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AUTOPSY TECHNIQUE

AUTOPSY TECHNIQUE. Ulfa C. Indiasari. Autopsy. The autopsy is a complete evaluation of an individual’s death and the circumstances surrounding that death. The basic purpose of autopsy is to establish the cause of death. Performed on inpatients of a hospital, upon the request of families.

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AUTOPSY TECHNIQUE

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  1. AUTOPSY TECHNIQUE Ulfa C. Indiasari

  2. Autopsy The autopsy is a complete evaluation of an individual’s death and the circumstances surrounding that death. The basic purpose of autopsy is to establish the cause of death. Performed on inpatients of a hospital, upon the request of families Clinical Autopsy Performed to investigate all suspicious and unnatural death Medicolegal Autopsy Color Atlas of Autopsy

  3. Flow Chart Autopsy Request FORENSIC AND MEDICOLEGAL DEPARTMENT Autopsy Warrant Plennary disscussion Autopsy preparation Autopsy performed Visum et Repertum Report

  4. Autopsy Request • Based on Article 133 Indonesian Criminal-law Perocedural Code (KUHAP)

  5. Autopsy Warrant • Issued by the FORENSIC AND MEDICOLEGAL DEPARTMENT sign by the Head of the Department

  6. Preparation • Verify all autopsy administration requirement: • Autopsy request document • Autopsy warrant • Family / Next of kin informed consent (non obligatory) • Prepare all required autopsy equipment • Prepare all documentation • Camera / video-tape recorder • Obduction-report form • Universal precaution

  7. External Examination • Inspect and document the body’s tag, covers, clothes, jewellery and all article within the body bag • Weigh and measure the body • Inspect and document the body for identification • Inspect and document the eyes, ears, nose, mouth, and genital area • Inspect and document perimortem or post mortem changes • Inspect and document all the wound and intravital sign

  8. Internal Examination • Make the primary incision(Y incision or I incision) • Widen the field of view by reflect the skin • Check for tension pneunothorax • Release the chest plate • Detach the diaphragm from the chest plate • Inspect surfaces and contents of the pleural surfaces • Using one of the organ removing technique (eviceration), start removing the organ to be inspected

  9. Internal Examination... • Open the head for brain removal • Retract the brain (cerebrum), cerebellum, and brainstem for further inspection • Inspect the calvaria and the base of skull • Weigh, measure and inspect all the organ for their gross (macroscopic) appearence before dissect them and take a sample for microscopic examination • Make sure to make a note or documentation on every findings

  10. Supporting Examination • Histopathology examination • Toxicology examination • Radiologic examination • Dental Examination • Laboratory Examination

  11. Plennary Disscussion • All autopsy findings are disscussed in the present of all Forensic Team • The disscussion will give a good cause in establishing the cause of death

  12. Visum et Repertum Report • The end result of all the examination (external examination, internal examination, and supporting examination) • Conclude: • The identity • The estimated time of death • The establish cause of death with proximus mortis approach • The mechanism of death • The manner of death

  13. Thank you

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