Category: Bureau of Justice Assistance

The fellow started promptly on July 1, 2018, and successfully completed all phases of the program. She completed over 200 autopsies, attended training from NAME and the American Academy of Forensic Sciences (AAFS), and presented a well-received poster concerning a very rare cause of sudden death. In the spring, she attended courses on forensic anthropology, forensic botany, and forensic entomology. Over the course of the year, she consulted with and learned forensic toxicology from an in-house laboratory and board-certified PhD toxicologist. With the opioid epidemic, this was a lot to undertake and master, and she became well versed in the properties, analysis, and interpretation of hundreds of prescription and nonprescription drugs. She received more than 30 hours of training from the staff pathologist, as well as hands-on training while doing cases. She was eventually hired as a staff forensic pathologist.

Thanks to the grant funds, the county was able to make the necessary improvements to a facility, increase storage capabilities with the purchase of a high-density mobile shelving unit, and send two death investigators to medicolegal death investigation training who subsequently achieved certification. The marked increase in caseload, internal staffing challenges, and continued changes in the death investigation process affected the county’s ability to complete all the goals within the timeframe; however, it is still on task to complete them.

The performance of autopsies by a fellow reduced the overall caseload average for the full-time forensic pathologists, helping to keep them below 325 annual autopsies and preserving critical criteria that must be met for National Association of Medical Examiners (NAME) accreditation. The fellowship was an affordable and cost-effective approach to solving concerns regarding record autopsy numbers, as well as bolstering forensic pathology in the future, by providing two well-trained forensic pathologists to an understaffed field.

With the hiring of a fellow, the office was able to increase the number of autopsies performed by 6 percent when compared with the 12 months prior, which allowed the office to offer support to surrounding jurisdictions in need of forensic autopsy services. During this timeframe, the Milwaukee County Medical Examiner’s Office was able to provide autopsy support to 14 other jurisdictions, which is an increase of more than 100 percent from years prior.

The portable X-ray machine has truly been an asset to the Kittitas County Coroner’s Office (KCCO) and to KCCO’s investigations. In the past, those cases requiring X-rays had to be transported to a local hospital for imaging, at considerable expense to KCCO. As a result, KCCO was very selective when it came to scheduling cases for imaging. Since KCCO has received their portable X-ray machine, they have enhanced their investigation to support their forensic pathologists by providing X-rays on any case in which it appeared they would be advantageous to have. In several cases, the KCCO pathologist has been able to certify cause and manner of death by reviewing scene photos and X-rays, thereby avoiding a costly autopsy which would have been required in the absence of the images. In a recent gunshot death, KCCO was able to locate projectiles in an area they did not expect them to be found based upon their initial review of the wounds. This saved a considerable amount of time at autopsy. Overall, having access to their own dedicated X-ray machine has enabled KCCO to perform better investigations with more accurate results, while, at the same time, saving their county thousands of dollars in autopsy fees and hospital X-ray fees. The convenience of being able to obtain images at KCCO’s facility without having to transport back and forth to the hospital is a great advantage as well.