Schmeling Andreas, Klein Annelies, Bajanowski Thomas
Institut für Rechtsmedizin, Universitätsklinikum Münster, Röntgenstr. 23, 48149, Münster, Deutschland.
, Dresden, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Dec;62(12):1452-1457. doi: 10.1007/s00103-019-03043-4.
In Germany, the system of external post-mortem examinations is regulated by state law. In order to standardize the performance of external post-mortem examinations as far as possible throughout Germany, the German Society of Legal Medicine developed the S1 guideline "Rules for the performance of external post-mortem examination." The current version of this guideline was published on the Association of the Scientific Medical Societies in Germany (AWMF) homepage in November 2017. The guideline explains in detail the reliable determination of death, the diagnosis of the cause of death, the classification of the manner of death, the estimation of the time of death, and the reporting obligations of the post-mortem examination physician. Detailed information is provided on the examination of the corpse. A careful performance of the external post-mortem examination avoids false death determinations, lies in the presumed will of the deceased, and serves to protect the interests of the bereaved. In addition, it is of importance to society as a whole in that communicable diseases and legally relevant deaths are identified. Finally, the validity of cause-of-death statistics is improved, which can have far-reaching consequences for health-related policy decisions. In this article the main rules of the guideline are described.
在德国,外部尸体检验系统由州法律监管。为了尽可能在全德国规范外部尸体检验的操作,德国法医学协会制定了S1指南“外部尸体检验操作规则”。该指南的当前版本于2017年11月在德国科学医学协会(AWMF)的主页上发布。该指南详细解释了死亡的可靠判定、死因诊断、死亡方式分类、死亡时间估计以及尸体检验医师的报告义务。提供了关于尸体检验的详细信息。认真进行外部尸体检验可避免错误的死亡判定,符合死者的推定意愿,并有助于保护死者家属的利益。此外,它对整个社会也很重要,因为可以识别出传染病和具有法律相关性的死亡情况。最后,死因统计的有效性得到提高,这可能对与健康相关的政策决策产生深远影响。本文将描述该指南的主要规则。