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Maternal death from ruptured splenic artery aneurysm
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Pathology (2012), 44(S1)
PATHOLOGY 2012 ABSTRACT SUPPLEMENT
noted and addressed quickly. However, those that are subtle can be missed, have insidious onsets and are often only discovered at a severely deteriorated clinical state or at post-mortem.1 References 1. Rathlev NK, Medzon R, Bracken ME. Evaluation and management of neck trauma. Emerg Med Clin N Am 2007; 25: 679–94. 2. Tisherman SA, Bokhari F, Collier B, et al. Clinical Practice Guidelines: Penetrating Neck Trauma. Chicago: Eastern Association for the Surgery of Trauma, 2008. http://www.east.org/Content/documents/practicemanagementguidelines/neck-penetrating-tra.pdf
SPINAL CORD AND VASCULAR CONSEQUENCES OF NECK INJURIES Colin Smith Academic Department of Pathology, University of Edinburgh, Edinburgh, UK The spinal cord is often neglected at autopsy and as such can cause problems in interpretation for pathologists not used to assessing spinal injury. This talk will cover both brainstem and spinal cord pathologies associated with trauma, providing a simple classification of such injuries. The talk will also cover injury to the vertebral arteries as a cause of traumatic subarachnoid haemorrhage, and will also cover other potential causes of traumatic subarachnoid haemorrhage. MATERNAL DEATH FROM RUPTURED SPLENIC ARTERY ANEURYSM Nadine Forde Queensland Forensic and Scientific Services, Pathology Queensland, Qld, Australia A maternal death is defined as the death of a woman while pregnant or within 42 days of the termination of pregnancy from any cause related to, or aggravated by, the pregnancy or its management. Australia has a maternal mortality ratio of approximately 8 deaths per 100 000 live births. The case of a young woman who collapsed at home in her third trimester as a result of catastrophic abdominal haemorrhage is presented. At autopsy, the cause was found to be ruptured splenic artery aneurysm. This is followed by a discussion of the classification of maternal deaths together with a review of the current literature regarding splenic artery aneurysms, their causes, clinical presentation, management and the autopsy findings in fatal cases.
investigation as a suspicious case. The scene often appears complex or altered and the cause of death may not be readily apparent. However, pathological and investigative evidence may reveal one of a number of causes and manners of death, and not every case will represent a homicide. This talk presents four recent cases from the Department of Forensic Medicine in Sydney, as well as a brief review of the relevant literature, discussing possible causes of death that may present in this way and exploring their features. PROTOCOLS IN FORENSIC NEUROPATHOLOGY Colin Smith Academic Department of Pathology, University of Edinburgh, Edinburgh, UK The practice of forensic neuropathology has changed due to both changes in attitudes to brain retention and to the availability of neuropathologists. This talk will cover alternative approaches to brain examination which do not require whole organ retention but do provide an adequate neuropathological examination. I will cover examination with no fixation, rapid fixation, delayed examination, and will touch on single slice retention, although this will be covered in greater detail in the talk by Dr Iles. The talk will then address the issue of standard protocols for block taking in certain situations, the aim being to give the non-neuropathologist an approach that should allow diagnosis in most cases, and will be adequate for referral to a specialist centre if required. Time permitting there will be discussion of the role of specialists and the risk of loss of expertise within forensic pathology with too great a reliance on specialists. SEXUAL ASSAULT FORENSIC WORKSHOP Christopher Lawrence Statewide Forensic Medical Services, Tas, Australia
This is a review of current and upcoming intensive care unit (ICU) and high dependency unit (HDU) therapies with a focus on postmortem findings and artefacts complicating post-mortem examination.
The Vincent Report into the Farah Jama Case highlights the issues regarding the taking of sexual assault evidence and the potential risks of contamination. This workshop aims to use the lessons learned in forensic medicine in relation to sexual assault in live victims and translated into better processes for examining the dead victims of sexual assault in order to prevent the risk of cross contamination. We will be producing a number of scenarios and using mannequins to demonstrate the appropriate system for taking sexual assault evidence to minimise the risk of contamination and also to assist with the documentation and recognition of particular patterns of injury in sexual assault and their potential significance in recovering valid forensic evidence in these contexts. The workshop will be run by Dr Cathy Lincoln who has extensive experience in distinguishing between genital injuries in sexual assault and consensual sex and Dr Chris Lawrence who is the Director of Statewide Forensic Medical Services for the State of Tasmania.
BODIES IN WHEELIE BINS
SEXUAL HOMICIDES
Jennifer Pokorny Department of Forensic Medicine, Sydney, NSW, Australia
Paul Bedford Victorian Institute of Forensic Medicine, Melbourne, Vic, Australia
The discovery of a body in a wheelie bin is an infrequent occurrence in forensic practice and typically triggers its
A number of cases will be presented highlighting issues relating to the investigation of deaths where there is a sexual element. In
ECMO, CVVHDF, ETC: NEW ICU/HDU TREATMENTS AND OTHER TLAS Amy Hewison PathWest Laboratory Medicine WA, Australia
Copyright © Royal College of pathologists of Australasia. Unauthorized reproduction of this article is prohibited.
