A Forensic Pathologist: What Is It?

Dr. Alherz Anhar Ali
4 min readSep 26, 2022

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A Forensic Pathologist: What Is It?

An expert in pathology who specialises in forensics, forensic pathologists examine people who pass away abruptly, unexpectedly, or brutally. An expert in assessing the cause and manner of death is a forensic pathologist.

The forensic pathologist has received specialised training in performing autopsies to determine whether or not there was disease, injury, or poisoning; analysing historical and law enforcement investigative data pertaining to manner of death; gathering medical evidence, such as trace evidence and secretions, to document sexual assault; and reconstructing how a person sustained injuries.

Training:

In addition to conventional medicine, forensic pathologists receive training in a variety of forensic disciplines. Toxicology, guns examination (wound ballistics), trace evidence, forensic serology, and DNA technology are additional scientific fields that the forensic pathologist needs to be familiar with.

The forensic pathologist oversees the application of the proper protocols and evidence gathering techniques to the body in their capacity as the case coordinator for the medical and forensic scientific evaluation of a specific death.

When forensic pathologists are used as death investigators, they apply their knowledge to interpret the scene of the death, determine the time of death, evaluate the consistency of witness accounts with injuries, and analyse injury patterns or patterned injuries. Forensic pathologists are typically used to conduct autopsies to ascertain cause and manner of death in jurisdictions with medical examiner systems.

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Autopsy:

Several laboratory procedures may be performed during the autopsy, including x-rays, the retention of bodily fluids like blood and urine, small samples of tissues like the liver or brain for toxicological examination, and cultures of bodily fluids and organs for signs of infection.

The forensic pathologist correlates all the data, including the history, the findings of the autopsy, and the results of the laboratory testing, and then makes judgments on the cause and manner of death. The results are then summarised in a report.

To testify before courts and other tribunals regarding the pathologic findings and conclusions, the forensic pathologist can anticipate being subpoenaed. Parties, such insurers or government organisations, with a genuine interest in the reason and manner of citizens’ deaths, such as coroners, medical examiners, and pathologists, are given copies of their official reports.

How does the forensic pathologist identify the cause and manner of death using the history, external physical examination, autopsy, and laboratory studies?

· The history serves as the starting point of the investigation and is crucial in determining the cause of death. Drugs or toxins that may be connected to the cause of death may be discovered during the scene investigation.

· The pathologist must be knowledgeable about drugs and poisons in order to request the precise analytical tests required to detect some harmful chemicals as some are not picked up on standard drug screens.

· An illustration would be the harmful activity of “sniffing” aerosol propellants, which has been commonly associated with teenagers. Sniffing propellant compounds can trigger deadly cardiac rhythms, which can result in abrupt death.

· To identify the substances in the blood, a specialised analysis (gas chromatography by head space analysis) is needed.

Finding the Cause of Death:

· In some situations, there may be a significant amount of natural sickness to account for death, yet the person may have actually passed away from a drug overdose or another undetectable factor. The results of the autopsy may not be precise in cases of drowning and suffocation, and a thorough police investigation may be necessary to determine the cause of death.

· Medical epidemiologists, health and safety organisations, and pathologists analyse data created by coroners, medical examiners, and pathologists to create plans to avoid sickness and harm, ultimately saving lives. Legislation requiring seat belts in cars and smoke detectors in new buildings was prompted by data on injuries and fire deaths.

· The forensic pathologist needs practical knowledge of several identification techniques, including forensic anthropology, in order to determine identify while examining skeletal or severely decomposed remains.

· The pathologist may be able to identify the individual’s age, race, and sex, as well as occasionally estimate the time since death, if enough skeletal fragments are still present. On rare occasions, a pathologist may be able to determine the cause of death based on specific markings on the bones.

What significance does performing an autopsy on a person whose “apparent” cause of death has?

· There are various reasons why it’s crucial to examine folks whose cause of death seems evident. During the course of the examination, the forensic pathologist may find bullets or other significant trace evidence in the case of shootings or other fatal assaults.

· It’s critical to identify the driver and evaluate any vehicle, driver, or environmental elements that may have contributed to or caused the crash in the case of motor vehicle occupants.

· Inherited disorders that put the next of kin at risk can be found during forensic autopsies. Examples include specific types of renal disease and specific types of heart disease (e.g., hypertrophic cardiomyopathy, early atherosclerosis) (adult polycystic kidney disease).

· A crucial service to the living would be to inform the family. It is crucial to communicate the results with the treating physicians in patients who have received medical care after collapsing or being injured for educational purposes.

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