INDEX.

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Abdomen, contusions of, 580

post-mortem examination of, 370

wounds of, 580

Abdominal viscera, rupture of, 582

wounds of, 582

Abscess of brain, 563

Actions to recover for services (see Privileged Communications), 26

amount of recovery in, 45

elements to be proved in, 47

evidence in, 22-48

Actions for malpractice, 73-87

Adipocere, 451

Age, determination of, 399

Alcoholism, 564

Anthropometry, 432

Apnoea, 709, 796

Arteries, wounds of, 578

Asphyxia, 708

by submersion, 796, 797

external appearances due to, 715

internal appearances due to, 718

Autopsies, 301, 349

in cases of poisoning, 356, 371

late, 378

of fragments, 380

order of, 356

Bills for services, effect of, 43

Bladder, rupture of, 585

wounds of, 585

Blank charges, wounds by, 617

Blood, coagulation of, 488, 701

condition of, after burns, 653

extravasation of, in brain, 565

on weapons, 535

stains, 350

Body (see Dead Body), examination of, 537

temperature of, 629

Bones, identification of, 390

old or recent? 391

Books, medical, when and where used in court, 64

of original entry, when admissible as evidence, 48

of physician, see Privileged Communications

Brain, abscess of, 563

concussion of, 561

congestion of, in drowning, 796

extravasation of blood in, 565

post-mortem examination of, 362

wounds of, 569

Bullets, 595

loss of weight of, 601

track of, 595

Burking, 775

Burns, 360, 639

by acids, 641

burning oil, 640

corrosives, 641

electrical currents, 664, 676

flame, 640

fused metals, 640

lightning, 694

petroleum, 641

cases of, 657

causes of death by, 645

classification of, 642

constitutional effects of, 644

local effects of, 643

period of death from, 649

post-mortem appearances of, 647

whether ante- or post-mortem, 649

Cadaveric changes (see Post-mortem), 441

Cadaveric saponification, 451

Cases of burns, 657

of hanging, 760

of strangulation, 726

of suffocation, 787

Catalepsy, 822

Cause of death, see Coroners

from burns, 645

severe mechanical injury, 499

submersion, 797

wounds, 496, 497

Cause of Death,

hemorrhage as, 497

latent disease as, 503

shock as, 499

was it natural? 503

wounds as secondary, 509

Clothing, examination of, 352, 537

Cold, effects of extreme, 630

Combustion, spontaneous, 647

Communications, privileged (see Privileged Communications), 33

Compensation, see Physician and Patient; Expert Witness; Coroners; Medical Examiners

Concussion, 472

of brain, 561

spinal cord, 573

Congenital peculiarities, identity from, 403

Constitutionality of statutes regulating practice of medicine and surgery, 7-11

Contracts between physician and patient (see Physician and Patient), 25

Contre-coup, 559, 611

Contusions, 358, 467, 470, 523

by lightning, 695

of abdomen, 580

of head, 558

of neck, 570

Coroner (see Post-mortem Examinations), 331

is virtute electionis in America, 332

duties of, are both judicial and ministerial, 332

judicial authority of, relates to inquiries into cases of death, 332

jurisdiction of, 332

kinds of, at common law, 331

presumption that he has acted in good faith, 332

protected under same principles which protect judicial officers, 333

Effect of evidence and verdict, 343

at common law was equivalent to indictment by grand jury, 343

not so now, yet inquisition has same power until grand jury passes upon the case, 343

Evidence before, when admissible upon a subsequent trial, 344

Inquest, all evidence must be presented to jury, 342

coroner cannot hold a second inquest while the first is undischarged, 334

coroner has power to hold, 332, 334

is a judicial investigation, 333

must be held in view of the body, 335

separate inquests must be held over each of several bodies, 333

Jury and inquest, coroner may compel attendance of witnesses, 341

Jury and inquest, jurors must be from jurisdiction wherein coroner is empowered to act, 341

jurors must be sworn by coroner, 341

jurors must investigate and determine the facts, 341

jurors must view the body, 341

jurors not challengeable, 341

witnesses must be sworn by the coroner, 342

Massachusetts, see Medical Examiners

office abolished by statute in, 338

statutory provisions in, 338

who may hold an inquest, 338

New York, coroner may issue warrant of arrest of person charged with the death, 341

