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Sudden Unexplained Infant Death Investigation A National Cooperative

Sudden Unexplained Infant Death Investigation A National Cooperative. “SUIDI” Training Academies. SUIDI Teams. One team per state Five members: Medical Examiner/Coroner (team leader) Medicolegal Death Investigator Law Enforcement Officer Child Protection Expert

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Sudden Unexplained Infant Death Investigation A National Cooperative

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  1. Sudden Unexplained Infant Death Investigation A National Cooperative

  2. “SUIDI” Training Academies

  3. SUIDI Teams • One team per state • Five members: • Medical Examiner/Coroner (team leader) • Medicolegal Death Investigator • Law Enforcement Officer • Child Protection Expert • Post-secondary Teaching Professional

  4. Delaware Office of the Chief Medical ExaminerForensic Sciences Laboratory Deputy Director Hal G. Brown

  5. Delaware Office of the Chief Medical Examiner Medical-Legal Death Investigator Brian McCarthy

  6. Det. Bonnie ShrinerNew Castle County Police

  7. Prof. Carl Wyche

  8. Delaware Division of Family Services Child Protective Worker Diana Milo

  9. Sudden Unexplained Infant Death The sudden and unexpected death of an infant due to natural or unnatural causes.

  10. Well then Maam… what is SIDS? (just the facts) Sudden death of an infant under one year of age, which remains unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history.

  11. A national cooperative? What do I have to do? Why?

  12. THE INTERVIEWING PROCESS • “WHY”? • SINCE SIDS is ONLY a type of SUIDI; We must establish a consistent RESEARCH BASED SCENE DATA COLLECTION & FOLLOW-UP • Currently, we lack consistency… STATEWIDE REPORTING FORM DOLL RE-ENACTIMENT SCENE PHOTOGRAPHY & REENACTMENT “WHAT MUST WE DO” There must be a State Wide SUIDI Procedure that addresses: AND: ELECTRONICALLY REPORT SCENE DATA TO THE MEDICAL EXAMINER!!!

  13. Thoroughly know the “Top 25”… • Case Information • Asphyxia • Sharing sleep surfaces • Change in sleep conditions • Hyperthermia/hypothermia • Environmental hazards (CO, chemicals, etc) • Unsafe sleeping condition • Diet • Recent hospitalizations • Previous medical diagnosis • History of acute life threatening events • History of medical care without diagnosis • Recent fall or other injury • History of religious, cultural, or ethnic remedies

  14. Cause of death due to natural causes other than SIDS Prior sibling deaths • Previous encounters with police or social service agencies • Request for tissue or organ donation • Objection to autopsy • Pre-terminal resuscitative treatment • Death due to trauma (injury), poisoning, or intoxication • Suspicious circumstances • Other alerts for pathologist’s attention • Description of circumstances (what happened?) • Pathologist Information (name/agency/phone)

  15. Case Information

  16. Sleeping position (step-father) Baby’s Crib sleeping position (decedent) • Sharing sleep surfaces

  17. Asphyxia

  18. Change in sleep conditions

  19. Hyperthermia/hypothermia

  20. Yeah… the kid is sleeping in the trailer! • Unsafe sleeping conditions

  21. Environmental hazards (CO, chemicals, etc)

  22. Environmental hazards

  23. Diet/Health

  24. Previous medical diagnosis

  25. Recent hospitalizations

  26. History of acute life threatening events

  27. History of past Medical care without diagnosis

  28. Recent fall or other injury

  29. History of religious, cultural, or ethnic remedies

  30. History of religious, cultural, or ethnic remedies

  31. Cause of death due to natural causes other than SIDS --Prior sibling deaths

  32. Previous encounters with police or social service agencies

  33. Family Information • Prior sibling deaths

  34. Request for tissue or organ donation

  35. Objection to autopsy

  36. Pre-terminal resuscitative treatment

  37. Death due to trauma (injury), poisoning, or intoxication

  38. Death due to trauma (injury), poisoning, or intoxication

  39. Suspicious circumstances

  40. Other alerts for pathologist’s attention

  41. Other alerts for pathologist’s attention

  42. Description of circumstances (what happened?)

  43. Pathologist Information (name/ agency/phone)

  44. Six areas to concentrate on!

  45. Value of Education; Presenting the CDC-SUIDI mission back home.

  46. Fundamental knowledge of growth and development provides an understanding of;

  47. Normal Vs. abnormal Infant growth • Growth Charts • Screening tools • Developmental milestones

  48. Interagency cooperation and multi-disciplinary approach.

  49. Scene Investigation Protocol

  50. The Interview Process

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