Pathology (2012), 44(S1)
PATHOLOGY 2012 ABSTRACT SUPPLEMENT
noted and addressed quickly. However, those that are subtle can be missed, have insidious onsets and are often only discovered at a severely deteriorated clinical state or at post-mortem.1 References 1. Rathlev NK, Medzon R, Bracken ME. Evaluation and management of neck trauma. Emerg Med Clin N Am 2007; 25: 679–94. 2. Tisherman SA, Bokhari F, Collier B, et al. Clinical Practice Guidelines: Penetrating Neck Trauma. Chicago: Eastern Association for the Surgery of Trauma, 2008. http://www.east.org/Content/documents/practicemanagementguidelines/neck-penetrating-tra.pdf
SPINAL CORD AND VASCULAR CONSEQUENCES OF NECK INJURIES Colin Smith Academic Department of Pathology, University of Edinburgh, Edinburgh, UK The spinal cord is often neglected at autopsy and as such can cause problems in interpretation for pathologists not used to assessing spinal injury. This talk will cover both brainstem and spinal cord pathologies associated with trauma, providing a simple classification of such injuries. The talk will also cover injury to the vertebral arteries as a cause of traumatic subarachnoid haemorrhage, and will also cover other potential causes of traumatic subarachnoid haemorrhage. MATERNAL DEATH FROM RUPTURED SPLENIC ARTERY ANEURYSM Nadine Forde Queensland Forensic and Scientific Services, Pathology Queensland, Qld, Australia A maternal death is defined as the death of a woman while pregnant or within 42 days of the termination of pregnancy from any cause related to, or aggravated by, the pregnancy or its management. Australia has a maternal mortality ratio of approximately 8 deaths per 100 000 live births. The case of a young woman who collapsed at home in her third trimester as a result of catastrophic abdominal haemorrhage is presented. At autopsy, the cause was found to be ruptured splenic artery aneurysm. This is followed by a discussion of the classification of maternal deaths together with a review of the current literature regarding splenic artery aneurysms, their causes, clinical presentation, management and the autopsy findings in fatal cases.
investigation as a suspicious case. The scene often appears complex or altered and the cause of death may not be readily apparent. However, pathological and investigative evidence may reveal one of a number of causes and manners of death, and not every case will represent a homicide. This talk presents four recent cases from the Department of Forensic Medicine in Sydney, as well as a brief review of the relevant literature, discussing possible causes of death that may present in this way and exploring their features. PROTOCOLS IN FORENSIC NEUROPATHOLOGY Colin Smith Academic Department of Pathology, University of Edinburgh, Edinburgh, UK The practice of forensic neuropathology has changed due to both changes in attitudes to brain retention and to the availability of neuropathologists. This talk will cover alternative approaches to brain examination which do not require whole organ retention but do provide an adequate neuropathological examination. I will cover examination with no fixation, rapid fixation, delayed examination, and will touch on single slice retention, although this will be covered in greater detail in the talk by Dr Iles. The talk will then address the issue of standard protocols for block taking in certain situations, the aim being to give the non-neuropathologist an approach that should allow diagnosis in most cases, and will be adequate for referral to a specialist centre if required. Time permitting there will be discussion of the role of specialists and the risk of loss of expertise within forensic pathology with too great a reliance on specialists. SEXUAL ASSAULT FORENSIC WORKSHOP Christopher Lawrence Statewide Forensic Medical Services, Tas, Australia
This is a review of current and upcoming intensive care unit (ICU) and high dependency unit (HDU) therapies with a focus on postmortem findings and artefacts complicating post-mortem examination.
The Vincent Report into the Farah Jama Case highlights the issues regarding the taking of sexual assault evidence and the potential risks of contamination. This workshop aims to use the lessons learned in forensic medicine in relation to sexual assault in live victims and translated into better processes for examining the dead victims of sexual assault in order to prevent the risk of cross contamination. We will be producing a number of scenarios and using mannequins to demonstrate the appropriate system for taking sexual assault evidence to minimise the risk of contamination and also to assist with the documentation and recognition of particular patterns of injury in sexual assault and their potential significance in recovering valid forensic evidence in these contexts. The workshop will be run by Dr Cathy Lincoln who has extensive experience in distinguishing between genital injuries in sexual assault and consensual sex and Dr Chris Lawrence who is the Director of Statewide Forensic Medical Services for the State of Tasmania.
BODIES IN WHEELIE BINS
SEXUAL HOMICIDES
Jennifer Pokorny Department of Forensic Medicine, Sydney, NSW, Australia
Paul Bedford Victorian Institute of Forensic Medicine, Melbourne, Vic, Australia
The discovery of a body in a wheelie bin is an infrequent occurrence in forensic practice and typically triggers its
A number of cases will be presented highlighting issues relating to the investigation of deaths where there is a sexual element. In
ECMO, CVVHDF, ETC: NEW ICU/HDU TREATMENTS AND OTHER TLAS Amy Hewison PathWest Laboratory Medicine WA, Australia
Copyright © Royal College of pathologists of Australasia. Unauthorized reproduction of this article is prohibited.