lacounty.gov

Affiliations

University Hospitals Pathology Resident Training Program

The Department of Medical Examiner offers the opportunity for pathology residents from local university affiliated hospitals (USC, UCLA, and others) to train in our office with costs paid by the hospitals. This program fosters positive relationships with university hospitals’ pathology departments and improves the standard of practice of forensic medicine in general, as these pathology residents will be practicing in the community once they complete their training.

Youthful Drunk Driver Visitation Program (YDDVP)

Since 1989, the Medical Examiner has participated with the support of the courts in a program of visitation to our facility for youthful drunk drivers (First Offenders) as an alternative form of sentencing. The program continues to be popular with judges and is currently being presented 12 or more times per month.

Tissue Harvesting/Organ Transplantation

This program provides corneas and other tissues to those in need in our community through coordinated efforts with various tissue banks and hospitals. Our medical staff provides consent along with next of kin consent to federally approved organ donation agencies for organ harvesting done at hospitals. In addition, the program makes tissue available to low income and indigent patients at County hospitals at no cost to the patients or hospitals.

Sudden Infant Death Syndrome (SIDS) Interagency Program

The Department participates in the Sudden Infant Death Syndrome (SIDS) Interagency Council and continues to use the state protocol for autopsies of SIDS/SUIDS cases.

Glossary of Terms

Autopsy

also known as a post-mortem examination, necropsy (particularly as to non-human bodies), autopsia cadaverum, or obduction — is a highly specialized surgical procedure that consists of a thorough examination of a corpse to determine the cause and manner of death and to evaluate any disease or injury that may be present. It is usually performed by a specialized medical doctor called a pathologist.

Biological specimens

blood, sections of organs, vitreous, bile, and urine.

Cause of death

an injury or disease that ultimately leads to death of the individual, generally determined by medical examiners or coroners.

Certificate of Religious Belief

in California, in order to execute a certificate of religious belief, a person must be 18 years of age or older and must state in clear and unambiguous language that any postmortem anatomical dissection or that specified procedures would violate the religious convictions of the person. The certificate must be signed and dated by the person in the presence of at least two witnesses. Each witness must also sign the certificate and must print on the certificate his or her name and residence address. California law allows the state to override religious objection if the coroner "has a reasonable suspicion that the death was caused by the criminal act of another or by a contagious disease constituting a public health hazard."

Chain of custody

a method of keeping track of who has handled a piece of evidence and when.

County Disposition

The County of Los Angeles will cremate the remains of a decedent and hold the cremains (ashes) for a period of time (about 3 years) before the ashes are interred in a common gravesite at the LA County Cemetery.

Decomposition

the disintegration of body tissues after death.

DME

Department of Medical Examiner

Evidence

any physical items such as bullets, hairs, fibers, biological fluids, etc., documents and statements that are included in a legal investigation for the jury’s or judge’s consideration in the determination of an individual’s guilt or innocence.

Forensic pathologist

A medical doctor who specializes in the sub-specialty of pathology that focuses on determining the cause of death by examining a corpse. The autopsy is performed by the pathologist usually during the investigation of criminal law cases and civil law cases in some jurisdictions.

Forensic Science

Forensic Science is the application of all forms of science to aid legal investigations.

Indigency

The lack of ability to pay as a legal reason for having certain required fees waived; being declared eligible for free services.

Manner of death

is how the death came about. Natural - due entirely (or nearly so) to natural disease processes. Homicide - due to a volitional act of another person. Suicide - due to injury that occurred with the intent to induce self-harm or cause one’s own death. Accident - due to injury when there is no evidence of intent to harm. Undetermined - inadequate information regarding the circumstances of death to determine manner; example: individual found unconscious with massive subdural hemorrhage; in the absence of information on the events leading up to death, it is impossible to determine if the hemorrhage is due to accidental fall, homicidal violence, etc.

Medical examiner

is a medically qualified forensic pathologist and government official whose duty is to investigate deaths and injuries that occur under unusual or suspicious circumstances, to perform post-mortem examinations, and in some jurisdictions to initiate inquests.

Medicolegal Autopsy

a medicolegal autopsy is done with the possibility of litigation in mind. The autopsy is designed to determine the cause of death, properly document findings, and collect evidence. A primary objective is to try to reconstruct the circumstances and events that led to the death so that a mode (natural, accident, suicide, homicide, or undetermined) can be established. A medicolegal autopsy differs from a hospital autopsy. A hospital autopsy is designed to confirm a known or suspected disease and gain further knowledge of the disease. The emphasis is placed on the gross and microscopic examination of internal organs. In a medicolegal autopsy the emphasis is shifted to the external examination and the description of external and associated internal injuries. Microscopic examination is done only when indicated. Information about identification of the remains, time of death, evidence of drug use, age of injuries, etc., becomes important and must be recorded carefully. It is imperative that findings be recorded clearly and objectively. Any forensic pathologist should be able to interpret the findings years later without difficulty. The forensic autopsy protocol must be standardized and reproducible.

Next of Kin

aNearest relative: if married, the spouse, if no spouse then adult children, or surviving parents, or blood relative, according to California State Law, unless otherwise specified in a legal document.

Toxicology

or postmortem (after death) toxicology analyzes biological specimens collected at autopsy for the presence of drugs, toxins, and poisons to help determine cause and manner of death.