2. You are present at an autopsy of a 13-year-oldmale. The deputy coroner informs the forensic pathologistthat the decedent, a seventh grader, was walking home from schoolyesterday at approximately 1530 hours. As he walked by theathletic field, someone at baseball practice hit a ball that struckthe decedent in the right temple. He immediately fell to theground, unconscious. The baseball coach ran to hisassistance. Within approximately a minute of the coach'sarrival, the young man regained consciousness. The coach toldhim to lie still, but the boy insisted on getting up, adamantlystating that he was all right.
He did stand up, had no apparent difficulty in walking, andproceeded out of the school grounds, the coach watching hisprogress for about a block. The coach returned to baseballpractice, but at approximately 1555, a student came running ontothe school grounds. The student indicated that he had seenthe boy, who had been struck in the head, fall to the ground about5 minutes before, and that he was now lying on a street corner,three blocks away, and could not be awakened. The coachcancelled practice, put the student who had reported the incidentinto his car, and drove to the scene, a deserted area of housesthat were vacant in anticipation of freeway construction. Theboy who had been struck in the head was indeed unarousable, but wasbreathing, and had a slow, full pulse. Not having a cellphone, the coach was going to take the boy to a hospital, but forwhatever reason said to the student with him, "You don't happen toknow where this kid lives do you"? The student replied, "Twodoors down from me." The coach asked, "Does his Mom work," towhich the student responded "Naw, she sits and watches soap operaseveryday."
The coach decided to take the boy home, and placed him into hiscar, along with the student-neighbor. Upon arrival at thehouse, the Mother did not seem to grasp the potential gravity ofthe situation. She said, "Well, we'll put some coldcompresses on his head, that will probably help." The coachencouraged her to call Emergency Medical Services. Shefinally agreed to call the pediatrician, who also was not excitedabout the situation. He said, "Why don't you bring him intothe Emergency Department; I'll call ahead and order some tests, andI'll see him after office hours."
The coach arrived at a local hospital with the Mother and, herstill unconscious, son at 1650. At 1652, the boy sufferedrespiratory arrest, followed by cardiac arrest, and could not beresuscitated despite aggressive and prolonged efforts.
The forensic pathologist loves to teach, and knows youtook courses in Forensic Pathology as part of your Masters inForensic Science degree. He turns to you, and says "Before Iopen the head and body, based upon the history we just heard, whatis the most likely cause of this poor boy's death. What is your best assessment of what happened to him,anatomically andphysiologically?"
2. You are present at an autopsy of a 13-year-old male. The deputy coroner informs the forensic pathologist that the d
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