Margaret Stark and a team of authoritative experts offer a timely survey of the fundamental principles and latest developments in clinical forensic medicine. Topics range from sexual assault examination to injury interpretation, from nonaccidental injury in children, to crowd control agents. Also included are extensive discussions of the care of detainees, the management of substance abuse detainees in custody, the causes and prevention of deaths in custody, and the fundamentals of traffic medicine. In the absence of international standards of training, the authors also address the basic issues of consent, confidentiality, note-keeping, court reporting, and attendance in court. Comprehensive and authoritative, A Physicians Guide to Clinical Forensic Medicine offers forensic specialists and allied professionals a reliable, up-to-date guide to proven practices and procedures for a every variety of police inquiry requiring clinical forensic investigation.

Includes supplementary material: sn.pub/extras

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 Historical References.- 3.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.