A Falsely Reported Case That Cell Phone Battery Explosion Caused Death / 대한법의학회지

A 34 year-old excavator driver was found dead at stone quarry in Cheongwon, North Chungcheong Province, with a severely burnt mobile phone in his shirt pocket and with his chest bruised and ribs fractured. An emergency physician examined him and said that high pressure from an explosion damaged his lungs and heart, leading to his death. So, a number of Korean and foreign newspapers reported that phone battery explosion killed the man. Autopsy showed that the deceased had fractures all over the chest and lacerations of the heart and the lungs. The damages seemed too extensive to be caused by a single mobile phone explosion. Lithium-ion polymer batteries used in mobile phones can catch fire by external forces but they hardly explode like a bomb. We recommended police to reinvestigate the scene and co-worker. So, police reinvestigated the accident scene and the co-worker. The co-worker told police that he hit the deceased while reversing his drill rig at a stone quarry. The incident reminds of us that our postmortem investigation system must be revised.

Selection of Autopsy Method Depending on Situation / 대한법의학회지

Traditionally autopsy has been classified as legal autopsy and pathology autopsy. For this classification, the purpose of the autopsy was the criteria. That is under what condition autopsy was performed decided the nature of the autopsy. From the point of MD who actually perform the autopsy, there seems little difference between legal and pathology autopsy. Our society expands as time goes on, and it has become more complex. With this there have been many situations that does not coincide with the conventional way of thinking. Under these circumstances there have been some situations that conventional way for the autopsy classification bears problem. System for the postmortem investigation in Korea are deeply linked with these. Authors report these cases with the review of our postmortem investigation system and discuss what MD can do right now.

About reform of autopsy system: focus into the limited autopsy / 대한법의학회지

The autopsy system in Korea is based on the Corpse Autopsy and Preservation Law which Articles 2 didn 't limit medical professors and medical examiners to perform autopsy. But according to the Medical practitioners Law Article 18, only a practicing physician can issue the certificate for postmortem inspec-tion. If an unnatural death is suspected, the postmortem investigation and autopsy should be performed according to the order of Criminal Procedure Code Article 222. The limited role of postmortem investi-gation in unnatural death and respective bodies of postmortem inspection and autopsy, which would cause the overflow of criminal autopsy. The detailed guide-line of unnatural death, should-be verified death cases, practical use of postmortem inspection including the blood and tissue sampling etc, unifica-tion of legislations regarding to autopsy system, the specific warrant of autopsy, which empowers the limited and full autopsy individually would be help to improve that distortion.

The Recent Status and The Point at Issue of Postmortem Investigation in Jeju / 대한법의학회지

To know recent status and the point at issue of postmortem investigation in Jeju, the southernmost island in Korea has short history of forensic practice, we analyzed unnatural deaths investigated in Jeju during the five years of 1988 through 2002 inclusively. Of the total number of unnatural deaths (1, 118), 349 of the deceased (31.2%) were studied by autopsy in this period. Advisably, the annual autopsy rate was increased gradually with an increase of unnatural deaths. Drowning occupied large proportion (25.6%) of unnatural deaths. A sudden increase of thermal injury and intoxication in 2002 has attracted attention. Postmortem investigation conducted by prosecutor without participation of expert witness involves a lot of risk and that is one of the current nationwide issue as well as in Jeju. In conclusion, the role of forensic specialist in scene investigation and necessity of administrative support for improvement of medicolegal investigation system in Jeju. is emphasized.

Sudden Infant Death Syndrome and Sudden Child Death Syndrome / 대한법의학회지

In 1969, the International Conference proposed a definition of sudden infant death syndrome (SIDS): the sudden death of any infant or young child which is unexpected by history and in whom a thorough necropsy fails to demonstrate an adequate cause of death. The National Institute of Child Health and Human Development redefined SIDS in 1989, requiring death scene investigation with age restriction under 12 months. These definitions, however, are not adequate for the countries having under-organized medico-legal system. In South Korea, no mandatory or customary complete medico-legal investigation is not performed in the sudden child death cases, including autopsy. As a consequence, SIDS can be diagnosed as 'unknown 'by non-pathologists. Even in autopsy cases, the pathologists can not collect proper medical history by themselves. Furthermore, scene investigation is just performed by police or omitted. Age in SIDS is a controversial problem in both upper and lower limit. So the authors concluded that the above two definitions of SIDS are not agreeable with the country such as South Korea. We proposed a new concept of sudden child death syndrome (SCDS), which means 'the sudden death of any infant including neonate with good condition after birth, or young child which reveals no definite cause of death by inspection or autopsy ', for the purpose of not unreasonable diagnosis and adequate research in the countries having under-developed postmortem investigation system.

The Realities of Postmortem Investigation and Examination in Chungju, Eumseong Provinces / 대한법의학회지

Ninety forensic (judicial) autopsies were performed in Chungju and Eomseong provinces during 3 years (1998-2000). On the other hand, postmortem external examinations for administrative purposes were done in only 2 bodies during the same period. In this paper the reasons for small proportion of the postmortem external examination for administrative purposes compared with that for judicial autopsies were discussed. The following results might offer us significant suggestions for improving the postmortem investigation and examination system in Korea. 1. Reconsideration on the importance of postmortem external examination. 2. Reestablishment of the definitions and a guiding principle in postmortem investigation system for judicial and administrative purposes. 3. Education on the necessity for augmentation of medicolegal autopsy rate among postmortem investigation cases for administrative purposes.