must, after examination of charges, hold defendant to answer or discharge him, 341

must proceed to examine charges against accused upon his arrest, 341

inquisition and testimony must be filed, 340

jurors must inspect the body and hear the testimony, 340

jury must render verdict and certify it by an inquisition, 340

six or more jurors must be sworn, 340

statutory provisions, 339

testimony must be reduced to writing, 340

when inquest may be held, 339

Powers of,

cannot delegate authority or appoint deputy, 333

contract will bind county for payment of reasonable compensation, 336

may employ professional skill to aid him, 335

may have body disinterred, 335

may issue process of apprehension, 343

Return of inquisition, 342

inquisition should be signed by the coroner and jury, 343

should certify that witnesses before the coroner were sworn, 343

verdict of the jury is final, 342

Rights of accused party before, 342

has not the right to be represented by counsel or to cross-examine witnesses, 342

is not permitted to produce witnesses to show himself innocent, 342

privilege of prisoner upon arrest, 344

testimony may be taken by the coroner in his absence, 342

under New York criminal code defendant is entitled to a hearing before a magistrate, 344

Craniometry, 394

Cremation, 389

Custom of physicians to serve each other gratuitously, 52

Dead Body,

autopsies, 301, 349

changes in, 441

chemical examination of, 303

cooling of, 441

coroners’ duties concerning (see Legal Status of, Appendix), 301

crimes against (see Legal Status of, Appendix), 299

disposal of, 298

dissection, when permitted (see Legal Status of, Appendix), 302

district attorney’s powers concerning, 303

duty of burial, 298

examination of gunshot wounds, 610

exhumation of, 300

external examination of, 358

flaccidity of, 442

internal examination of, 360

legal status of, 297

Appendix, giving statutes concerning, 304

physical examination of (see Autopsies), 302

post-mortem examination of (see Autopsies; Post-mortem Examiners), 303

putrefaction of, 445

right of burial or removal, 301

saponification of, 451

seizure for debt forbidden, 299

statutes regulating interment or exhumation, etc., generally, 304

Alabama, 309

Arizona, 309

Arkansas, 309

California, 310

Colorado, 311

Connecticut, 311

Delaware, 312

Florida, 312

Georgia, 312

Idaho, 313

Illinois, 313

Indiana, 313

Iowa, 314

Kansas, 314

Kentucky, 314

Louisiana, 315

Maine, 315

Maryland, 315

Massachusetts, 316

Michigan, 316

Minnesota, 317

Mississippi, 317

Missouri, 318

Montana, 318

Nebraska, 318

Nevada, 319

New Hampshire, 319

New Jersey, 320

New Mexico, 320

New York, 320

North Carolina, 321

North Dakota, 321

Ohio, 322

Oklahoma, 322

Oregon, 323

Pennsylvania, 323

Rhode Island, 324

South Carolina, 324

Tennessee, 324

Texas, 325

Vermont, 325

Virginia, 325

Washington, 326

West Virginia, 326

Wisconsin, 326

temperature of, 441, 453

Death, apparent, 439

from anÆsthetics, 516

burns, causes of, 645

period of, 649

whether accidental, suicidal, or homicidal? 657

cold, 633

post-mortem appearances in, 634

electrical currents, 683

hanging, proof of, 757

latent disease, 503

natural causes, 503

slight injuries, 507

starvation, 813

strangulation, proof of, 721

submersion, 794, 798

suffocation, proof of, 784

surgical operations, 515, 624

wounds, causes of, 496, 497

signs of, 440

time of, 437

Deformities, identity from, 403

Delirium tremens, 514, 624

Diaphragm, rupture of, 579

wounds of, 579

Diploma or license, how proved in court, 20

Dislocations, 476

Drowning (see Submersion), 793

Ecchymoses, 467

ante-mortem, 444

post-mortem, 443, 444, 485

Electric cars, 668

Electric light, effects of, on eyes, 676

Electrical apparatus, injuries from, 664

Electrical currents, burns from, 664, 676

