A Physician’s Guide to Clinical Forensic Medicine

1: The History and Development of Clinical Forensic Medicine Worldwide.- 1. Introduction.- 2. Historical References.- 3. Contemporary Clinical Forensic Medicine.- 4. Clinical Forensic Medicine Around the World.- 5. Conclusions.- References.- 2: Fundamental Principles.- 1. Introduction.- 2. Consent.- 3. Confidentiality.- 4. Notekeeping.- 5. Access to Health Records.- 6. Preparation of Reports.- 7. Attendance at Court.- 8. The Duties of Expert Witnesses.- 9. Pitfalls.- References.- 3: Sexual Assault Examination.- 1. Introduction.- 2. Basic Principles of the Medical Examination.- 3. Basic Principles of the Forensic Analysis.- 4. Skin.- 5. Hair: Head and Pubic.- 6. Nails.- 7. Oral Cavity.- 8. Female Genitalia.- 9. Male Genitalia.- 10. Perianal Area and Anal Canal.- 11. Lubricants.- 12. Blood and Urine Analysis.- 13. Care of the Complainant.- References.- 4: Injury Interpretation.- 1. Introduction.- 2. Describing Injuries.- 23. Position of the Injury.- 3. Types of Injury.- 4. Firearm Injuries.- 5. Defense Injuries.- 6. Torture.- References.- 5: Nonaccidental Injury in Children.- I. Introduction.- 2. Nonaccidental Injury in Children.- 3. Types of Injuries.- 4. Summary.- References.- 6: Crowd Control Agents.- 1. Introduction.- 2. Clinical Features and Treatment.- 3. Conclusions.- References.- 7: Care of Detainees.- 1. Introduction.- 2. Administration of Medication.- 3. Conditions of Detention.- 4. Medical Problems.- 5. Mental Health.- 6. Personal Safety Issues.- 7. Drug Searches.- 8. Forensic Samples.- 9. Fitness to Be Interviewed.- 10. A Definition of Fit for Interview.- References.- 8: Substance Misuse.- 1. Introduction.- 2. General Principles.- 3. Specific Drugs.- 4. Alcohol.- References.- 9: Deaths in Custody.- 1. Introduction.- 2. Definition.- 3. Statistics.- 4. Investigation of Deaths in Custody.- 5. Deaths Related to the Phases of the Custodial Process.- 6. Causes of Death.- 7. Alcohol- and Drug-Related Deaths.- 8. Deliberate Injuries.- 9. Self--Inflicted Injuries.- 10. Excited Delerium.- 11. Rapid Unexplained Deaths During Restraint.- References.- 10: Traffic Medicine.- 1. Introduction.- 2. Medical Aspects of Fitness to Drive.- 3. Alcohol and Driving.- 4. Drugs and Driving.- References.- Appendices.- Preface.- 1. Ethical Documents.- 2. Guidance Notes on Statutory Provisions Governing Access to Health Records.- 3. Management of Head-Injured Detainees.- 4. Appropriate Adults.- 5. The Mini-Mental State Examination.- 6. Alcohol Assessment Questionnaires.- 7. Peak Effect, Half-Life, Duration of Action, and Times for Detection of Common Drugs.- 8. Drink/Drugs Driving Impairment Assessment Form.