Title

Forensic Medicine & Toxicology

Course Arabicname

Course Credithours

2.5 hours

Course Description

A. General objectives:

By the end of this course, students are expected to understand:

1.  A working knowledge of the principles of medical, scientific and technical evidence-gathering and the presentation of such evidence in the courts of law.

2.     Appreciate both the scope and the limitations of medical and

scientific investigation in assisting the courts.

3.     Give a clear account of the procedures used in death

investigation, the role of the Attorney General and the rules

governing fatal accident inquiries.

4.     Construct, from basic scientific and other factual information

supplied concerning a scene of death, a logically argued

reconstruction of the events leading up to death, indicating what further investigations would be required for a full inquiry

of this type.

5.     Show a basic knowledge of the professional and ethical considerations governing everyday medical practice.

B.  Methods of instruction:

1.  Lectures

   Lectures will address specific topics and try to clarify important concepts.

2.     Seminars

Fourteen seminars in the form of interactive and discussion type of selective topics will be allocated to each group of students.

3.     Practical classes

The whole class is divided into 12 small groups for this activity in the clinics.  The objective is to be familiar with the patterns of injuries and assaults. 

4.     Postmortem examination.

The students will attend the postmortem examinations conducted by the forensic doctors and attend/understand the different techniques of autopsy, collection of samples for pathological examinations and samples from body fluids for toxicological examination.

 C. Evaluation and distribution of marks:

- Seminars and In-course evaluation=30%

- End rotation exam=30%

- final written exam=40%

D. Recommended text books:

Simpson's Forensic Medicine by Bernard Knight 12th edition(2001)

 SEMINARS

  

No.

Title

Objectives

1

Investigation of the Scene of Death/cirme

1. know how the investigation of  a scene of death is     

    approached.

2. understand what constitutes evidence and how it

    should be preserved.

3. understand the importance and nature of

    documentation of evidence.

4. list and know the roles of the different specialist

    investigators at a scene of death.

5. appreciate the need to avoid cross-contamination

    of samples and the steps taken to avoid it.

2

Therapeutic, Criminal abortion & Infanticide

 

1. be able to define in simple terms fetus viability,

    abortion, stillbirth and infanticide.

2. know the major methods of illegal

    abortion and their likely complications.

3. know the main medical signs of live

    birth and stillbirth.

3

Postmortem Changes

1. know the methods by which the postmortem

    interval can be estimated and their limitations.

2. know the way in which the body cools after death,

    its rate of doing so and the factors which influence

    this

3. know the nature and significance of hypostasis,

    cadaveric spasm, rigor mortis, putrefaction,

    mummification and adipocerous change and the

    rates at which these phenomena occur

4. know the nature and significance of postmortem

    injury.

 

4

Common Injuries

1. have a clear understanding of the way in which

    wounds are regarded in law and in medical

    practice

2. know the definition, mechanism and diagnostic

    significance of bruises, abrasions, lacerations,

    incised wounds, stab wounds and fractures and

    the factors which may modify them

3. know the distinction between bite marks and oral

    suction marks

4. know the legal significance and medical methods

    of determining the degree of force used in inflicting

    an injury

5

Firearms and Firearm Wounds

1. understand the basic principles on which modern

    firearms work and the major substances emitted by

    a gun when it fires

2. know the basic principles of determination of the

    range of fire in rifled and smoothbore firearms

3. know the basic distinguishing features of entry and

    exit firearm wounds.

4. know the basic principles on which determination

    of accidental, suicidal and homicidal firearm

    wounding is made.

6

Sudden Infant Death syndrome (SIDS)

1. know a working approach & the incidence and  distribution of SIDS and recent trends in its occurrence

2. be able to list the major causes of sudden

    unexpected death in infancy

3. know the major risk factors for SIDS

4. know the main autopsy findings in SIDS

5. know the main current theories and hypothesies for the cause of SIDS

7

Child abuse & Family Violence

 

a.  Physical

1. be able to define child abuse

2. have a basic knowledge of the historical

    recognition of child abuse

3. be able to list the major clinical, radiological and

    pathological signs, of physical child abuse

4. be able to list the major natural conditions which

    may mimic child abuse

5. be able to state the general strategy for dealing

    with child abuse

 

 

 

b. Sexual

1. be able to define child sexual abuse

2. be able to list the major clinical signs of child

    sexual abuse

3. be able to describe the investigation of a case of

    suspected child sexual abuse, including the

    medical examination and laboratory tests

8

Alcohol-Ethanol

1. know briefly the sources, absorption, metabolism

    and elimination of ethanol.

 

2. know the measurement of ethanol consumption in

    units.

3. know the effects of ethanol.

4. know the local and some foreign laws

    concerning drinking & driving.

5. understand the interpretation of clinical findings in

    relation to alcohol levels.

6. understand the alcohol related causes of death.

9

Forensic Toxicology

1. be able to describe the role and scope of the

    forensic toxicologist

2. be able to describe in general terms the working

    methods, instrumentation and diagnostic problems

    of the toxicological labs.