direct injuries from, 671

direct symptoms of injury from, 676

fatal, 682

high tension, 666

indirect injuries from, 670

injury from, 664

internal symptoms caused by, 678

mechanical effects of, 675

mental symptoms from, 689

muscular contraction from, 677

Electrical resistance, 673

Electricity, 661

medical, 664

static, 673

Electrocution, 683

Erosion, 471

Erysipelas, 511

Examination of body, 537

of clothing, 537

of surroundings, 541

Excoriation, 471

Experiments, testing powder-marks, 613

with cadavers, 607

Expert witness (see Privileged Communications), 49-72

compensation of, 60

competency of, 61

conduct of, in court, 65

definition of, 53

examination of, scope of, 65, 68

impeachment of, 64

in civil and criminal cases, 61

medical books, how may be used in examining, 64

practical suggestions, 70

summons of court must be obeyed, 60

system in Germany and France compared with that in United States, 54

Exposure, effects of, 630

Extremities, wounds of, 589

Face, wounds of, 569

Falls, 549

Faradism, 672

Firearms, evidence from, 600

examination of, 612

Flash, identity by, 619

Footprints, 427

Fractures, 359, 474, 491, 553

by gunshot wounds, 610

of ribs, 574

skull, 559

spine, 571

spontaneous, 474

Gall-bladder, wounds and rupture of, 584

Garrotting, 571, 707

Genital organs, post-mortem examination of, 376

wounds of, 588

Gunshot wounds, see Wounds, Gunshot

HÆmatomata, 468

Hair, identity from, 406

on weapons, 535

Handwriting, 434

Hanging, 707, 735

accidental, cases of, 774

cases of, 760

homicidal, 759

cases of, 767

judicial, cases of, 770

post-mortem appearances, 746

proof of death by, 757

suicidal, 758

cases of, 760

symptoms in, 740

treatment in, 744

Health, Boards of, see Practice of Medicine and Surgery

physicians reporting contagious diseases to, not liable for mistaken reports, 23

powers, how governed, 23, 24

Head, post-mortem examination of, 361

wounds of, 557

Heart, in strangulation, 719

post-mortem examination of, 366

rupture of, 578

wounds of, 575

Heat, effects of extreme, 635

Hemorrhage, 483, 497, 716

Hypostases, 443, 716

internal, 444

Identification, 383

by flash of gunpowder, 619

from congenital peculiarities, 403

deformities, 403, 430

entire skeleton, 392

imprints, 427

injuries, 403

scars, 419

stigmata, 426

tattooings, 421

teeth, 401

in death from submersion, 802

of burnt remains, 389

human bones, 390

mutilated remains, 408

recently dead, entire cadaver, 415

surface signs for, 419

Imprints, 427, 542

Incised wounds, see Wounds

Infants, liability of, for medical services, 37

Information, duty of patient as to (see Physician and Patient), 33

Injuries, coagulation of blood in, 488

fatal, acts performed after, 493

identification from, 403

medical inspection of, 101

of abdominal walls, 580

viscera, 580

spinal cord, 571

spine, 571

slight, death from, 507

whether ante- or post-mortem, 482

Inquest, see Coroners

Insane persons, liability of, for medical services, 39

Insolation, 636

Insulation of electrical conductors, 667

Intestines, post-mortem examination of, 371

wounds of, 586

Kidneys, post-mortem examination of, 370

rupture of, 584

wounds of, 584

Larynx, in death from hanging, 754

strangulation, 718

post-mortem examination of, 369

License (see Practice of Medicine and Surgery), 7

(or diploma), how proved in court, 20

licensed physician presumed competent as an expert witness, 58

licensed practitioner, pretending to be, when not a misdemeanor, 22

statutes requiring, constitutional, 7

suits cannot be maintained by persons without, 18

unlicensed practitioner not presumed competent as expert witness, 62

when may be compelled by courts, 14

when presumed, 19

Lightning, 690

burns from, 694

contusions by, 695

effects on internal organs, 702

