California makes forensic path P.C.

[mike-sheree]

California, with the blessing of the CAP, has now made it ILLEGAL to use the term “excited delirium” on a death certificate or in an autopsy report because it is “racially charged”, as of 1Jan 24. I have an effective and concise work-around: “human being (no race or gender problem) who was physical-mass-challenged at 150 kg (can’t say obese) who was expressing their rights (can’t we all) by enjoying methamphetamine and experiencing tachycardia (225 b.p.m.) and systolic blood pressure of 220mm Hg as “they” (watch those pronouns) had lost possession of their judgement, faculties and sphincter tone(s).” As a bonus, that really expands on the cause of death by adding some supplementation re the mechanism of death ( which is typically lacking on D.C.’s.). Voila!

Anybody care to be an F.P. in Cali? LOTS of professional independence.

We’re not talking “hysteria” here as in “wandering uterus”.

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[wholeheartedly]

I did research on “excited delerium”
awhile back. It was a pretty sketch entity. How often were you actually using it?

 

[Iceman24]

Idiocratic ultraleftist ****hole state still going strong.
Never put this nonsense on DC, and never will.
What is coming next? Making it illegal to rule "possessed by demons" as cause of death??

How about taking care of some serious staff, like eliminating sheriff-coroner system, or starting to prosecute burglaries and thefts?

 

[wholeheartedly]

How about taking care of some serious staff, like eliminating sheriff-coroner system

This!

x10

 

[HmanPath]

Idiocratic ultraleftist ****hole state still going strong.
Never put this nonsense on DC, and never will.
What is coming next? Making it illegal to rule "possessed by demons" as cause of death??

How about taking care of some serious staff, like eliminating sheriff-coroner system, or starting to prosecute burglaries and thefts?

I don't know, possessed by demons is a pretty cool COD lol.

 

[wholeheartedly]

I don't know, possessed by demons is a pretty cool COD lol.

ICD code 66.6 ?

 

[mike-sheree]

I did research on “excited delerium”
awhile back. It was a pretty sketch entity. How often were you actually using it?

I never had to. Only practiced FP for a couple years in military and a couple in FL. I agree, it kinds sucks as a C.O.D. as does “cardio respiratory arrest”. Both much more “mechanism” of death oriented. I have the distinct impression that “excited delirium” is like pornography. Many FP’s recognize it when they see it. The majority are most likely a tachyarrythmia progressing to HF/arrest. Most/many assoc with sympathomimetic drug.

 

[Guest8]

I don't think I understand how "excited delirium" would end up on a postmortem report in the first place.

 

[mike-sheree]

This is where the cause and mechanism (excluding manner) of death start to blur. When the distinction is not clear cut or the physiological pathways are not comprehensively defined, but a solid general concept exists ( problems with cns/cardiovascular axis)b.s. creeps in. Cause and mechanism are two different things but can be difficult to limn in the current state of knowledge. We can’t put 12 lead EKG’s on all these folks as they are expiring.