Pediatric Forensic Pathology As Forensic Science: The Role Of Science And The Justice System

Pediatric forensic pathology is a field of forensic science. As such, it shares the frailties that many forensic sciences currently share. It was created by the justice system to serve its purpose and as such is an “uneasy partner” with the justice system; uneasy because the law demands a single casual theory in order to attach responsibility for precipitating or aggravating a victim’s condition while science can never supply absolute theories but rather presents findings in terms of probabilities. Forensic results in the relatively new field of DNA analysis represent the pinnacle of the scale of probability. Probabilities can be supplied in terms that approach absolute certainty. Nevertheless, even evidence of DNA analysis cannot be presented in terms of absolute certainty. As one moves down the scale from approaching absolute certainty to uncertainty, it is ironic that the terms in which evidence is presented appear to become more certain. For instance, bite-mark comparison, which has been recently...

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Pediatric Forensic Pathology:

Chapter 1—Pediatric Forensic Pathology: Some Background

Chapter Overview

Clinical medicine serves patients; forensic pathology serves the state to find out why its citizens die. Being involved in investigating possible crime is very different from treating patients. Medicine has developed quite a strong evidence base to its practice, and this has not been mirrored to the same extent in forensic pathology. The massive expansion in the size of the knowledge base of medicine has had implications for forensic pathology. Forensic pathology is a very small operational medical specialty; pediatric forensic pathology is a subset of cases within forensic pathology, and is not an operational specialty. Knowledge in forensic pathology evolves, not always in a uniform forward progression.

Introduction

Medicine exists to serve patients. Starting with doctors’ training as medical students, everything revolves around the patient. Doctor’s obligations to patients are central. This culture, imbued during medical training, survives intact through to the practice of virtually...

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