WISCONSIN CORONERS and MEDICAL EXAMINERS ASSOCIATION - GUIDELINES FOR CASE ACQUISITION AND MANAGEMENT - Lab Tests X-rays Photos Detective
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1 1 Obvious or Suspicious Homicide yes yes *** yes yes yes forensic autopsy Obvious or Suspicious Suicide: - Drug or Poison *** yes no yes yes yes Pulled hair & clipped fingernails in some cases. STAT blood alcohol or urine tox. - Gunshot (missile retained in body) *** yes yes yes yes yes Bullet recovery if accessible. - Gunshot (through and through) *** yes yes yes yes yes - Hanging *** yes no yes yes yes - Carbon Monoxide *** yes no yes yes yes STAT: CO level Traffic Accidents: - Drivers (cause of accident explained) *** yes *** yes - Drivers (cause of accident not understood) yes yes *** yes - Pedestrians *** yes *** yes - Passengers *** yes *** yes officer) yes STAT: Alcohol level officer) yes STAT: Alcohol level officer) yes officer) yes
2 2 Prisoner: - Death of prisoner in jail, police station, or in custody. yes yes *** yes - Death of prisoner in hospital for injury or in situation where injury cannot be ruled out. yes yes *** yes - Death of prisoner in hospital from documented medical problem. Definitely no injury. *** *** *** yes Burns: yes (from agency) yes forensic autopsy yes (from agency) yes forensic autopsy yes (from agency) - Dead at scene. yes yes yes yes yes yes STAT: CO level - Dies in hospital. *** yes *** yes yes yes CO level on admission blood sample. Death at Work: - Industrial accident with injury. yes yes yes yes yes yes Impound suspicious items & machinery. Notify OSHA. yes - Apparent natural death at work with no injury. *** *** *** yes *** no
3 3 Death During Surgery or if Consciousness Level Never Improves After Anesthesia: - Elective procedures. yes *** *** *** *** *** - Cases where the patient was so severely ill that death was probable without operation. *** *** no no no no Obvious or Suspicious Diagnostic or Therapeutic Misadventures yes yes *** yes *** yes Maternal Deaths due to Criminal or Therapeutic Abortion. yes yes *** yes yes yes Infant Death: - Infant with obvious or suspected injury from accident or abuse. yes yes yes yes yes yes - Infant or child dying in hospital before definitive diagnosis was made. yes yes yes yes yes yes Contact company that regulates anesthesia machines p.r.n. Contact regulating agency. Contact Social Services. Contact Social Services. - Sudden unexpected death in infancy. yes yes yes yes yes yes Contact SID Center & Public Health Nurse
4 4 Narcotic or Drug Death: - Obvious or suspicious "overdose" death. *** yes *** yes yes yes Forensic Autopsy IF comes under Len Bias Law - Hospitalized addict with medical complication of addiction: pneumonia, hepatitis or bacterial endocarditis. *** *** no no no yes Drowning: - Unwitnessed. yes yes *** yes yes yes - Witnessed. *** yes *** yes yes yes Poisoning: Documented or Suspicious. yes yes *** yes yes yes Aspiration of Food Choking: - Documented or suspicious. *** *** *** *** no *** Injury from Fall: - Serious injury so that death may be reasonably anticipated: e.g. spine, skull, subdural, whether death at scene or hospitalized. *** *** *** *** *** yes
5 5 - Less serious injury in elderly person: e.g. hip fracture, wrist fracture with no evidence of head or trunk injury. *** *** *** *** *** *** Other Injuries: - Electrocution unwitnessed. yes yes no yes *** yes Contact nursing home surveyor if accidental death from injury in nursing home. - Electrocution witnessed. *** yes no yes *** yes - Asphyxiation. *** yes *** *** yes yes - Cutting. *** yes *** yes *** yes - Sports Injuries. *** yes *** yes *** yes - Climate Related *** yes *** yes yes yes - Radiation Injuries (exclusive of therapy) *** *** yes yes yes - Chemical Burns *** yes *** yes yes yes - Scuba Diving Accidents yes yes *** yes yes yes Aircraft Accidents: - Pilot yes yes yes yes F.A.A. or yes - Crew members *** yes *** yes N.T.S.B. & yes local police - Passengers & others *** yes *** yes agency yes Diver's Alert Network: (919) Duke University F.A.A. or N.T.S.B. may appropriate funds and autopsy kits
6 6 Sudden Unexpected Death: - Under age 55 years with no past history of heart disease, heart symptoms, family history, or other serious illness. yes yes *** *** *** *** - Over age 55 years with history of prior heart disease, heart symptoms, family history, or other serious illness. *** *** *** *** no no Sudden Unexpected of Young Male Southeast Asians yes yes *** *** *** *** Death Involving Police Officer When Officer Could Be Accused of Notify WI - SUDS Agency or Public Health Nurse Causing Death yes yes yes yes yes Forensic Autopsy Death of a Police Officer When Incident Causing Death Occurred While Performing Official Duties yes yes yes *** yes or patrol officer - from agency yes Forensic Autopsy
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