loss of consciousness from, 696

memory from, 696

paralysis from, 697

pathology of, stroke of, 700

staining of skin by, 696

symptoms produced by, 693, 696

wounds by, 695

Liver, post-mortem examination of, 375

rupture of, 582, 808

wounds of, 582

Lungs, in death from strangulation, 719

submersion, 805

post-mortem examination of, 368

wounds of, 575

Lymphorrhagia, 470

Malpractice, 73-87

abortion is, 74

civil cases concerning, 80

contributory negligence in, 87

criminal cases concerning, 73

damages for, 83

definition of, 73

degree of care and skill in, 80

evidence in, 84

inspection before trial in, 85

partners liable for, 84

Mannlicher rifle, effects of, 619

Marks of powder, 608

Married women, liability of, for medical services, 37

Master, liability of, for services rendered servant, 39

Massage, not practising medicine or surgery, 28

Medical examiners, see Coroners

contract of coroner with, binds county to payment of reasonable compensation, 336

coroners may employ, 335

In Massachusetts:

cannot hold autopsy unless authorized, 338

cannot hold an inquest, 338

in place of coroners, 338

Medical societies, by-laws of, 15

fee bill, 22

Medicine and surgery, see Physician and Patient; and Practice of Medicine and Surgery

Muscular contraction, from electrical current, 677

Mutilated remains, identification of, 408

Nails, identification from, 406

Neck, contusions of, 570

wounds of, 569

Œsophagus, post-mortem examination of, 369

Overlying, 774

Pancreas, post-mortem examination of, 375

Patient, rights of, concerning confidential communications, 96

Physician, action for professional services, 133

his books containing confidential entries, 110

his rights and duties concerning confidential communications, 132

receiver not entitled to his books of account, 110

what is a professional capacity? 123

Physician and patient,

contracts between, compensation for services, 37

conditional and unconditional, 34

consulting physicians, 44

duties of patient, 29, 30

physician, 28

employment, how terminated, 26, 28, 30

may be declined, 24

estates of deceased persons, when liable for, 43

express or implied, 26

express, 27

implied, elements of, 28

infants, liability of, 43

insane persons, when liable, 45

married women, generally not liable, 43

masters, liable for services rendered servants, 45

measure of recovery for, 45

patient presumed liable, 37

person calling in physician not presumed liable, 36, 41

physicians treating each other, when they may recover, 47

railway company, when liable for, in case of accident, 42

railway physicians, authority of, 42

relation of physician and patient, 119

compensation for services, right to sue for in United States, 26

how lost, 19

students’ services, 44

skill and care required of (see Malpractice), 28, 31, 32, 33

schools of medicine not recognized by courts, 15

standard of school professed must be attained, 31

stranger may not be called in without patient’s consent, 29

Pithing, 572

Poisoning, 597

Position of victim, 541, 546

Post-mortem appearances, in death from burns, 647

cold, 634

hanging, 746

starvation, 822

strangulation, 713

submersion, 801, 804

sunstroke, 638

Post-mortem changes, 441

ecchymoses, 443, 485

hypostasis, 443

lividity, 443

rigidity, 442, 453

Post-mortem examinations (see Autopsies, Coroners), 354

when and ow made by coroner, 337

Post-mortem wounds, 355

Powder-marks, 608, 612

Practice of medicine and surgery (see Physician and Patient), 7-25

acquirement of right, regulated by statutes, 7

constitutionality of, statutes regulating, 8

criminal cases, proof of, 19, 22

license for, may be compelled, 14

how proved, 20

medical societies and by-laws of, 14

fee bills, 15

massage not, 22

patent medicines, 14

statutory regulations concerning, in:

