Posts Tagged ‘Coroner’

Deathcare Careers: Medical Examiner

Friday, January 29th, 2010

Heart of a murder victim

Heart of a murder victim

The medical examiner (ME) career is an American invention that has existed for only a century. Medical examiners, for the most part, are appointed to their positions and must be licensed physicians with extensive formal training in medical and legal death investigations. Unlike a coroner, the medical examiner is expected to use his or her medical expertise to find out how a person died.

Medical examiners often visit the scenes of deaths or crimes to examine corpses and to look for evidence that the police may not recognize as being related to the cause of death. They need to determine the identity of the deceased person, the exact time of death, the manner of death and the medical cause of death. According to the Career Guide for Medical Examiner from the State of Virginia, the following tasks are required from that state’s medical examiner position:

  1. Investigate sudden and unnatural deaths.
  2. Perform forensic medicine and pathology consultations.
  3. Counsel families regarding manner and cause of death.
  4. Act as a resource for forensic pathology and general forensic science information.
  5. Testify in court to facts and conclusions disclosed by autopsies performed by the examiner, or as directed or in the presence of the examiner.
  6. Make physical examinations and tests incident to any matter of a criminal nature up for consideration before either court or district attorney when requested to do so.
  7. Perform such other duties of a pathological or medicolegal nature as may be required.
  8. Serve subpoenas requiring the attendance of witnesses at any inquest to be held by such medical examiner, or other order or writs.

Medical examiners also want to know if a weapon was used. Sometimes, weapons are not ordinarily thought of as weapons (such as baseball bats, etc.), so medical examiners need to collect this evidence along with any hair, fibers, bodily fluids and trace chemicals to help that medical examiner reconstruct the way a person died.

You must first earn a medical degree to work as a medical examiner, and your best bet would be to find a medical degree with a forensic specialty. Often, some states may require a degree in pathology as well.

While there are many different specialties involved with the job as a medical examiner, you are not expected to know everything. Medical examiners often hire forensic scientists to perform autopsies to determine the cause of a person’s death and to assist with different techniques necessary to conduct a precise and accurate investigation.

However, if you know where you’d like to live and work, you might learn more about that locality’s requirements for a medical examiner. For instance, Anoka County, Minnesota requires that their medical examiners:

While these requirements are specific to this particular Minnesota county, you may find that their specifications would be a benefit to any medical examiner’s job throughout the U.S.

What are Coroners and What do They Do?

Wednesday, July 15th, 2009
A Coroner at a Crime Scene
A Coroner at a Crime Scene

Have you wondered what a coroner does and how that job might differ from a medical examiner? The office of the coroner, or “crowner,” dates back to medieval times when the crowner was responsible for making sure that death duties were paid to the King.

Today, the coroner’s main duty is to inquire into deaths and complete death certificates. In all cases, coroners/crowners investigate unusual deaths.The position of coroner predates that of the medical examiner, but the latter position replaced the coroner in many instances during the late nineteenth century in the states. The medical examiner, unlike the inexperienced coroner at that time, was and is a physician or a person with medical education and experience. Coroners relied on hiring physicians pathologists or forensic pathologists to perform autopsies when deaths were suspected as foul play.

While some states still use the elected coroner system (and many coroners today are physicians), those same states and other non-coroner states may also use medical examiners. In England, where the coroner’s occupation originated, coroners are doctors or lawyers who are responsible for investigating deaths and who also can arrange for post-morten examinations of the body.

Indiana maintains a site specifically for that state’s county coroners, where they state that, “Because Indiana coroners come from such varied backgrounds and have such varied professional preparation and education, we have assumed that very few people know absolutely everything necessary to perform the duties of the Coroner.” Their guidebook illustrates the tasks that any non-specialist can follow to work as a county coroner in that state.

Genealogists often research coroners’ records to learn more about their ancestors’ deaths. These records may have contained information about the deceased and how that person died, but those records also could contain information about the deceased’s personal belongings, especially those that were found on the body. Coroner and medical examiner files usually are open to the public, but some courthouses or medical offices may ask for legitimate reasons to examine certain records. Many older reports have been microfilmed and are available through the Family History Library of through its many branches.

What is an Autopsy?

Wednesday, December 3rd, 2008

AutopsyThe word, “autopsy,” is derived from a Greek word autopsia meaning ’see for yourself.’ In most cases, however, a specially-trained physician or pathologist conducts the viewing. The objective behind an autopsy, also known as a postmortem examination, necropsy, or obduction, is to examine a corpse to determine a cause of death or to evaluate any disease or injury that was present at the time of death.

Even if an autopsy isn’t required by law, families may be grateful for the many advantages that an autopsy can provide. Through an autopsy, a family can learn about diseases or ailments that were or weren’t apparent during a deceased individual’s lifetime.  This information can help the family discover any genetic diseases that may shorten another family member’s life. The thorough examination of body tissues after death also can provide the medical community with information about various diseases, even if they weren’t the cause of death.

According to MidWest Autopsy, at least a fifth of autopsies reveal a cause of death other than was was believed clinically. In “routine natural deaths” in England, 34 percent of original causes of death were proven wrong with the procedure. Additionally, more than a quarter of autopsies may reveal a major surprise other than the cause of death. But, the type of autopsy performed can reveal different results.

There are three types of autopsies:

  1. Complete – in which all body cavities are examined (including the head )
  2. Limited – which may exclude the head
  3. Selective- where specific organs only are examined.

Autopsies will usually include testing for any infections (microbiology), changes in body tissue and organs (anatomical histology), and chemicals – which can include medication, drugs or poisons (toxicology and pharmacology). In certain circumstances an autopsy might not be carried out if the coroner and a forensic pathologist can decide the cause of death from medical history and a police report.

During an autopsy, the medical examiners will need or will discover the following information:

  • The identity of the deceased person.
  • When that person died, the nature and extent of any disease they currently suffer from or have suffered in the past.
  • The nature and extent of any injury they are suffering from or have suffered in the past.
  • The cause of death.
  • The circumstances that surrounded that death.

Forensic autopsies are autopsies with legal implications and are performed to determine if death was an accident, homicide, suicide, or a natural event. Often, when the cause of death is suspicious, unknown, or a result of a criminal investigation, an autopsy may be required. Otherwise, it is up to the family to request an autopsy.

When an individual has requested a full body donation, the family must act quickly to request an autopsy if that procedure is desired. However, since the body may be examined by a team of doctors, the family may consider this donation as part of the process of learning more about the deceased. In this case, the individual who wishes to donate his or her body to science may request that a report be sent to the family after research has been conducted.