D. Detailed Guidelines on Autopsy
1.
Background and key principles
250. These Guidelines should be followed during
an autopsy of a potentially unlawful death.109
The order in which things are done needs to be
carefully thought about in advance, priorities
established, and procedures prepared for, in
accordance with the particular circumstances of
the case. A complex autopsy may take an entire
working day or even longer, as the examiner may
need to return for further examinations.
251. These Guidelines may be of value to the
following:
(a) Experienced forensic doctors or pathologists,
who may follow them to ensure a systematic
examination and to facilitate meaningful
positive or negative criticism by later observers
(b) General pathologists or other physicians who
have not been trained in forensic pathology
or medicine but who are familiar with basic
autopsy techniques. It may also alert them
to situations in which they should seek
consultation
(c) Independent consultants whose expertise has
been requested in observing, performing,
or reviewing an autopsy and may cite these
Guidelines and their proposed minimum
criteria as a basis for their actions or opinions
(d) Governmental authorities, international political
organizations, law enforcement agencies,
families or friends of the deceased, or
representatives of potential defendants charged
with responsibility for a death
(e) Historians, journalists, attorneys, judges, other
physicians and representatives of the public,
who may use the Guidelines as a benchmark
for evaluating an autopsy and its findings
(f) Governments or individuals who are attempting
either to establish or to upgrade their medicolegal system for investigating deaths, who may
use the Guidelines as a basis.
252. Use of these Guidelines will help thwart the
speculation and innuendo that are fuelled by
unanswered, partially answered, or poorly
answered questions arising from the investigation
of a potentially unlawful death.
253. The date, start and finishing times and the place
of the autopsy should be recorded.
254. The name(s) of the forensic pathologist
prosector(s), the participating assistant(s) and all
other persons present during the autopsy should
be recorded, including the medical and/or
scientific degrees and professional, political or
administrative affiliations(s) of each. Each person’s
role in the autopsy should be indicated. If there
are multiple prosectors, one should be designated
as the principal prosector with authority to direct
the performance of the autopsy.
255. Adequate photographs are crucial for the thorough
documentation of autopsy findings and for
enabling them to be independently reviewed:110
(a) Photographs should be taken using a highquality camera/lens. If high-quality equipment
is not available, then other equipment, such as
mobile phones, may be acceptable, bearing
in mind that it is important for the photographs
to be of sufficient quality to enable the autopsy
findings to be independently reviewed. Each
photograph should contain a ruled reference
scale and an identifying case name or number.
A description of the camera and the lighting
system should be included in the autopsy
report. If more than one camera is used, the
identifying information should be recorded
for each. Photographs should also include
information indicating which camera took each
picture, if more than one camera is used. The
identity of the person taking the photographs
should be recorded
(b) Serial photographs reflecting the course of
the external examination should be included.
Photograph the body prior to and following
undressing, washing, shaving or hair cutting
(c) Close-up photographs should be supplemented
with distant and/or medium-range
photographs to permit the orientation and
identification of the close-up photographs
38
109
For further specific advice on approaches to and technical aspects of forensic autopsy, including the operation of the mortuary, see: Forensic Autopsy: Manual
for Forensic Pathologists, UN Office on Drugs and Crime, October 2015.
110
Videotaping of the autopsy may also be considered.
The Minnesota Protocol on the Investigation of Potentially Unlawful Death (2016)
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