Forensic Medicine - B80126

• Title: Soudní lékařství
• Guaranteed by: Institute of Forensic Medicine and Toxicology First Faculty of Medicine Charles University and General University Hospital in Prague (11-00360)
• Faculty: First Faculty of Medicine
• Actual: from 2014 to 2016
• Semester: winter
• Points: 2
• E-Credits: 2
• Examination process: winter s.:
• Hours per week, examination: winter s.:0/25, C+Ex [HS]
• Extent per academic year: 25 [hours]
• Capacity: unlimited
• Min. number of students: unlimited
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: taught
• Language: English
• Teaching methods: full-time
• Teaching methods: full-time
• Explanation: Assoc. Prof. MUDr.Alexander Pilin CSc; [e-mail];no special requirements or utilities;disposable protective coats, masks and gloves will be given
• Additional information: http://soudni.lf1.cuni.cz
• Old code: 126
• Guarantor: doc. MUDr. et MUDr. Alexander Pilin, CSc.
• Attributes: Lékařství; Klinický předmět
• Pre-requisite : B80384, B80385

Annotation

English

Last update: doc. MUDr. et MUDr. Alexander Pilin, CSc. (09.01.2011)

Subject: Forensic Medicine Form: clerkship 1 week. Main topics: 1. Introduction. 2. Forensic pathomorphology. 3. Forensic traumatology. 4. Forensic toxicology. ad 1) Medical secrecy - obligatory reticence and other duties following from Law 20/1966 Sb. (Law on care of peoples' health with changes and accessories made by enactments of Czech National Council Nr. 210/1990 Sb., 425/1990 Sb. and 548/1991 Sb). Forensic Medicine as scientific discipline, research and exploratory trends in forensic medicine; conception of medico-legal services. ad2) examination of dead bodies and scene of death (according to enactment Nr. 19/1988 Sb.), autopsies of dead persons with emphasis to diagnostics of early pathomorphologic changes, autopsies of violent deceased persons with emphasis to the vital reaction and timing of injury; basics of identification, application of histochemical, immunohistochemical, immunochemical methods including macroreaction. ad3) most important types of violence, homicide, suicide, accident; most important mechanisms of injury; bodily harm: minute injury, actual bodily harm, grievous bodily harm; compensation for pain and social exercise. Medical failure. ad4) basics of toxicological analysis including necroptic material, investigation of ethanol, sampling of material for toxicological examination, most important intoxications. Main topics: 1st day: Introduction to Forensic Medicine (FM) and main law enactments: History of Forensic Medicine. Organization of Forensic Medicine in Czech Republic and in different European countries. Main objectives of Forensic Medicine in Czech Republic. Organization of courts, state attorneys and basics of crime investigation. Medical secrecy. The role of physician in civil and penal procedures. Medical negligence and medical responsibility. Eyewitness and expert witness. Bodily harm from medico-legal point of view (minute injury, actual bodily harm and grievous bodily harm). Medical opinion. Main principles in compensation of pain and permanent consequences. 2nd day: Examination of scene of death (the diagnosis of death, duties of physician on the scene of death). Post-mortem changes (early and belated). Importance of post-mortem changes for cause of death estimation. Timing of death. Vital reaction. Natural death and its pathomorphology. Medico-legal autopsy. Autopsy report. Medico-legal autopsy diagnosis. 3rd day: Toxicology: poison, definition of poison, the metabolism of poisons. Basics of toxicological analysis of samples. Alcohol and its proof. 4th day: Violent death and forensic traumatology. Different types of violence and their morphology. Trauma to specific parts of body. 5th day: Basics of laboratory methods in forensic medicine: molecular biology and immunohistochemistry methods in the diagnosis of sudden death, analysis of spot of biologic origin. Identification of unknown persons: methods in identification - sources of information, biometrics, forensic anthropology, forensic DNA analysis, forensic odontology, disaster victim identification (DVI) teams. Students take part in demonstration of autopsy findings in autopsy room every day.

Czech

Last update: Jana Kolářová (08.03.2021)

Hlavní právní předpisy v lékařství. Smrt a její důkaz, vyšetřování místa smrt. Posmrtné změny, určení doby od smrti, důkaz vitální reakce. Patomorfologie náhlé a nečekané smrti (průkaz časných ischemických změn, etiopatogeneze aterosklerózy, adukty DNA v tepenné stěně). Patomorfologie smrti násilné: poranění tupým a ostrým předmětem; udušení; porušení zdraví změnou teploty; úraz elektrickým poroudem; střelná poranění; dopravní nehody. Soudnělékařská kvalifikace poruchy zdrav (ublížení na zdraví a těžká újma na zdraví). Úloha soudního lékařství v trestním a občansko-právním řízení. Laboratorní metody v soudním lékařstív. Identifikace.

