2024
The National Association of Medical Examiners Position Paper on the Investigation and Certification of Pediatric Deaths From Environmental Neglect
Gill J, Christensen E, Dennison E, Ely S, Gilson T, Keyes K, Lear K, Lucas J, Mahar T, Quinton R. The National Association of Medical Examiners Position Paper on the Investigation and Certification of Pediatric Deaths From Environmental Neglect. American Journal Of Forensic Medicine & Pathology 2024, 45: e1-e4. PMID: 38215052, DOI: 10.1097/paf.0000000000000911.Peer-Reviewed Original ResearchConceptsPublic interestMedical examiner/coronerPediatric deathsDeath certificatesLocal customsPublic health determinantsNational AssociationCertificationHealth determinantsStatistical purposesUnsafe sleep practicesOpinionDeterminant issuesEnvironmental neglectPosition paperHomicideJudgesJurySleep practicesCertified trainingEnvironmental exposuresNeglectEnvironmentalInterestNational
2023
Assessing Neglect in Pediatric Environmental Deaths
Mahar T, Keyes K, Ely S, Dennison E, Gill J. Assessing Neglect in Pediatric Environmental Deaths. American Journal Of Forensic Medicine & Pathology 2023, 44: 251-257. PMID: 37728903, DOI: 10.1097/paf.0000000000000882.Peer-Reviewed Original Research
2022
Autopsy Histopathologic Cardiac Findings in 2 Adolescents Following the Second COVID-19 Vaccine Dose.
Gill J, Tashjian R, Duncanson E. Autopsy Histopathologic Cardiac Findings in 2 Adolescents Following the Second COVID-19 Vaccine Dose. Archives Of Pathology & Laboratory Medicine 2022, 146: 925-929. PMID: 35157759, DOI: 10.5858/arpa.2021-0435-sa.Peer-Reviewed Original ResearchConceptsCardiac findingsSecond COVID-19 vaccine doseCOVID-19 vaccine doseCoronavirus disease 2019Vaccine doseCytokine stormSecond doseMyocardial injuryAutopsy investigationMRNA vaccinesTypical histopathologyDisease 2019MyocarditisAdolescent deathsDoseAdministrationMicroscopic examinationInjuryTeenage boysAdolescentsHistopathologyTherapyVaccineCatecholaminesFindings
2021
Epidemiology and autopsy findings of 500 drowning deaths
Girela-López E, Beltran-Aroca C, Dye A, Gill J. Epidemiology and autopsy findings of 500 drowning deaths. Forensic Science International 2021, 330: 111137. PMID: 34894613, DOI: 10.1016/j.forsciint.2021.111137.Peer-Reviewed Original ResearchConceptsDrowning deathsSignificant public health problemPopulation-based analysisUnintentional injury deathsDate of deathPublic health problemChief Medical ExaminerCircumstances of deathManner of deathCerebral edemaLung weightPulmonary edemaHeavy lungsBrain weightAutopsy findingsInjury deathsAnatomic findingsOrgan weightsSex distributionPostmortem diagnosisLarge seriesHealth problemsSaltwater drowningLungDeath rateImprovements in Toxicology Testing to Identify Fentanyl Analogs and Other Novel Synthetic Opioids in Fatal Drug Overdoses, Connecticut, January 2016–June 2019
Clinton HA, Thangada S, Gill JR, Mirizzi A, Logan SB. Improvements in Toxicology Testing to Identify Fentanyl Analogs and Other Novel Synthetic Opioids in Fatal Drug Overdoses, Connecticut, January 2016–June 2019. Public Health Reports 2021, 136: 80s-86s. PMID: 34726973, PMCID: PMC8573780, DOI: 10.1177/00333549211042829.Peer-Reviewed Original ResearchConceptsDrug overdose deathsOverdose deathsFatal drug overdosesToxicology testingDrug overdosesSynthetic opioidsFentanyl analogsNovel syntheticChief Medical ExaminerNovel synthetic opioidsToxicology resultsConnecticut OfficeTesting panelsStudy periodDeathOpioidsMedical examinersOverdosesToxicology laboratoriesToxicologyTotal occurrenceTestingYearsPrevalence
2020
Xylazine, a Veterinary Tranquilizer, Detected in 42 Accidental Fentanyl Intoxication Deaths.