Alabama, 137

Arizona, 139

Arkansas, 140

California, 141

Colorado, 144

Connecticut, 145

Delaware, 148

Dist. of Columbia, 149

Florida, 150

Georgia, 151

Idaho, 152

Illinois, 153

Indiana, 155

Iowa, 157

Kansas, 160

Kentucky, 160

Louisiana, 162

Maine, 164

Maryland, 165

Massachusetts, 167

Michigan, 167

Minnesota, 168

Mississippi, 169

Missouri, 171

Montana, 173

Nebraska, 175

Nevada, 177

New Jersey, 178

New Hampshire, 181

New Mexico, 181

New York, 183

North Carolina, 189

North Dakota, 191

Ohio, 193

Oklahoma, 193

Oregon, 194

Pennsylvania, 197

Rhode Island, 203

South Carolina, 203

South Dakota, 204

Tennessee, 205

Texas, 207

Utah, 209

Vermont, 211

Virginia, 212

Washington, 215

West Virginia, 219

Wisconsin, 222

Wyoming, 223

Great Britain, 224

Scotland, 224

England, 224

Ireland, 224

Brit. Columbia, 238

Manitoba, 242

N. Brunswick, 248

Newfoundland, 255

N. W. Terr., 258

Nova Scotia, 262

Ontario, 268

Prince Edw. Is., 278

Quebec, 284

Privileged communications, 91

cause of death, 111

communications to physician not privileged at common law, 91

“confidential communications,” 115, 118

between physician and patient, when privileged, 94

dependent upon professional capacity, 98

effect of excluding privileged evidence, 130

evidence admitted not to be commented on, 111

in criminal actions, 101

in lunacy proceedings, 103

of abortion, 102

of adultery, 102

of crime in civil actions, 101

of criminal intimacy, 102

of habitual drunkenness, 103

of value of physician’s services, 133

to establish privilege, 106

function of the court, 128

ground of privilege, 91

harmless admission no ground for exception, 111

how evidence of physician taken in New York, 97

how privilege established, 131

in actions for divorce, 102

in criminal actions, 101

“information,” 97, 115

“matters confided,” 99

“matter committed,” 97, 118

“matter necessary to enable a physician to prescribe or a surgeon to act,” 124

mental condition of patient, 103

necessity, 98

objections to evidence, 109

when made, 110

objection once made need not be repeated, 111

partner of physician, as privileged witness, 122

patient’s ignorance immaterial, 110

rights concerning confidential communications, 96

physician defined, 105

“duly authorized,” 105

as witness to establish privilege, 131

physician’s advice, 98

books, 110

cannot refuse to disclose when patient waives privilege, 99

knowledge, 98

presumption from failure to give privileged evidence, 130

privilege is patient’s, not physician’s, 107

“professional capacity,” 123

purpose of statutes prohibiting disclosures, 96

relation of physician and patient, 119, 122

result of legislation, 134

rights and duties of physician, 132

statutory privileges concerning confidential communications, 93

statutory privileges for waiver of privilege, 96

surgeon defined, 105

testamentary causes, 103

waiver after death of patient, in New York, 98

waiver of privilege after patient’s death, 108

by application for insurance, 111

by proof of death to insurance company, 111

by contract, 112

by infant, 108

by patient’s attorney, 107

by representative of deceased patient, 103

by requesting physician to witness will, 113

certificate of death, 115

effect of, 107, 110

infant’s, 113

taking physician’s deposition, 112

testimony of patient, 111

what constitutes, 111

what evidence is excluded, 97

what is privileged, 115

when patient may be contradicted by physician, 112

who may waive, 106

whose testimony is privileged, 105

witness, 97

Projectile, course of, 615

evidence from, 600

Punctured wounds, see Wounds

Putrefaction, 445, 453

circumstances favoring, 447

retarding, 448

of immersed bodies, 450, 810

PyÆmia, 511

Race, determination of, from hair, 393

skeleton, 393

Railway companies, when liable for medical services, 41

Railway physicians, authority as to employing nurses, 42

Reports, medico-legal, 381

Resistance, electrical, 673

Respiration, suspended, 439

Ribs, fracture of, 574

Rifle, Mannlicher, 619

Rigor mortis, 442, 453, 701

Rupture of abdominal organs, 582

bladder, 585

gall-bladder, 584

of heart, 578

internal organs, 553

kidneys, 584

liver, 582, 808

spleen, 584

stomach, 586

Saponification, 451

Scalds, 639

Scars, in relation to identity, 419

Schools of medicine not recognized by courts, 15

SepticÆmia, 510

Sex, determination of, 400

Sharks, bites of, 808

Shock, 499

Shot-guns, wounds by, 607

Signs of death, 440

Skin, marks on, 419

Skull, fracture of, 559

