+ All Categories
Home > Documents > Luis A. Sanchez, MD Chief Medical Examiner Medical ...

Luis A. Sanchez, MD Chief Medical Examiner Medical ...

Date post: 02-Feb-2022
Category:
Upload: others
View: 1 times
Download: 0 times
Share this document with a friend
82
Luis A. Sanchez, MD Chief Medical Examiner Medical Examiner System: How Does the Anthropologist Fit In? Jennifer C. Love, PhD, D-ABFA Tercer Seminario Internacional de Antropologia Forense
Transcript

Luis A. Sanchez, MD Chief Medical Examiner

Medical Examiner System: How Does the Anthropologist Fit In?

Jennifer C. Love, PhD, D-ABFA

Tercer Seminario Internacional de Antropologia Forense

Forensic Anthropology Division

Skeletal Analysis

Anthropology Division

Scene Response

Identification

Forensic Anthropology Division

Skeletal Analysis

Anthropology Division Scene Response

Identification

Organ Tissue Procurement

Liaison

Epidemiologist

Mass Disaster Preparedness Coordinator

Forensic Anthropology Division

Skeletal Analysis

Anthropology Division

Scene Response

Identification

Before the Anthropology Division

• Investigations – Triaging all death calls – Taking death reports – Responding to scenes – Requesting all medical records – Submit finger prints – Requesting dental radiographs and coordinating the

odontologist – Searching for next-of-kin – Processing all unclaimed decedents – Processing all unidentified decedents

ID Unit

• Sub group within investigations – Process unidentified decedents

– Process unclaimed decedents

Forensic Anthropology Division

• 2006 Forensic Anthropology Division created

• Responsibility of unidentified decedents transferred to anthropology – Unidentified Decedent Files

• ~425 records (1957-2006)

– Incoming Unidentified Decedents

Unidentified Decedent Records

• Files date to 1957 • Developed Review SOP

– Complete files – police, autopsy, dental charts – National Crime Information Center – National Database for Unidentified Decedents (NamUS) – Submit DNA to national database – Finger prints submitted

• Local law enforcement • National law enforcement • Immigration law enforcement

– HCIFS website

ID Successes

• Low hanging fruit – Record review

Record Review

– Out-of-county case – Local police department handled

decedent prior to death – Pedestrian struck by motor vehicle

(2 days later) – Decedent transferred as unknown,

case worked by state trooper – State trooper canvassed local

police department with decedent photo

– Decedent recognized and police record update

– MEO never notified

ID Success

Record review

Finger print resubmission

Finger Prints

• ML86-1227 – Finger prints scanned and

sent to all agencies

– Sheriff’ latent print unit identified decedent

• ML89-7911 – Finger prints scanned and

sent to all agencies

– FBI Latent Processing Unit matched print to Oklahoma criminal record

ID Success

• Record review

• Finger print resubmission

• Circumstantial Identification

Circumstantial Identification

• Family contacted HCIFS – Brother missing since 1983 – 16 year old, Hispanic, male – Atypical ear, dental work – Abandoned in vehicle

• Unidentified Decedent – Match physical description – Match circumstances – No antemortem record or

decedent DNA sample – Visual identification

Circumstantial Identification

• June 7, 1975 • Unidentified female pulled from

the Brazos River • Autopsy

– White female – 5’5”, 120 lbs – Long light colored hair – Surgically absent spleen – Likely had at least one child – Well-manicured hand and feet nails

painted a deep red color

Circumstantial Idenfication

• June 16, 1975 body release to Austin County

• Held in metal casket above ground for several months

• Buried in Austin County • Austin County remains

active in the case, but no leads

Circumstantial Identification

• June 29, 2009 body exhumed

• Skull, femurs and humeri collected – Skull – facial

reconstruction

– Long bones - DNA

• DNA unsuccessful

Circumstantial Identification

• June 7, 2011

• National news – mass grave in Liberty County

• Family resumes search for missing loved one

• Recognizes facial approximation on TX-DPS website

Missing Person

• 22 yo, White female • 5’5”, 110 lbs • Long blond hair • Splenectomy following MVA • 1 son • Recently moved to Texas City, TX • Last spoke to father June 4, 1975 • Cosmetologist • Signature finger nail color - deep red

