Medical examiners play an increasingly important role in society as unexpected and violent deaths increase, not only due to crime, but also due to new toxins in the environment, emerging diseases crossing from animals to humans, bizarre suicides, sadistic sexual practices, and other non-natural causes. John Miletich and Tia Lindstrom take us into the world of these medical detectives. Biological clues from bite marks and skin abnormalities to blood chemical levels and brain oxygenation are just some factors exposed in their quest for truth and justice. We learn the basics of death determination from rigor and livor mortis to signs of death by design, drug use, disease, suicide, and more. We also come to understand the tools of this work, from the Stryker's Saw to the grocer's scale, and tests that reveal factors from DNA evidence to toxins from insect bites. Each case begins with a biological mystery and ends with a conclusion that can provide loved ones with relief, or shock. Miletich, who trained at the Alberta Office of the Chief Medical Examiner and with the Royal Canadian Mounted Police, teams with Lindstrom to introduce readers to the medical examiner's role, including autopsy techniques and analysis. Twists and turns emerge as what was initially thought to be a murder proves to be suicide; what was suspected to be a natural death proves to be murder or environmental poisoning; or what was thought to be an accidental death proves to be something more sinister. This work includes appendices with guides to Medical Examiner organizations, seminars, and conventions.

The US Department of Justice's National Institute of Justice (NIJ) asked the Institute of Medicine (IOM) of The National Academies to conduct a workshop that would examine the interface of the medicolegal death investigation system and the criminal justice system. NIJ was particularly interested in a workshop in which speakers would highlight not only the status and needs of the medicolegal death investigation system as currently administered by medical examiners and coroners but also its potential to meet emerging issues facing contemporary society in America. Additionally, the workshop was to highlight priority areas for a potential IOM study on this topic. To achieve those goals, IOM constituted the Committee for the Workshop on the Medicolegal Death Investigation System, which developed a workshop that focused on the role of the medical examiner and coroner death investigation system and its promise for improving both the criminal justice system and the public health and health care systems, and their ability to respond to terrorist threats and events. Six panels were formed to highlight different aspects of the medicolegal death investigation system, including ways to improve it and expand it beyond its traditional response and meet growing demands and challenges. This report summarizes the Workshop presentations and discussions that followed them.

WHEN THIS DOCTOR TALKS, YOU SHOULD LISTEN. Thousands of people make an early exit each year and arrive on medical examiner Jan Garavaglia’s table. What is particularly sad about this is that many of these deaths could easily have been prevented. Although Dr. Garavaglia, or Dr. G, as she’s known to many, could not tell these individuals how to avoid their fates, we can benefit from her experience and profound insight into the choices we make each day. In How Not to Die, Dr. G acts as a medical detective to identify the often-unintentional ways we harm our bodies, then shows us how to use that information to live better and smarter. She provides startling tips on how to make wise choices so that we don’t have to see her, or someone like her, for a good, long time. • In “Highway to the Morgue,” we learn the one commonsense safety tip that can prevent deadly accidents—and the reason you should never drive with the windows half open • “Code Blue” teaches us how to increase our chances of leaving the hospital alive—and how to insist that everyone caring for you practice the easiest hygiene method around • “Everyday Dangers” informs us why neat freaks live longer—and the best ways to stay safe in a car during a lightning storm Using anecdotes from her cases and a liberal dose of humor, Dr. G gives us her prescription for living a healthier, better, longer life—and unlike many doctors’ orders, this one is surprisingly easy to follow.

Provides an introduction to the field of forensics, focusing on the work done by medical examiners, identifying the skills, education, and training needed to be a medical examiner, discussing opportunities and future trends in the field, and including a look at a typical on-the-job experience. Chapter Titles: Emergency Call: Medical Examination at Ground Zero, On the Job, Skills Education and Training, Opportunities in the Field, Future Trends.

Death Investigation: Systems and Procedures is the first book dedicated to the topic of death investigation from a legal standpoint as well as the administrative and operational procedures that pertain to the medical examiner and the coroner system in the United States. Unique in its perspective, this book is the only one not concerned with instruc

A city with eight million people has eight million ways to die For fifteen years, Shiya Ribowsky worked as a medicolegal investigator in New York City’s medical examiner’s office—the largest, most sophisticated organization of its kind in the world. Utilizing his background in medicine, he led the investigations of more than eight thousand individual deaths, becoming a key figure in some of New York’s most bizarre death cases and eventually taking charge of the largest forensic investigation ever attempted: identifying the dead in the aftermath of the September 11 tragedies. Now, in this mesmerizing book, Ribowsky pulls back the curtain on the New York City’s medical examiner’s office, giving an enthralling, never-before-seen glimpse into death and the city. Born and raised in New York City’s orthodox Jewish community, Ribowsky seems an unlikely candidate for this macabre profession. Nevertheless he has forsaken a promising career of medical work with the living, descending instead into the realm of the dead, enticed by the challenge of confronting death on a daily basis. Taking you through the vermin-infested Bowery flophouses and posh Upper East Side apartments of the city’s dead, Ribowsky explores in gruesome detail the skeletons that hang in the Big Apple’s closets. Combing through the autopsy room, he also exposes the grim secrets that only a scalpel and a dead body can tell and explains how forensic investigation does not merely solve crimes—it saves lives. But it is in the aftermath of September 11 that the ME’s office is handed its biggest challenge: to identify as many of the fallen as possible. With poignant descriptions, Ribowsky provides a dramatic account of the office’s diligent and unflappable work with the families of the victims, helping them emerge from the ashes of this tragedy while displaying the strength, grit, intelligence, and compassion that Americans expect from true New Yorkers. At once compelling and heartbreaking, Dead Center is a story of New York unlike any other, blending the haunting with the sublime, while painting a striking portrait of death (and life) in the city that never sleeps.

As elected coroners came to be replaced by medical examiners with scientific training, the American public became fascinated with their work. From the grisly investigations showcased on highly rated television shows like C.S.I. to the bestselling mysteries that revolve around forensic science, medical examiners have never been so visible—or compelling. They, and they alone, solve the riddle of suspicious death and the existential questions that come with it. Why did someone die? Could it have been prevented? Should someone be held accountable? What are the implications of ruling a death a suicide, a homicide, or an accident? Can medical examiners unmask the perfect crime? Postmortem goes deep inside the world of medical examiners to uncover the intricate web of pathological, social, legal, and moral issues in which they operate. Stefan Timmermans spent years in a medical examiner’s office, following cases, interviewing examiners, and watching autopsies. While he relates fascinating cases here, he is also more broadly interested in the cultural authority and responsibilities that come with being a medical examiner. Although these professionals attempt to remain objective, medical examiners are nonetheless responsible for evaluating subtle human intentions. Consequently, they may end—or start—criminal investigations, issue public health alerts, and even cause financial gain or harm to survivors. How medical examiners speak to the living on behalf of the dead, is Timmermans’s subject, revealed here in the day-to-day lives of the examiners themselves.