Preface to the Second Edition

The field of clinical forensic medicine has continued to flourish and progress, so it is now timely to publish Clinical Forensic Medicine: A Physician's Guide, Second Edition, in which chapters on the medical aspects of restraint and infectious diseases have been added.

Police officers are often extremely concerned about potential exposure to infections, and this area is now comprehensively covered. The results of the use of restraint by police is discussed in more detail, including areas such as injuries that may occur with handcuffs and truncheons (Chapters 7, 8, and 11), as well as the use of crowd-control agents (Chapter 6). The chapter on general injuries (Chapter 4) has been expanded to include the management of bites, head injuries, and self-inflicted wounds.

Substance misuse continues to be a significant and increasing part of the workload of a forensic physician, and the assessment of substance misuse problems in custody, with particular emphasis on mental health problems ("dual diagnosis"), has been expanded. Substance misuse is too often a cause of death in custody (Chapter 10).

Traffic medicine is another area where concerns are increasing over the apparent alcohol/drugs and driving problem. There has been relevant research conducted in this area, which is outlined Chapter 12.

Forensic sampling has undergone enormous technological change, which is reflected in the chapter on sexual assault examination (Chapter 3).

The chapter on the history and development of clinical forensic medicine worldwide has been updated (Chapter 1). Chapters on fundamental principles (Chapter 2), nonaccidental injury in children (Chapter 5), and care of detainees (Chapter 8) are all fully revised, as are the appendices (now containing a list of useful websites). Although the subject is constantly evolving, some fundamental principles remain.

I was very pleased with the response to the first book, and there appears to be a genuine need for this second edition. I hope the good practice outlined in this book will assist forensic physicians in this "Cinderella speciality."

Margaret M. Stark

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