How Alternative Light Sources Are Used In Forensics
Alternative Light Sources and Their Effectiveness in Enhancing the Visibility of Injuries History of ALS A fairly new science has emerged within the past 70 years regarding the use of alternative light sources (ALS) to enhance the visibility of injuries, being used in forensics starting around 1990. There has been research done on this topic, […]
5 Things Criminal Attorneys Should Know About…Pressure Ulcers
We’ve been republishing a series called “5 things criminal attorneys should know about …” where we highlight some areas of medicine that often cross into the criminal fields. The topic of Pressure ulcers was not originally in the series but it is definitely relevant. Cases in which Elder abuse and neglect is charged can be […]
Is it Neglect or Failure to Thrive? {Child/Elder Abuse}
Neglect is not a straightforward issue in medicine or law. A review of the records by a forensic medical expert may be beneficial in determining if there are underlying issues that are contributing to the child’s health status. In our practice we are most often called in on physical neglect cases to review and determine […]
When does in-home caregiving turn into Elder Abuse/Neglect?
In many criminal cases, Adult Protective Services and the police are called because a patient arrives at the hospital with multiple and severe wounds called pressure ulcers. They often are septic because the wounds have gotten infected and in the elderly it leads to an altered mental state very rapidly. This leads to an investigation […]
Munchausen’s: Criminal Implications
Munchausen’s Syndrome is considered a form of medical child abuse in terms of physical abuse and medical neglect. This type of abuse is considered to be pre-meditated. Medical providers are considered a mandatory reporting entity, but many do not recognize the syndrome or get “sucked into” the sympathy for the caregiver. “Even when fabricated illness […]
Munchausen’s: The Offender
What the Caregiver Might Do to Mimic Illness in the Child: Adding chemicals to the child’s urine or stool Withhold food so the child looks like they are anorexic Make up lab results to be abnormal Give the child drugs to make the child throw up or have diarrhea and abdominal pain Infect an intravenous […]
Munchausen’s: The Victim
According to the literature, boys and girls are equally victimized in Munchausen’s Syndrome, and 77% to 90% of the time, the perpetrator is the child’s biological mother. In addition, 29% of perpetrators have symptoms of Munchausen Syndrome themselves. What the Victim Might Look Like: Failure to thrive due to nutritional neglect Child has a history […]
Munchausen’s: Definition
Munchausen Syndrome by Proxy was first described in 1951 by a British physician, but it was not until 1977 that the condition was labeled “Munchausen Syndrome by Proxy” by pediatrician Roy Meadow. The syndrome was defined as, “a condition in which a parent or other caretaker persistently fabricates symptoms on behalf of another, causing that […]
Patient Safety: Policies (Part II)
Policies should be in place to help providers make decisions about impaired patients. The legal matters to consider in developing a policy are breach of confidentiality (Part I, last week), duty to warn, duty to report, and authority to detain (Part II, today). Duty to warn Taken from tort law, this refers to the failure of […]
Patient Safety: Policies (Part I)
Policies should be in place to help providers make decisions about impaired patients. The legal matters to consider in developing a policy are breach of confidentiality (Part I, today), duty to warn, duty to report, and authority to detain (Part II, next week). Breach of confidentiality The federal Health Insurance Portability and Accountability Act (HIPAA) […]
