Veidlapa Nr. M-3 (8)
Study Course Description

Forensic Pathology I

Main Study Course Information

Course Code
RTM_002
Branch of Science
Clinical medicine; Forensic science
ECTS
29.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

to provide improvement of theoretical knowledge and practical skills in the forensic pathology according to the requirements of Speciality of Forensic Medicine Experts to prepare the doctor for certification in the speciality of a forensic expert, according to the laws and regulations of Latvian Republic.

Learning Outcomes

Knowledge

1.Understand how to perform forensic medical examination and patho-anatomical autopsy.

Skills

1.Carry out forensic medical examination and patho-anatomical autopsy of a corpse, write down, analyze, draw up an expert's opinion, pass a test on the skills of autopsy methodology.

Competences

1.Competence acquired during studies to perform forensic medical examinations of corpses, ability to perform the activities intended for a forensic medical expert in criminal proceedings, civil proceedings or administrative proceedings, acquired prior knowledge and skills for performing scientific-research and pedagogical work, abilities to continue further education and introduce innovations in their work, acquired by a doctor and forensic expert code of ethics, the ability to communicate with specialists and the public, as well as to provide emergency medical assistance.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
To learn autopsy technique and instrumentation. Prepare reports (papers) for seminars. Carry out pedagogical work with students, younger residents. To learn literature and forensic terminology in foreign languages. Independently prepared Power point presentations according to the seminar plan with practical demonstration and analysis of own and other samples of VTMEC archive expertise relevant to the topic of the seminar (at least 3 literature sources on each topic and 3 practice examples).

Examination

Title
% from total grade
Grade
1.

Examination

-
-
2.

Examination

-
-
Reports on the cadaver forensic medical examinations conducted in the first course, case analysis, practical skills test, theoretical knowledge test, evaluating theoretical knowledge and practical activity in a 10-point system. examination of practical skills and manipulations Monthly assessment of professional competence, compliance with ethics and mutual communication skills.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Placement

Modality
Location
On site
Specialized room

Topics

Tools, equipment, methods used in forensic medical examination of corpses; Forensic medical documents, their filling rules; Forms of action of the doctor during the examination of the deceased at the scene; examination of the signs of the corpse and determination of the time of death; Pathomorphology of violent death; Forensic traumatology; Morphology and occurrence mechanisms of mechanical damage; Clinical and forensic aspects of skull and brain injury; Types and morphology of mechanical asphyx
  1. Seminar

Modality
Location
-
-

Topics

Methodology of corpse investigation, issues to be resolved.
  1. Seminar

Modality
Location
-
-

Topics

Determining the signs of the corpse and the time of death at the scene and according to the autopsy data. Forensic entomology.
  1. Seminar

Modality
Location
-
-

Topics

Basic principles, inspection protocol, inspection characteristics in different cases of death.
  1. Seminar

Modality
Location
-
-

Topics

Examination of the corpse in cases of transport injuries, damage morphology in cases of various car injuries (attack, overrun, in the cabin, etc.)
  1. Seminar

Modality
Location
-
-

Topics

Pathogenesis, morphology, mechanogenesis of head injuries. Years of exposure to head injuries from falls, car injuries and blunt objects. Peculiarities of skull fractures, morphology and topography of brain injury.
  1. Seminar

Modality
Location
-
-

Topics

Types of mechanical asphyxia (strangulation, obturation, drowning), pathogenesis, morphology, diagnostics in forensic medicine.
  1. Seminar

Modality
Location
-
-

Topics

Poisons, their classification. Rules for taking samples at autopsy for forensic toxicological investigation. Poisoning with ethyl alcohol and greenhouse gas.
  1. Seminar

Modality
Location
-
-

Topics

Methodology of newborn cadaver examination, sudden infant death - SIDS, shaken baby syndrome
  1. Seminar

Modality
Location
-
-

Topics

Corpse examination in case of electrocution, exposure to high and low temperatures.
  1. Seminar

Modality
Location
-
-

Topics

Chronic alcoholism, drug addiction, pathomorphology, causes of death.
  1. Seminar

Modality
Location
-
-

Topics

Coronary heart disease, myocardial infarction, cardiomyopathy, myocarditis, macroscopic and microscopic changes. Cardiac study protocol.
  1. Seminar

Modality
Location
-
-

Topics

Repeated and additional expertise in forensic pathology (issues to be solved, case analysis).
  1. Seminar

Modality
Location
-
-

Topics

Expertise according to medical documents. Guidelines for forensic medical examination of living and deceased persons.
  1. Seminar

Modality
Location
-
-

Topics

Aspects of medical ethics in contact with victims, suspected persons, victims' relatives and process participants. Code of ethics for forensic experts.
  1. Seminar

Modality
Location
-
-

Topics

Medical emergency. MITC
Total ECTS (Creditpoints):
29.00
Number of Residency Seminars:
15
Length (weeks):
21
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Miruša cilvēka tiesu medicīniskā ekspertīze (izmeklēšana / LR Tiesu ekspertu padomē apstiprināta metode, 2017.