Literature

Last update: doc. MUDr. et MUDr. Alexander Pilin, CSc. (10.10.2008)

Mason, J.K. Forensic Medicine. An illustrated reference. Chapman & Hall 1993

Knight B. Forensic pathology. Edward Arnold 1991

Sukko, P., Knight B. Knight´s Forensic pathology. Arnold Publication.

Simpson´s Forensic Medicine

Requirements to the exam

Last update: MUDr. Róbert Bazala (26.09.2021)

Examination questions - general medicine.

1. (a) The framework of medico-legal services. (b) Sudden death. (c) Definition of a poison, its effects.

2. (a) Organization of courts and prosecutions, their main tasks- (b) Sudden death during pregnancy, during & after the delivery. (c) Effect of a poison

3. (a) Autopsy: types, protocol, diagnosis. (b) Sudden death of nursing-child and children. (c) Diagnosis of intoxication.

4. (a) Physician as eye witness. (b) Suffocation. (c) Intoxication by acids.

5. (a) Physician as expert witness. b) Hanging. (c) Intoxication by alkali.

6. (a) Medico-legal expert evidence. (b) Strangulation. (c) Arsenic (As).

7. (a) Examination of living persons. b) Manual strangulation. (c) Barium (Ba).

8. (a) Simulation×dissimulation. (b) Smothering. (c) Mercury (Hg).

9. (a) Self-inflicted injury, mutilation. (b) Traumatic asphyxia (c) Lead (Pb)

10. (a) Examination of dead body. (b) Choking. (c) Carbon monoxide

11. (a) Types of autopsies. (b) Drowning. (c) Cyanides.

12. (a) Exhumation. (b) Slashed (cut) wounds. (c) Nitrites (compounds of NO2, NO3).

13. (a) Identification. (b) Incised wounds. (c) Nitrobenzene

14. (a )Odontological identification. (b) Stab wounds. (c) Atropine.

15. (a )Identification of remnants of a dead body (b) Firearm injury (c) Nicotine

16. (a ) Identification - forensic anthropology. (b) Bite marks. (c) Chinine.

17. (a ) I Early post-mortem changes. (b) Blunt injury: contusions, abrasions, lacerations. (c) Strychnine.

18. (a ) I Prove of a death. (b) Skull fractures. (c) Digitalis and strophantine.

19. (a ) Cooling post-mortem. (b) Brain contusion. (c) Illegal abortion: mechanical and chemical manner.

20. (a ) Post-mortem changes. (b) Epidural haemorrhage. (c) Ergot (cockle).

21. (a ) Hypostasis. (b) Subdural haemorrhage. (c) Cantaridine.

22. (a ) Rigor mortis. (b) Chest trauma. (c) Opium.

23. (a ) Autolysis. (b) Abdominal trauma. (c) Tetrachlormethan.

24. (a ) Adipocire. (b) Spine fractures. (c) Trichloroethylene

25. (a ) Mummification. (b) Fall from height. (c) Ethanol.

26. (a ) Vital reaction. (b) Railway accidents. (c) Methanol

27. (a )Estimation of time since death. (b) Transportation accidents. (c) Benzodiazepines.

28. (a ) Analysis of blood stains. (b) Filling-up (regaling) of the body. (c) Drugs in psychopharmacology.

29. (a )Analysis of semen stains. (b) Snow-slide trauma. (c) Insecticides.

30. (a ) Analysis of stains of biological origin (stool, amniotic fluid, saliva). (b) S Clubbing to the death. (c) Snake venoms.

31. (a ) Analysis of hair. (b) Machinery injuries. (c) Warfare agents.

32. (a ) Prove of carbon monoxide in blood. (b) Sport and physical exercise accidents. (c) Health impairment by food.

33. (a ) Blood ethanol analysis. (b) Blast injuries. (c) Mushroom intoxication.

34. (a ) Certificate of health. (b) Burning & scalding. (c) Infliction of bodily harm.

35. (a ) Responsibility of medical staff (nurse). (b) Injury caused by cold: hypothermia.(c) Grievous bodily harm.

36. (a ) Physician as a public agent. (b) Injuries by electrical current. (c) Suffocation - generally (pathophysiology, types and general pathomorphology signs).

37. (a ) Medical secrecy. (b) Lightning. (c) Evaluation of seriousness of an injury

38. (a ) Physician's responsibility for medical staff. (b) Rape. (c) Examination of the scene of death at homicide.

39. (a ) Informed consent with treatment. (b) Sexual misuse. (c) Examination of the scene of death at suicide.

40. (a ) Withheld of the first aid. (b) Unusual fulfill of sexual instinct. (c) Compensation of pain.

41. (a ) Medical responsibility (negligence). (b) Paternity estimation. (c) Evaluation & compensation for handicap.

42. (a ) Drunkenness and its evaluation. b) P Artificial abortion. (c) Illness from injury.

43. (a ) Tetanus. (b) Tumors and injury. (c) Infanticide (mother's newborn homicide).