Reference: Ely SF, Gill JR, editors. Principles of forensic pathology: From investigation to certification. Cambridge, MA: Academic Press; 2023. 590 pp. In Ely and Gill's Principles of Forensic Pathology: From Investigation to Certification [1], 19 chapters cover a variety of topics pertinent to the forensic pathology practitioner, with a focus on how to approach the breadth of cases encountered in the autopsy suite. Sections cover many of the standard topics addressed in comprehensive forensic medicine textbooks, including death certification, scene investigations, the forensic autopsy, perinatal and pediatric deaths, natural deaths in the adult, medical intervention-related deaths, trauma (firearms/blunt force/sharp force/asphyxia/etc.), toxicological deaths, and in-custody deaths. Modern topics addressed in this book include the COVID-19 pandemic, postmortem computed tomography imaging interpretation, and the utility of molecular genetics in investigating unexpected deaths. The uniqueness of this book lies in the systematic outlining of how conclusions are arrived at, with an emphasis on consistency and rationality over dogmatism. For example, a section on a suggested approach to hemorrhage of unclear origin walks the reader through the common scenarios encountered at autopsy, the reasonable possibilities of the underlying etiology, the importance of context, and the value in recognizing and regarding the mechanism of death. The tenets of this book emphasize an orderly approach to the medicolegal death investigation and autopsy report. To address the daunting task of codifying forensic thinking, the text outlines practical considerations necessary for accurate interpretations of postmortem examination findings, along with common mistakes and cognitive errors to avoid. Concepts, standards, and pathophysiologic principles are laid out in dense text, with full-color photographs used to illustrate important ideas. The book is well-researched, with abundant resources listed at the end of each chapter. The value of this book lies in the suggested questions to ask, the approach to take in answering them, and how to reach conclusions that meet the burden of proof required of the forensic medicine practitioner. For example, in approaching a blunt trauma-related death, algorithms for autopsy report organization are proffered alongside how the features of an injury may correlate with specific circumstances/actions, typical autopsy findings associated with given scenarios, mechanisms of death to consider when assessing the lethality of an injury, and important factors to recognize regarding unwitnessed trauma. The greatest works stand on the shoulders of giants, and this book is no exception. It owes a significant debt to the witticisms of Charles S. Hirsch, along with Lester Adelson, and many others. The maxims of these luminaries of the forensic pathology world are gathered from writings and personal interactions and preserved here for future generations, including: “Toxicology gives us information, but not conclusions” and “You can't see what you can't believe” (p. 576). Many chapters memorialize guidance cultivated from an entire career's worth of practice. For example, in a chapter on “Communication,” Dr. Jonathan Hayes offers a reflective examination of the realistic conversations that occur between medical examiners/coroners, families, and juries, with constructive aphorisms gleaned from over 30 years of work. Readers looking for in-depth discussions of any given topic, such as firearms and firearm injuries, are best directed to textbooks dedicated to that subject. However, the subtleties of forensic pathology, such as the best practices for documentation and written narratives, are where the reader will find the highest yield. Minor typographical errors and mislabels of figures/images in this book do little to distract from the overall content. Novices, and those in charge of training them, will appreciate advice on choosing a fellowship program, nuances of forensic pathology practice and death certification, and a recommended reading list. Other practitioners, looking to develop defensible opinions that are evidence-based and non-arbitrary, will appreciate the general principles and finer points ensconced in this book. Ely and Gill's Principles of Forensic Pathology: From Investigation to Certification [1] addresses a deficiency in the forensic literature by offering recommendations that bridge the gap between foundational knowledge and the wisdom of experience.
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