Pathologic Investigation of Restraint Related Death

The pathologist must assess several issues, including the following:

• Contribution of drugs (both licit and illicit), including drug and alcohol withdrawal

• Contribution of preexisting natural disease processes, both physical and psychiatric; family history may be relevant

• Contribution of excited delirium or related disorders

• Precise details of the restraint: timing, body position, areas of body contacted, etc.

• Timing and description of circumstances preceding collapse or cardiorespiratory arrest

• Causation of any injuries identified at autopsy (i.e., consequent to the violent behavior prior to or during restraint)

• Contribution of any injuries (particularly to the head) to the outcome

• Identification of occult injuries

• Identification of features potentially attributable to resuscitation endeavors (e.g., petechiae or laryngeal bruising) or agonal events (e.g., aspiration of vomitus)

Was this article helpful?

0 0

Post a comment