PATHOLOGY OF SHARP FORCE TRAUMA

1 Introduction, Scope and Historical Perspectives
2 Knife Crime · Epidemiology, Impact on the Community and Legislation
3 Types of Knives and the Dynamics of Sharp Force Trauma
4 Scene Examination in Cases of Sharp Force Trauma
5 The Post-Mortem Examination in Sharp Force Trauma Deaths
6 Patterns of Wounding and Demographic Factors in Homicidal and Other Sharp Force Assaults
7 Morphology of Sharp Force Injuries and Type of Implements Responsible for Causing Them
8 Sharp Force Trauma · Regional Location and Consequences of Injury
9 Defence Injuries
10 Intentional Self-inflicted Injuries
11 Accidental Injuries Including Injuries from Animals
12 Post-Mortem Injuries, the Effects of Putrefaction and Artefacts
13 Iatrogenic, Needlestick and Other Related Sharp Force Trauma
14 Presentation of Evidence and Issues Arising in Court in Sharp Force Trauma Cases

Pathology of Sharp Force Trauma illustrates and details sharp force trauma as seen in forensic pathology case work as well as in the clinical setting, outlining how one informs the other in interpreting such trauma for medico-legal purposes.
For the purposes of discussion, the author defines sharp force trauma as: "The application of force to produce an injury which results in a clear division or separation of the skin and underlying tissues". Sharp force trauma may be caused by all manner of implements with a sharp edge and/or pointed end, whether or not they have been produced for use as a weapon, and includes knives, broken glass, scissors and many others, to name but a few. Certain tools, such as axes or machetes, combine a sharp edge with heavy weight and produce injuries with both sharp and blunt impact elements.
In many countries, with the exception of those where firearms are readily available, sharp force trauma—particularly the use of knives—is the most common method of homicide and a frequent source of morbidity seen in emergency departments. Also, there has recently been an alarming upsurge in the use of knives in gang-related assaults and in terrorist incidents. As such, the book takes a comprehensive approach in explaining the different aspects of such trauma, most importantly the manner in which the victim has died. This includes cases of homicide, suicide or accident, indicating the type of weapon responsible, explaining how it was used, and presenting other such information to the investigation of such cases.

Features:
• Includes over 400 full-color graphic and illustrative images throughout
• Addresses all aspects of the investigation including trauma, crime scene findings, post-mortem examination, characteristics of injuries and categorization into homicide, suicide or accident
• Covers the biomechanics of knife trauma and tool mark examination techniques to identify implements used
• Illustrates penetrating injuries caused by pointed implements which have linear components, such as arrows, nails, spears, stakes and others
• Details cutting, penetrating, and other sharp force injuries resulting from medical intervention in a healthcare environment, such as might occur during surgical procedures
• Examines sharp injuries caused by domesticated and wild animals
• Written by one of the premier forensic pathologists in the world with over 40 years of first-hand case experience

Pathology of Sharp Force Trauma is the first substantive book published in English to look exclusively at this subject. Although primarily intended for pathologists and clinicians who are involved in the examination of such injuries in the post-mortem room or in a hospital environment, it will also be of interest to medical examiners, police and criminal investigators, attorneys and legal professionals, personnel in other forensic disciplines, and all doctors and medical students with an interested in trauma and its management.