Nunez J, DeJoseph ME, Gill JR. Xylazine, a Veterinary Tranquilizer, Detected in 42 Accidental Fentanyl Intoxication Deaths. American Journal Of Forensic Medicine & Pathology 2020, 42: 9-11. PMID: 33031124, DOI: 10.1097/paf.0000000000000622.Peer-Reviewed Original ResearchConceptsChemical structureEmergency medicine physiciansFatal drug intoxicationLack of responseTransient hypertensionIntoxication deathsDrug intoxicationMuscle relaxationMedicine physiciansXylazineIllicit drugsFentanylPublic healthDrugsDeathVeterinary medicineAdulterantsHypotensionAnalgesiaHypertensionClonidineBradycardiaNaloxoneSedativesTherapyThe Importance of Proper Death Certification During the COVID-19 Pandemic
Gill JR, DeJoseph ME. The Importance of Proper Death Certification During the COVID-19 Pandemic. JAMA 2020, 324: 27-28. PMID: 32520302, DOI: 10.1001/jama.2020.9536.Peer-Reviewed Original ResearchAutopsy Services and Emergency Preparedness of a Tertiary Academic Hospital Mortuary for the COVID-19 Public Health Emergency: The Yale Plan
McGuone D, Sinard J, Gill JR, Masters A, Liu C, Morotti R, Parkash V. Autopsy Services and Emergency Preparedness of a Tertiary Academic Hospital Mortuary for the COVID-19 Public Health Emergency: The Yale Plan. Advances In Anatomic Pathology 2020, 27: 355-362. PMID: 32649315, DOI: 10.1097/pap.0000000000000274.Peer-Reviewed Original ResearchConceptsAcute respiratory syndrome coronavirus 2 pandemicSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemicHealth care worker safetyCoronavirus 2 pandemicCOVID-19 public health emergencyHigh-quality patient carePublic health emergencyCorona Virus DiseaseEarly response phaseInfection controlPatient careTissue retrievalAutopsy serviceMortuary servicesHospital mortuaryAutopsiesHealth emergencyPatient flowNovel diseaseVirus diseasePlateau phaseDiseasePandemicRecent memoryEmergency preparednessStructural abnormalities in the human diaphragm in drowning and hanging deaths: preliminary results
Girela-López E, Beltran-Aroca C, Jimena I, Pérez-Jorge P, Ramos-Medina V, Ruz-Caracuel I, Gill J, Peña-Amaro J. Structural abnormalities in the human diaphragm in drowning and hanging deaths: preliminary results. Forensic Science, Medicine And Pathology 2020, 16: 265-271. PMID: 32172482, DOI: 10.1007/s12024-020-00235-2.Peer-Reviewed Original ResearchConceptsRagged red fibersHistological changesStructural abnormalitiesCardiac death groupIntense muscle contractionNicotinamide adenine dinucleotide tetrazolium reductaseRespiratory musclesDeath groupDisease deathsMuscular changesCardiac diseaseMechanical traumaCytoarchitectural changesHematoxylin-eosinHuman diaphragmMuscle contractionHistochemical examinationSkeletal muscleBlood circulationRed fibersMuscle fibersConclusionsOur resultsIntense hypoxiaDeathLesser extent
2019
Medicolegal Investigation for Cremation Clearance: How and Why?
Gill J, Olko H, DeJoseph M. Medicolegal Investigation for Cremation Clearance: How and Why? American Journal Of Forensic Medicine & Pathology 2019, 40: 238-241. PMID: 30969176, DOI: 10.1097/paf.0000000000000479.Peer-Reviewed Original ResearchCold Case Homicides: DNA Testing of Retained Autopsy Sexual Assault Smears
Clark M, Gill J, Sasinouski K, McGuire A. Cold Case Homicides: DNA Testing of Retained Autopsy Sexual Assault Smears. Journal Of Forensic Sciences 2019, 64: 1100-1104. PMID: 30731031, DOI: 10.1111/1556-4029.14023.Peer-Reviewed Original Research
2018
U.S. Medical Examiner/Coroner capability to handle highly infectious decedents
Le AB, Brooks EG, McNulty LA, Gill JR, Herstein JJ, Rios J, Patlovich SJ, Jelden KC, Schmid KK, Lowe JJ, Gibbs SG. U.S. Medical Examiner/Coroner capability to handle highly infectious decedents. Forensic Science, Medicine And Pathology 2018, 15: 31-40. PMID: 30402743, PMCID: PMC7090777, DOI: 10.1007/s12024-018-0043-2.Peer-Reviewed Original ResearchConceptsME/COverall response rateElectronic surveyMedical examinersEvidence-based informationPersonal protective equipmentME/CsPersonal protective equipment selectionHalf of respondentsUnexpected deathResponse rateInfectious diseasesProtective equipmentStandardized educationDistrict of ColumbiaDecedentsDeathStandard operating proceduresDeceased personsExaminersHazard approachInfectionDisease
2016
From Death to Death Certificate: What do the Dead say?
