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Medical examiners frequently have to examine a body that has been severely exposed to the elements. It is therefore important to notify the forensic medicine expert of any unusual environmental contaminates, such as dirt or wildlife, found on the body during a body assessment. All other materials found in contact with the body should be identified and logged and a copy retained. The environment assessment also includes items found at the scene: should they be cleaned or handled? Examples of debris found on a decedent's person include lint, dirt, hair and fibers. This information should be recorded in the body assessment form as a debris type. Debris connected to a case scenario includes cigarette butts, marijuana, papers, plastic or cell phone pieces, glass and metal. A narrative description of any human remains other than the decedent must be noted. All of the body's cavities (except the skull) such as the nose, mouth, ears, eyes and groin should be examined during a body assessment (Dix et al., 1999).

If left untreated, open wounds can lead to infection and sepsis. If exposed bone is observed, take photographs and describe thin layer bone callus present at the wound site. If a wound is fresh and the examiner cannot determine the presence of an infectious organism, digital pictures may be recorded and forwarded to the laboratory for culture. In the case of older wounds, a 3-dimensional (3-D) computerized tomographic (CT) scan may be used for a more accurate assessment. Examination of the body should include all areas of previous trauma or injury as well as the lividity. Lividity is defined as the coloration of the skin -or other tissue- due to the transfer of blood to the tissue after death. The coloration of the skin is achieved by factor 1 myoglobin, while blood pools are darkest in the most peripheral areas; therefore, two types of lividity can be observed. Type I lividity is documented by darkening from central blanching to petechial hemorrhagic peripherally. Type II is documented by a non-blanching area with a gray-blue tinted skin. In cases of extensive death trauma, one must note the location and condition of the skeletal remains. This is done so that any evidence found on the skeletal remains will be reported properly in the body assessment record. d2c66b5586