2.

Tiesu medicīnas praktikums, Rīga, RSU, 2007.

3.

Miesas bojājumu noteikšanas un novērtēšanas metode, v.3, 2018.03.15. (Kritēriji miesas bojājumu smaguma pakāpes noteikšanai, veicot medicīnisko ekspertīzi, LR Krimināllikums,3.pielikums).

4.

LR Kriminālprocesa likums, 2005.

5.

Tiesu ekspertu likums, 2016.

6.

A.Kavalieris, V.Volksone, O.Teteris u.c. Tiesu ekspertīze Latvij. Rīga, LPA, 2002.

7.

O.Teteris. Tiesu medicīnas esence. R., Rasa ABC, 2004, 591 lpp

8.

Vielas kā noziedzīgu nodarījumu pēdas. Rīga, LPA, 2007.

9.

Dolinak D., Matshes E., Lew E. Forensic Pathology. Elsevier Acad. Press, 2005.

10.

An Atlas of Forensic Medicine. Acad.Press, 2002.

11.

Rubin’s Pathology. 4th ed. Lippincott Williams&Wilkins, 2005.

12.

Itabashi H.H., Andrews J.M., Tomiyasu U., Erlich S.S. Forensic Neuropathology. Elsvier Acad.Press, 2007.

13.

Lee H.C., Palmbach T., Miller M.T. Henry Lee’s Crime Scene Handbook. Acad. Press, 2003.

14.

C.Henssge, B.Knight, T.Krompecher etc. The estimation of the time scince death in the early postmortem period. London, 1995, 262 p. (2nd ed. 2002)

15.

Eriksons S.A. Identifikācijas pamati. Rīga, LPA, 2000, 151 lpp

16.

Valsts tiesu medicīnas ekspertīzes centra un tiesu medicīnas eksperta darbību noteicošie pamatdokumenti

17.

J.P.Wyatt, T.Squires, G. Norfolk, J. Payne-James. Oxford Handbook of Forensic Medicine. Oxford Medical Handbooks, 2011.

18.

Vadlīnijas “Dzīvas personu un mirušo un tiesu medicīniskās ekspertīze”, VTMEC, 2021.10.07.

19.

Tiesu medicīnas ekspertīzes veikšanas metode gadījumos, kas saistīti ar ārstniecības personu profesionālo darbību, VTMEC, 2014.

20.

Senn David R., Richard A. Weems. Manual of Forensic Odontology. 5th ed. CRC Press, 2021.

21.

Vincent J.H. Di Maio, D.Kimberly Molina. Di Maio’s Forensic Pathology. 2021, 3rd ed., CRC Press

22.

Cristoforo Pomara. Forensic and Clinical Forensic Autopsy: Atlas & Handbook. 2nd ed., 2020.

23.

M.S. Maloney, MFS. Death Scene Investigation, 2nd ed. CRC Press, 2018.

24.

P. Saukko, B. Knight. B. Knight’s Forensic Pathology. CRC PRESS, 2015.

Additional Reading

1.

R.Byard, J.Payne-James,Tracey Corey, Corol Henderson. Encyclopedia of Forensic and Legal Medicine. Elsevier, 2010.

2.

Bernard Knight. Simpson’s forensic medicine. London, 1990, 10th ed., 324 p.

3.

Alan A. Watson, David J.Gee. Lecture notes on forensic medicine. Gower, 1989, 229 p.

4.

B.Knight. Forensic Pathology. Arnold, 2001, London.

5.

Robinson E.M. Crime Scene Photography. Academic Press, Elsevier, 2007.

6.

Paškova V.I., Tomiļin V.V. Laboratoriskās un speciālās izmeklēšanas metodes tiesu medicīnā. Maskava, Medicina, 1975, 455 lpp (kr.val.)

7.

Speciālā literatūra tiesmedicīniskā histoloģijā,toksikoloģijā,laboratorisko izmeklēšanas metožu pielietošanā.

8.

Popovs V. Tiesu ballistika. Sankt-Peterburga, 2002 (krievu val.)

9.

Latvijas Krimināllikums. “Latvijas vēstnesis”, 1998, Nr 199/200

10.

Gromovs A.P. ,Kapustins A.V. Līķa tiesu medicīniskā ekspertīze. Maskava, Medicina, 1990, 317 lpp (kr.val.)

11.

Kriminālistikas un operatīvās darbības latviešu, angļu, vācu un krievu terminoloģijas skaidrojošā vārdnīca. LPA, Rīga, 2007.

12.

Kavalieris u.c. Kriminālistika I,II,III daļa. SIA P&Co, Rīga, LPA 1999-2005

Other Information Sources

1.

Žurnāli: “Medicina Legalis Baltica”. V. 1-14; “Судебно-медицинская экспертиза”, Inernational J. of Legal Medicine V 1-126; Rechtsmedizin u.c.