Research Subcommittee

Research Subcommittee Meeting Dates

 

April / May 2022 (Date TBC) (videoconference)

Research Subcommittee Members

The current Chair of the Research Subcommittee is Dr Michael Freeman.

Should you like to contact the chair please send an email to forensic.medicine@fflm.ac.uk.

Committee members

Dr Michael Devlin Prof Paul Marks
Dr Michael Freeman (Chair) Dr Sheila Paul
Dr Cathy Lincoln Mr Brian Westbury

 

Terms of Reference

  • To monitor and advise the Academic Committee generally on the development of research activity.
  • To recruit an appropriate number of suitably qualified individuals within the Faculty and if appropriate outside it, who can be co-opted as members of the Research Subcommittee.
  • To develop a UK research agenda for forensic and legal medicine. The agenda will reflect any nationally agreed research priorities and the need to develop evidence-based forensic and legal medical practice.
  • To identify suitable research topics to implement in the research agenda.
  • To liaise with Medical Schools, Postgraduate Institutions and relevant Royal Colleges in the UK to develop links with them to promote collaborative research. To offer to provide external examiners from the FFLM to assess theses for higher degrees e.g. PhD, MD or MPhil.
  • To promote innovation and good practice in research; to monitor and evaluate research projects and ensure research conforms to the highest standards of probity and ethics.
  • To organise training in research techniques as appropriate by using webinars or other appropriate means.
  • To make available the results of research, and the expertise acquired, through teaching, publication, partnerships with other organisations and for the promotion of civic and public debate.
  • To consider matters concerning the provision and use of resources to support research and seek funding from sources such as industry, central government and charitable donations from instruments such as legacies etc.
  • To hold regular meetings as deemed appropriate and place reports before the Academic Committee which will be taken to the FFLM Board Meetings that occur during the year.

Papers of Interest

One of the goals of the Research Subcommittee is to regularly highlight and share relevant research and papers of interest to FFLM members.

Each month a different paper of interest will be listed below. We are interested in suggestions by members of recent research of note in forensic medicine. If you know of a paper that you would like to see featured, or if you have published a paper that you would like to share, please contact forensic.medicine@fflm.ac.uk (open access papers are preferable, but not required).

Paper Of Interest For April 2022

Occult blunt craniocerebral trauma in an infant subsequently attributed to a parental fall

Tan L, Charlwood C, and Byard RW. Acta Paediatrica. March, 2022; DOI:10.111/apa.16327.

Tan and colleagues describe a three-month-old boy who was found unresponsive in his bed by his mother, was brought to hospital and died shortly afterwards. An autopsy revealed a head injury, including a linear skull fracture, with overlying subgaleal hemorrhage and underlying epidural hemorrhage, brain swelling, and retinal hemorrhage. Suspicion of abuse fell on the mother, who was interviewed by police. She recalled having fallen having tripped on a drain in the parking garage at her residence 16 hours prior to finding the baby unresponsive. She was carrying the child in a front sling, and as she fell forward his head struck the concrete floor. The baby cried briefly and then seemed to return to normal. The investigation was concluded once the surveillance video was reviewed, which showed the incident occurring as the mother had described.

This brief but important case study is illustrative of several contentious issues in forensic medicine generally, and forensic pathology specifically. First, there can be a temptation to relate more serious injuries in non-ambulatory children (i.e., < 1 year of age) to intentional trauma, which in turn is balanced by a higher degree of disbelief in a caregiver’s explanation of the circumstances of an injury. It was fortuitous, for the baby’s unfortunate mother, that her fall was captured by surveillance video, as an authoritative (but entirely speculative) opinion by a pediatric abuse specialist or forensic pathologist that the injury was very unlikely to have occurred as the mother claimed would have been sufficient to result in her being charged with a crime. Second, another factor that heightens suspicion of abuse is the caregiver claim that a child had an extended period of lucency after the reported unintentional trauma, as there can be an unwarranted belief that a head impact that resulted in a fracture and intracranial hemorrhage must have resulted in an instantaneous loss of consciousness. Third, the finding that injury is exclusive to the head, and that there are no additional injuries consistent with abuse must be considered when attempting to correlate an injury pattern with intentional versus unintentional abuse. A final medicolegal issue to consider is whether the fall that resulted in the baby’s fatal injuries was the mother’s fault, or due to an excessive tripping hazard attributable to the drain installation, design, or position.

Click here to read the full paper.

 

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