3. understand the way in which toxicological

    evidence is presented in court

10

Medical Confidentiality

1. clearly understand the concept of medical

    confidentiality, ethical and legal principles

    which underlie it

2. know the major circumstances in which patient

    confidentiality can be breached in the public

    interest or on the order of a court

11

Torture & Death in Custody

1. appreciate the importance and the concern about

    such incidences by the public, media and families

    & the balanced ways of interacting of all parties

    concerned.

2. to understand and follow methodical documenta-

    tion of injuries.

3. scene investigation

4. review the police records including all statements

    of persons who witnessed on event.

12

Medical Ethics

1. to know the major laws of Jordan Medical Council

2. understand the concept of medical confidentially

    and the laws governing it.

3. to appreciate the circumstances in which the

    public interest may really over-ride the

    individual interests.

4. to know the laws governing treatment of people

    who are unable of giving consent.

5. to know the defendants ability to take part in a trial

6. to know the main factors for the legal basis of

    criminal responsibility.

13

Medical Malpractice

1. to know the significance of medical registration.

2. to know the main categories of professional

    misconduct.

3. to understand the different authorities which

    investigate the individuals complaints.

4. to appreciate the incidents and deaths which are

    apparently associated with lack of medical care.

5. to understand the changing concepts of death.

LECTURES 

1

Sudden Natural Death

1. have a clear knowledge of the body systems

    implicated in sudden natural death and the

    proportions of deaths attributable to disorders of

    each system.

2. know the major forms of disease which cause

    sudden natural death and the mechanisms by

    which they do so.

2

Asphyxia

1. understand clearly the concept of asphyxia both  

    to lawyers and to medical practitioners, together 

    with its legal significance

2. know the general changes associated with

asphyxia and the mechanisms by which they operate. 

3. know the main categories of asphyxial and related

deaths and the circumstances which bring them

 about.

3

Drowning and Immersion

1. know the different mechanisms of death which may have been involved when a body is recovered from immersion.

2. know the changes in the human body which occur

    in immersion

3. know the major tests which may be applied to

    support a diagnosis of drowning.

4

Thermal injuries & Fire Deaths

1. know the classification of thermal  injuries.

2. have a basic understanding of the factors which

    influence survival and disability following thermal

    injuries.

3. know the basic findings which may be associated

    with death from hypothermia and hyperthermia.

4. know the mechanisms of death in fires and the

    common causes of house fires

5. know the tests applied to thermal death.

6. know the common heat artifacts seen in victims of

    fatal fires.

5

Carbon Monoxide Poisoning

1. know the sources and nature of carbon monoxide

    gas and the mechanism by which it causes

    poisoning.

2. know the methods by which such poisoning is

    assessed and their limitations.

6

Sexual Offences against Adults

1. be able to define rape and other sexual offences

    under Jordan laws.

2. be able to describe the procedure governing the

    medical examination of victims of alleged rape

    and the follow-up care needed

3. be able to describe the procedure governing the

    medical examination of the alleged assailant in

    a case of rape.

 

4. be able to describe the procedure governing the

    medical examination of a victim of alleged  

    sodomy and Jordanian laws concerning it.

7

The Expert Witness

1. know the ethical principles which govern the   giving of evidence as an expert witness

2. know the principles which govern the way in which lawyers make use of expert evidence and the correct procedures involved

 PRACTICAL 

1

Autopsy Procedure

& Aims

1. Have a clear understanding of the nature and

    uses of the autopsy as an investigative method

    and its applications in legal practice.

2. have a clear understanding of the importance of

    history-taking and scene examination in

    interpreting the autopsy findings.

3. have a clear understanding of the structure and

    usefulness of a well-written autopsy protocol.

4. distinguish clearly between objective observation

    and expression of opinion.

5. have a good working knowledge of the major

    useful conclusions which can be drawn from an

    autopsy examination.

2

Brain Death & Organ Transplantation

1. know in simple terms the historical background of

    concepts of death.

2. understand the basic concepts of brain stem

    death,whole brain death and the vegetative state.

3. know the basic ethical considerations underlying

    the diagnosis of brain stem death.

3

Road Traffic Deaths

1. know the reasons for autopsy of road traffic victims

2. know the major patterns of injuries in individuals

    injured in motor vehicle collisions.

4

Identification of

a Single Body

 1. know and be able to describe the methods used in

   identification of living, individuals & of corpses including personal characteristics, visual appearance, photography, fingerprinting and DNA profiling, and the limitations

    of these methods.

5

The Second Autopsy

 

 

1. know the major reasons for conducting a  second

    autopsy

2. know the principles upon which a second autopsy

    is conducted

Course Linenumber

105900

Course Name

Forensic Medicine & Toxicology

Course Syllabus

https://www.just.edu.jo/CoursesAndLabs/Forensic Medicine & Toxicology_M-590/M 590.doc
Created at 1/5/2010 14:50 by System Account
Last modified at 1/5/2010 14:50 by System Account