Forensic Science

Advanced Strangulation Training

Strangulation has been identified as one of the most lethal forms of domestic violence and sexual assault: unconsciousness may occur within seconds and death within minutes. When domestic violence perpetrators choke (strangle) their victims, not only is this felonious assault, but it may be an attempted homicide.


📷
🚓
Strangulation is an ultimate form of power and control where the batterer can demonstrate control over the victim’s next breath: it may have devastating psychological effects or a potentially fatal outcome.


Do you ever wonder what happens to the kids and teens that witness DV every year in America? Camp HOPE America offers camps sessions around the nation for kids who have witnessed domestic violence in the home and/or been negatively impacted by DV. This organization offers year-round camping and mentoring program for both children and teens. The focus of the camps are ingrained in creating collaborative, trauma-informed, and hope-centered pathways for trauma-exposed kids to believe in themselves, in others, and in their dreams.


#lastwarningshot #allianceforhopeinternational#caseygwinn #gaelstrack #drbillsmock#camphopeamerica #camphope #hopehealscamp#havehopetogivehope #strangulation #allianceforhope#domesticviolence #camphopeamerica#emergencytraumamama #runswithtraumashears

Strangulation of Adult & Pediatric Patients

As a trauma nurse that is cross-trained with a master of forensic science degree, I spend a lot of time thinking about recognition & assessment of strangulation patients. •

Strangulation and Domestic Violence

Strangulation has been identified as one of the most lethal forms of domestic violence. It is one of the best predictors for subsequent homicide. Prior strangulation increases the odds of strangulation homicide by more than seven times. For perpetrators, strangulation is the ultimate form of power and control. However, because there are often no visible injuries, patients, physicians, and law enforcement often minimize the possible health consequences of reported strangulation.

Pathophysiology

The vasculature of the neck is relatively unprotected and vulnerable to injury and vascular occlusion. The application of 4.4 pounds of pressure to the jugular veins causes venous outflow obstruction from the brain and thus stagnant hypoxia. Eleven pounds of pressure to the carotid arteries can cause loss of consciousness in approximately 10 seconds. Compression of the trachea requires significantly more force: 33 pounds of pressure for occlusion and 35 pounds to fracture tracheal cartilage.

Strangulation can be fatal in as little as four to five minutes. Mechanisms in addition to hypoxia due to vascular occlusion have been proposed. Pressure on the carotid body may cause bradycardia and subsequent cardiac arrest. Delayed mortality may be caused by carotid artery dissection, aspiration, postobstructive pulmonary edema, acute respiratory distress syndrome, or tracheal injury.

📓: ACEP Now, Heather V. Rozzi, MD, FACEP; and Ralph Riviello, MD, MS/April 2019

Smiley Face Serial Killers

If you haven’t tuned into this special on Oxygen on Saturday nights, you can watch it on demand. It’s a very interesting show about some retired detectives investigating a string of deaths of young men that are thrown into a body of water. The biggest twist is they feel it is a cell of ppl that are bonded via the dark web as the M. O’s are all extremely similar. The men have either GHB or TCA’s or an alternative drug in their system that would have helped to incapacitate them in some way, shape or form. In addition, the cases are years apart, different cities, and there is always graffiti of a smiley face found near where the body is dumped or found. From a forensic standpoint, some of these men’s deaths have been ruled “accidental” when in fact there are clues (as told by Dr. Cyril Wecht) that lead the team to help reopen the majority of cases, because they blatantly scream homicide. Very intriguing show!

YT Oxygen channel

YT link-proving SMK homicide investigation

https://www.oxygen.com/crime-time/questions-smiley-face-killings-investigators-hope-answer?amp