Posts Tagged ‘medical examiner’

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.

Autopsy: Dissection

Saturday, July 25th, 2009
A brain autopsy demonstrating signs of meningitis. The forceps (center) are retracting the dura mater (white). Underneath the dura mater are the leptomeninges, which appear to be edematous and have multiple small hemorrhagic foci.

A brain autopsy demonstrating signs of meningitis. The forceps (center) are retracting the dura mater (white). Underneath the dura mater are the leptomeninges, which appear to be edematous and have multiple small hemorrhagic foci.

Dissection of a corpse during an autopsy follows the external examination when the corpse still contains tissues and organs that can be examined. The steps that a medical examiner, or a general anatomical pathologist, may take in the internal examination include the following:

  1. Makes Incision: The medical examiner makes a Y-shaped incision, two extending from each shoulder down to the lower end of the sternum (breastbone), and the third continuing down the midline of the abdomen to the pubis. The ribs and clavicle (collarbone) then are cut and the breastplate is removed to expose the lungs, heart and other abdominal organs and blood vessels.
  2. Removes Heart and Lungs: The heart and lungs then are removed, usually as one unit. Any blood needed for DNA samples, typing and toxicology testing is then taken from the heart, the aorta or the peripheral vein.
  3. Examines the Abdomen: After the heart and lungs are removed, weighed and examined, the medical examiner focuses on the abdomen. Tissue samples may be taken for microscopic examination.
  4. Collects Samples: The stomach contents are examined and samples are taken for toxicology investigation. Additionally, gall bladder bile, urine and liver tissue samples might be taken for the same reason.
  5. Assesses Head and Brain: The medical examiner looks for signs of head trauma and examines the brain by opening the skull. The medical examiner will examine the brain as it sits in the skull (in situ) and then removes it for a more thorough examination and to take tissue samples.

Once each organ has been examined and samples taken, the organs are returned to the body and the incisions are closed by sutures. At that time, the body usually is released to the family for burial.

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.