(g) In the description of firearm wounds, note the
presence or absence of marginal abrasions,
lacerations or defects in the margins of the
wound, foreign contents within the wound,
singeing or grease marking the margins of the
wound, and soot and/or gunpowder stippling
or tattooing around the wound. If firearm
discharge residue is present, this should be
photographed and preserved for analysis.
It should be determined whether the bullet
wound is an entry or exit wound. If an entry
wound is present and no exit wound is seen,
the projectile must be found and secured or
accounted for
(h) All injuries should be photographed, and
labelled with the autopsy identification
number on a scale that is oriented parallel
or perpendicular to the injury. Shave hair
where necessary to clarify an injury, and
take photographs with a photographic scale
both before and after shaving. Save all hair
removed from the site of the injury. Take
photographs before and after washing the site
of any injury. Wash the body only after any
blood or material that may have come from an
assailant has been collected and secured
(i) Examine the skin. Note and photograph with a
photographic scale any scars, areas of keloid
formation, tattoos, prominent moles, areas of
increased or decreased pigmentation, and
anything distinctive or identifying, such as
birthmarks. Note any bruises and incise them
for delineation of their extent. Some, if not all
of them, should be excised for microscopic
examination as this may be useful for assessing
the time between injury and death. The head
and genital area should be checked with
special care. Note any injection sites or
puncture wounds. Note any bite marks; these
should be photographed to record the dental
pattern, swabbed for saliva testing (before the
body is washed), and excised for microscopic
examination. The evaluation of bite marks is
highly contentious and they should also be
evaluated by a forensic dentist with training
and experience in such evaluation, if possible.
Note any burn marks and assess the possible
cause (e.g. burning rubber, a cigarette,
electricity, a blowtorch, acid, hot oil) by
sampling for histology and other analysis if
possible. Note any gunpowder residue on
the hands. Document this photographically
and save it for analysis. Excise any suspicious
areas for microscopic examination, as it
may be possible in some circumstances to
distinguish between burns caused by electricity
and those caused by heat or cold
112
40
(j) Identify and label any foreign object that is
recovered, including its relationship to specific
injuries. Foreign objects should be placed
in a container that should be processed in
accordance with established procedures to
maintain the chain of custody. Do not scratch
the sides or tip of any projectiles. Photograph
each projectile and large projectile fragment
with an identifying label, and secure them
individually in a sealed, padded and labelled
container in order to maintain the chain of
custody112
(k) Examine the head and external scalp, bearing
in mind that injuries may be hidden by the hair.
Shave hair where necessary. Check for fleas
and lice, as these may indicate unsanitary
conditions prior to death. Note any alopecia,
as this may be caused by malnutrition, heavy
metals (e.g. thallium), drugs, or traction. Pull –
do not cut – 20 representative head hairs and
save them, as hair may be useful for detecting
some drugs and poisons. (It may also be of
value in stable isotope analysis)
(l) Examine the teeth and note their condition.
This should be performed by a forensic
odontologist if possible. Record any that are
absent, loose or damaged, and record all
dental work (e.g. restorations, fillings) using
a dental identification system to identify each
tooth (e.g., Annex 5). Check the gums for
periodontal disease. Photograph dentures, if
any, and save them if the deceased’s identity
is unknown. Check the inside of the mouth and
note any evidence of trauma, injection sites,
needle marks or biting of the lips, cheeks or
tongue. Note any articles or substances in the
mouth. In cases of suspected sexual assault,
save oral fluid, or get a swab for spermatozoa
and acid phosphatase evaluation. (Swabs
taken at the tooth-gum junction and samples
from between the teeth provide the best
specimens for identifying spermatozoa.) Also
take swabs from the oral cavity for seminal
fluid typing. Dry the swabs quickly with cool,
blown air if possible, and secure them in
clean plain-paper envelopes. (If rigor mortis
prevents adequate examination, a complete
oral examination may need to be deferred until
later, during the internal examination. At that
time, after subcutaneous disSection to expose
the structures of the neck and face to permit
better exposure of the oral cavity, the masseter
muscles may be divided)
Special packaging is needed to ensure that there has been no unauthorized interference with a specimen, as tampering with the packaging will be evident.
This level of security, provided the initial securing of the sample has been adequately documented, ensures at least that the sample has not been interfered with.
In addition, complete records must be kept of every time the sample changes hands.
The Minnesota Protocol on the Investigation of Potentially Unlawful Death (2016)
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