Scientific Identification

PA75-052

Missing Person

• Finger prints

• Dental radiographs

• Skeletal radiographs

• DNA - Family reference samples

ID Success

• Record review

• Finger print resubmission

• Circumstantial

• Website

HCIFS Website

Website

Website

• June 6, 2006 – Multiple gun shot wound victim found in parking

lot of apartment complex – No ID – Girlfriend – decedent “Tony” and he stays in Apt

159 – Finger prints fail

• Post case on website – Scar, marks, tattoos

» Abnormal fingernail left index finger

Website

• January 13, 2011 – Family members in

Louisiana find decedent on website

– Identified by visual identification and description of abnormal nail bed

Forensic Anthropology Division

• Unidentified Decedent Files – ~425 records (1957-2006)

• Incoming Unidentified Decedents

Incoming Cases

• Submit finger prints

• Media release – News Router

• Submit DNA sample

Media Release

• September 11, 2010 – Skeletal remains

– Watch, belt buckle and shoes in vicinity

– Biological profile • W/M/18-25 years, 67-73”

• Dental restorations

Media Release

• November 29, 2010 – Unidentified decedent flier

release to media

• November 30, 2010 – Decedent’s mother called –

son missing for 5 years

• January 14, 2011 – Identification confirmed by

DNA

Media Release

• September 4, 2007 – Decedent found floating in

Brays Bayou

– Finger print comparison negative

– September 19, 2007 media release, no leads

• Second media release targeting Spanish media

Media Release

• Member of church recognized decedent

• Decedent recent immigrant, no family in US

• DNA sample obtained from mother with assistance of consulate

• Decedent returned to Guatemala

Identification Success

• Few individuals dedicated to processing unidentified decedents

• Submitting and resubmitting finger prints

• DNA submissions

• Listing decedents on public websites

• Releasing cases to the media

Identification Success

0

1

2

3

4

5

6

7

8

9

10

2005 2006 2007 2008 2009 2010 2011 2012

Unknowns

Forensic Anthropology Division

Skeletal Analysis

Anthropology Division

Scene Response

Identification

Scene Response

• On-Call Schedule – 24 hours/ 7 days a week – Surface Remains

– Fire Remains

– Buried Remains

Scene Response

0

5

10

15

20

25

2010 2011 2012

Buried

Fire

Surface

2010 – 32 scenes 2011 – 30 scenes

2012 – 25 scenes

Surface Scene

Surface Scene

Surface Scene

Skeletal Scene

Skeletal Cases

Surface Scene

Fire Scene

Fire Scene

Fire Scene

Fire Scene

Fire Scene

Fire Scene - Car

Buried Scene

Buried Scene

Buried Scene

Buried Scene

Forensic Anthropology Division

Skeletal Analysis

Anthropology Division

Scene Response

Identification

Skeletal Case

Non-Skeletal Case

Is the story consistent with the trauma?

Blunt Force Trauma

• Type of fracture

• Fracture distribution pattern

• Direction of load

Direction of Stress

Butterfly Fracture

T

C

Transverse Fracture-Signature of Tension

Transverse Fracture-Signature of Compression

Signatures of Compression

Oblique Fracture – Twisting Mechanism

Buckle Fracture

Sharp Force Trauma

• What are the characteristics of the weapon?

Striation Patterns

Serrated Blade Smooth Blade

Serrated and Smooth

Typical Casework

0

10

20

30

40

50

60

70

80

90

2010

2011

2012

Summary

• Anthropologist in the Medical Examiner Office – Unidentified cases

– Scene response

– Trauma analysis


Recommended