Patterson 'Nobody does forensics thrillers like Kathy Reichs. She's the real deal' David Baldacci 'Kathy Reichs continues to be one of the most distinctive and talented writers in the genre. Her legions of readers worldwide will agree with me when I declare that the more books she writes, the more enthusiastic fans she'll garner' Sandra Brown 'Each book in Kathy Reichs's fantastic Temperance Brennan series is better than the last. They're filled with riveting twists andturns. No matter how many novels she writes, I just can't get enough!' Lisa Scottoline 'Reichs always delivers a pulse-pounding story' Publisher's Weekly 'Every minute in the morgue with Tempe is golden' The New York Times Book Review 'Bloody good beach reading!' USA Today 'Brennan is a winner, and so is Reichs' Daily News.
Death investigation in America : coroners, medical examiners, and the pursuit of medical certainty
Why is the American system of death investigation so inconsistent and inadequate? In this unique political and cultural history, Jeffrey Jentzen draws on archives, interviews, and his own career as a medical examiner to look at the way that a long-standing professional and political rivalry controls public medical knowledge and public health.
eBook