measurements of, 394

Small shot, wounds by, 617

Smothering, 774

Spinal cord, concussion of, 573

post-mortem examination of, 377

wounds of, 571

Spine, dislocation of, 572

fracture of, 571

wounds of, 571

Spleen, post-mortem examination of, 371

rupture of, 584

wounds of, 584

Spontaneous combustion, 647

Stabs, 463

Stains, could assailant have escaped without? 538

Starvation, acute, 817

chronic, 818

death from, 813

diseases produced by, 824

or disease, which was cause of death? 823

period of death from, 820

post-mortem appearances in, 822

whether accompanied by other ill-treatment, 822

Stature, determination of, 398

Sternum, fracture of, 574

Stigmata, 426

Stomach, post-mortem examination of, 373

rupture of, 586

wounds of, 586

Strangulation, 707, 708

accidental, 724

cases of, 734

cases of, 726

external appearances due to, 713

homicidal, 725

cases of, 726

internal appearances due to, 727

post-mortem appearances, 713

proof of death by, 721

simulated, 725

stages of, 710

suicidal, 724

cases of, 732

symptoms of, 708

treatment of, 712

Struggle, signs of, 536

Submersion, 793

asphyxia by, 796

cadaveric signs in death by, 804

circumstances modifying time of, 810

definition of, 796

mode of death by, 797

post-mortem appearances, 801

stages and symptoms of death by, 798

treatment of apparently drowned, 802

whether accidental, suicidal, or homicidal, 807

Suffocation, 707, 774

accidental, 785

cases of, 787

by submersion, 796

cases of, 787

external causes of, 774

homicidal, 785

cases of, 790

internal causes of, 775

mechanical, 705

post-mortem appearances, 781

proof of death by, 784

suicidal, 785

cases of, 790

symptoms of, 777

treatment, 779

Sunstroke, 636

Surgeon, definition of term, 56

duties of, see Physician and Patient

Surgical operations, death from, 515

Survival, 556

Syncope, 796, 799

Tattooing, 421

Teeth, determination of identity from, 401

Temperature of body, 629

of dead body, 441, 453

Tetanus, 513

Thorax, post-mortem examination of, 365

wounds of, 573

Time of death, 437

how determined, 452

Veins, air in, 579

wounds of, 578

Weapons, 353, 524

evidence from, 600

as to origin of wounds, 533, 549

examination of, 612

presence of blood and hair on, 535

was it fired from a distance or near? 612

Witness, see Expert Witness; Privileged Communications

physician as expert and ordinary witness, 50

when must testify as, 60

Wounds, 358, 457

as directly cause of death, 497

as secondary cause of death, 509

by what instrument made? 517, 524

cause of death from, 496, 497

coagulation of blood in, 488

consequences of non-fatal, 556

contused, 467, 470, 523

death from, after long periods, 508

definitions of, 459

description of, 482

direction of, 529

eversion of lips of, 489

evidence from weapon, 533, 549, 600

examination of, 476

from crushing, 553

falling, 549

lightning, 695

gunshot, 593

by blank charges, 617

by shot-guns, 607

gunshot, by small shot, 617

complications of, 624

course of projectile, 615

death from surgical operations in, 624

description of, 594

dimensions of perforations, 609

direction of, 599

examination of, 594

of body in, 610

of entrance, 614

of exit, 614

situation of, 598

treatment of, 620

imputed, 544

incised, 460, 517, 557

diagnosis of, 462

kinds of, 459

lacerated, 471, 523

mortal, 460

nature of, 548

number and extent of, 531

of abdominal viscera, 580

walls, 580

arteries and veins, 578

bladder, 585

brain, 569

diaphragm, 579

extremities, 589

face, 569

gall-bladder, 584

genital organs, 588

head, 557, 558

heart, 575

intestines, 586

kidneys, 584

liver, 582

lungs, 575

neck, 569

spinal cord, 571

spine, 571

spleen, 584

stomach, 586

thoracic viscera, 573

thorax, 573

throat, incised, 526

origin of, evidence from weapons, 533, 549

punctured, 463, 518, 557

regionally considered, 557

retraction of sides of, 490

severe, 460

situation and position of, 527, 548

slight, 460

whether accidental, 547

ante-mortem or post-mortem, 482

necessarily the cause of death, 500

self-inflicted or by another, 525, 544, 548

which of several was first inflicted? 544

two was cause of death? 500


                                                                                                                                                                                                                                                                                                           

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