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Course, academic year 2023/2024
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Forensic Medicine - B81189 (Dentistry)
Title: Forensic Medicine
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 2023
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: doc. MUDr. A. Pilin, CSc.no special requirements or utilities;disposable coats, masks and gloves will be provided
Additional information: http://soudni.lf1.cuni.cz
Guarantor: doc. RNDr. Dr. Radomír Čabala
Comes under: Compulsory for Dentistry 4.y._23/24
Attributes: Klinický předmět
Zubní lékařství
Pre-requisite : B83149
Annotation
Last update: Jana Kolářová (16.02.2021)
Patomorphology of natural and violent death with demonstrations of autopsy findings, compilation of autopsy diagnosis with interpretation of findings and laboratory tests of forensic toxicology, forensic genetics and biology. Forensic medical qualification of a health disorder (personal injury and serious injury). The role of forensic medicine in criminal and civil proceedings. Use of dentistry in identification.
Syllabus
Last update: Jana Kolářová (16.02.2021)

Forensic medicine, its position in medicine and forensic sciences. Conception of forensic medicine services. Medico-legal questions.Main legal enactments.

Presentation of autopsy findings (sudden death, violent death).

Examination of dead bodies. Post-mortem changes. Estimation of the time since death.

Pathomorphology, diagnosis and causes of sudden death, its specialties. Most common causes of sudden death. Autopsy protocol and diagnosis. Presentation of autopsy findings.

Diagnosis of causes of violent death. Forensic medicine implication (accident, suicide, homicide). Bodily harm. Grievous bodily harm.Injury and handicap compensation. Injury and illnes and tumors.

Introduction in forensic toxicology. Metabolism of noxious agents, biotransformation. Distribution and excretion with regard to physico-chemical properties of substances. Possibilities of detection in different biological samples, temporal detection windows.

Ethanol, volatile and industrial substances. Overdoses by medicaments and abuse of addictive drugs.

Laboratory examinations in toxicology. Application of analytical methods and interesting toxicological case reports.

Injury caused by blunt and sharp object. Firearm injury. Thermic injury. Electrocution. Injury by lightning, dysbarism and barotruma, ionizing radiation.

Overview of laboratory methods in forensic medicine.

Traffic accidents.

Suffocation and asphyxia.

Identification. Closing colloqium.

Students take part in demonstration of autopsy findings in autopsy room every day.

Literature - Czech
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: doc. MUDr. et MUDr. Alexander Pilin, CSc. (11.10.2021)

1.      Identification of unknown dead body. Suffocation due to closing of respiratory ways due to covering or smothering. Mercury.

 

2.      Organization of medico-legal service in Czech Republic. Low temperature trauma (hypothermia, freezing) Medical responsibility

 

3.      Physician as witness and expert witness. Strangulation.  Cyanides.

 

4.      Identification of living person. Sharp injury Intoxication by benzodiazepines.

 

5.      Exhumation.  Cut wounds. Methanol.

 

6.      Types of autopsies.  Blunt injury to the head.   Ethanol.

 

7.      Medical negligence.  Drowning. Compensation for pain & handicap.

 

8.      Basic laws in Czech forensic medicine.  Traumatic bleeding to the head.  Intoxication by alkali and acids.

 

9.      Effect of ethanol on person and proof in body. Fall from height. Intoxication by food.

 

10.    Adipocire. Injury by animals. Analgesics, types, intoxication.

 

11.    Estimation of the time since death. Traffic accident on the road.   Intoxication by nitrites.

 

12.    Self-inflicted trauma. Hanging. Carbon monoxide intoxication, proof of intoxication, autopsy finding.

 

13.    Organization of courts and prosecutions.  Rape. Electrocution and lightning.

 

14.    Early post-mortem changes. Firearm injury. Arsenic.

 

15.    Sudden death. High temperature trauma (hyperthermia, burning, scalds). Local anaesthetics.

 

16.    Examination of dead body on the site (what should be proved). Infanticide. Cannabinoids.

 

17.    Traffic accidents on the railway.  Medico-legal evaluation of injury. Hallucinogens.

 

18.    Identification according teeth. Suffocation by aspiration and choking. Atropine.

 

19.    Rape, sexual coercion, and misuse. Intoxication by psychopharmacs. Vital reaction.

 

20.    Age estimation according teeth. Sport's injury. Drunkenness - proof and degrees.

 

21.    Medical secrecy. Injury to the face. Poison, definition, effect.

 

22.    Late post-mortem changes. Blunt injury of abdomen.  Grievous bodily harm.

 

23.    Blunt trauma - basic terms. Throttling.  Nicotine.

 

 24.   Basics of forensic osteology.  Traumatic asphyxiation.  Barbiturates.

 

25.    Sudden death in childhood - SIDS. Blunt injury of neck and thorax. Bodily harm.

 

 26.   Types of autopsies. Hanging. Intoxication by stimulants (amphetamine, cocaine).

 

27.    Violent death in childhood - shaken baby syndrome, abused child. Fractures of neurocranium. Opium and its derivatives.

 

28.    Autopsy findings at intoxication - typical cases. Incised wounds. Strychnine.

 

29.    Stab wounds. Bite wounds, shape and medico-legal implication. Insecticides.

 

30.    Intent and negligence.  Brain injury. Mushroom’s intoxication.

 
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