Gill JR. From Death to Death Certificate: What do the Dead say? Journal Of Medical Toxicology 2016, 13: 111-116. PMID: 27139707, PMCID: PMC5330954, DOI: 10.1007/s13181-016-0551-y.Peer-Reviewed Original Research
2014
Adverse medical complications: an under-reported contributory cause of death in New York City
Gill J, Ely S, Toriello A, Hirsch C. Adverse medical complications: an under-reported contributory cause of death in New York City. Public Health 2014, 128: 325-331. PMID: 24679413, DOI: 10.1016/j.puhe.2013.12.003.Peer-Reviewed Original ResearchConceptsNew York City BureauAdverse medical eventsTherapeutic complicationsManner of deathMedical eventsVital statisticsCause of deathTimes more deathsDeath Certification SystemMedical Examiner's OfficeMedical examiner recordsSurgical complicationsRetrospective reviewAppropriate therapyPredictable complicationsDeath certificatesSurgical careComplicationsPreventative strategiesMore deathsMedical interventionsNew York CityContributory causeDeathHealthcare facilitiesThe syndrome of excited delirium
Gill J. The syndrome of excited delirium. Forensic Science, Medicine And Pathology 2014, 10: 223-228. PMID: 24526411, DOI: 10.1007/s12024-014-9530-2.Peer-Reviewed Original ResearchMeSH KeywordsAsphyxiaAutopsyConducted Energy Weapon InjuriesDeliriumDiagnosis, DifferentialDrug-Related Side Effects and Adverse ReactionsForensic MedicineHumansIrritantsOmega-ChloroacetophenonePhysical ExertionProfessional RolePsychomotor AgitationPsychotic DisordersRestraint, PhysicalStress, PhysiologicalSubstance-Related DisordersSyndromeWounds and InjuriesConceptsExcited delirium syndromeExcited deliriumBlunt traumaNatural diseaseNeck compressionPotential causesLife-threatening conditionCause of deathMedical examiner/coronerMechanism of deathMultiple potential causesDelirium syndromeAutopsy findingsDrug intoxicationPsychiatric illnessDeliriumFatal instancesPathologist's roleSyndromeDeathDiseaseCauseTraumaForensic pathologist’s roleVariety of factors
2013
Cadaveric spasm
Gill J. Cadaveric spasm. Forensic Science, Medicine And Pathology 2013, 9: 251-252. PMID: 23397563, DOI: 10.1007/s12024-013-9405-y.Peer-Reviewed Original Research
2012
Fatal Diabetic Ketoacidosis and Antipsychotic Medication
Ely S, Neitzel A, Gill J. Fatal Diabetic Ketoacidosis and Antipsychotic Medication. Journal Of Forensic Sciences 2012, 58: 398-403. PMID: 23278567, DOI: 10.1111/1556-4029.12044.Peer-Reviewed Original ResearchConceptsFatal diabetic ketoacidosisDiabetic ketoacidosisAntipsychotic medicationSecond-generation antipsychotic medicationsNew-onset diabetesGeneration antipsychotic medicationsAtypical antipsychotic medicationsCause of deathCertain antipsychotic medicationsMedical examiner recordsInitial presentationMajor depressionOnset diabetesDeath certificatesPsychiatric disordersMedicationsPsychiatric patientsDeathInvestigators' reportsToxicology dataKetoacidosisHyperglycemiaSchizophreniaImmediate causeCauseReliability of Postmortem Fentanyl Concentrations in Determining the Cause of Death
Gill J, Lin P, Nelson L. Reliability of Postmortem Fentanyl Concentrations in Determining the Cause of Death. Journal Of Medical Toxicology 2012, 9: 34-41. PMID: 22890811, PMCID: PMC3576505, DOI: 10.1007/s13181-012-0253-z.Peer-Reviewed Original ResearchConceptsPostmortem fentanyl concentrationsFentanyl concentrationsBlood concentrationsPostmortem concentrationsFentanyl blood concentrationsPostmortem toxicology analysisBody mass indexSubstance Abuse DeathsFentanyl transdermal patchCause of deathMedical examiner/coronerMulti-drug intoxicationsMedical examiner reportsMarked painManner of deathIntoxication deathsMass indexTherapeutic complicationsToxicology resultsPostmortem releaseAdipose tissueFentanylSignificant depotH doseSubstance abuseFatalities Temporally Associated with the Ingestion of Ibogaine
Alper K, Stajić M, Gill J. Fatalities Temporally Associated with the Ingestion of Ibogaine. Journal Of Forensic Sciences 2012, 57: 398-412. PMID: 22268458, DOI: 10.1111/j.1556-4029.2011.02008.x.Peer-Reviewed Original ResearchConceptsApparent risk factorsUse of ibogaineMedical comorbiditiesOpioid detoxificationPostmortem evidenceConsecutive seriesRisk factorsCharacteristic syndromeNonmedical settingsNineteen individualsPostmortem dataUse indicationsIbogainePlant alkaloidFatalitiesComorbiditiesSeizuresSyndromeNeurotoxicityBenzodiazepinesIngestion
2011
Fatal exsanguination from hemodialysis vascular access sites
Gill J, Storck K, Kelly S. Fatal exsanguination from hemodialysis vascular access sites. Forensic Science, Medicine And Pathology 2011, 8: 259-262. PMID: 22160736, DOI: 10.1007/s12024-011-9303-0.Peer-Reviewed Original ResearchConceptsKidney failureHemodialysis vascular access sitesHypertensive cardiovascular diseaseVascular access siteExtensive blood lossFatal exsanguinationShunt pressureManner of deathBlood lossMedical complicationsTherapeutic complicationsCardiovascular diseaseAccess siteCommon causeVascular sitesShunt siteSubcutaneous locationDeath statementsHemorrhageDeathRapid deathComplicationsDiseaseExsanguinationCause