31st Annual

Forensic Science Seminar October 9-10, 2014 Presented by Hennepin County Medical Examiner’s Office Minnesota Coroners’ and Medical Examiners’ Association Jointly sponsored by Minnesota Medical Association Hennepin County Medical Examiner’s Office Minnesota Coroners’ and Medical Examiners’ Association

Visit our website! We invite you to visit the MC&MEA website for the most up-to-date information on the 31st Annual Forensic Science Seminar.

From this site you can: • Download seminar handouts (when available) and additional seminar registration forms. • Get driving directions to the seminar. • Find useful links and forms. • Learn more about the Minnesota Coroners’ and Medical Examiners’ Association.

http://mncmea.org

Target audience Physicians Medical personnel Attorneys Law enforcement Death investigators Morticians/funeral directors

Continuing Education Credit • Legal (CLE) • Peace Officers Standards and Training (POST) • Medical Examiner/Coroner Investigators (ABMDI) • Medical (CME‡, Nursing CEUº) • Mortuary Science CEUs (MDH-MSS) Application has been filed for CLE, POST, ABMDI and AAFP credits with the proper accrediting organizations. Determination of credit is pending. This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Minnesota Medical Association, the Hennepin County Medical Examiner’s Office and the Minnesota Coroners’ and Medical Examiners’ Association. The Minnesota Medical Association (MMA) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

‡

The Minnesota Medical Association (MMA) designates this live activity for a maximum of 17 AMA PRA Category 1 Credits™. Physicians should claim only credits commensurate with the extent of their participation in the activity. º This activity is designed to meet the Minnesota Board of Nursing’s continuing education requirements. Nurses are responsible for determining whether this activity meets the requirements for acceptable continuing education credit.

Program — Day One Thursday, October 9, 2014 7 a.m.

REGISTRATION (complimentary refreshments)

7:30-7:45 Introduction Lorren W. Jackson, M.D.

7:45-8

Chronic traumatic encephalopathy: Integrating the clinical findings and the neuropathology R. Ross Reichard, M.D. Describe the clinical presentation and progression of chronic traumatic encephalopathy (CTE); describe the neuropathological staging of CTE; describe the pathophysiology of traumatic brain injury and the potential associations with neurodegenerative diseases.

8-8:45

Sudden natural deaths Jessica S. Lelinski, M.D. Describe the most common causes of sudden natural death in adults and corresponding autopsy findings.

8:45-9

Body packing deaths Vincent Tranchida, M.D. Review classic and unusual presentations of “body packing” deaths, and obtain some practical suggestions for investigators on how to approach these cases.

9-9:15

Investigation of railway deaths Mark A. Koponen, M.D. Recognize the importance of a thorough investigation, including scene investigation, autopsy and toxicology in the final determination of the cause and manner of death in railway deaths.

9:15-10

The walking drugged and non-walking dead Kirk A. Hughes, RN, EMT, CSPI Discuss current usage trends of prescription, street, and synthetic drug abuse; identify morbidity and mortality of street and synthetic drug use; recognize that drug overdoses cause more morbidity than motor vehicle crashes in the US.

10-10:15 BREAK (refreshments served)

10:15-11

The Oklahoma tornadoes of 2013: Lessons (re-) learned in mass fatality management Eric A. Pfeifer, M.D. Understand the spring 2013 tornadoes and their lethality; identify the issues encountered during this mass fatality response and be able to incorporate useful elements into your own mass fatality planning.

11-12

The murder of Kira Steger and the trial of Jeffery Trevino Part I Sgt. Paul Dunnom, Lindsey G. Garfield, B.A., Michael B. McGee, M.D., Richard J. Dusterhoft, J.D., Andrew R.K. Johnson, J.D. Understand the investigation, forensics, medical examination and legalities of the actions that Jeffery Trevino caused to end the life of his wife, Kira Steger.

12 p.m. -1

LUNCH (included in registration fee)

1-2

The murder of Kira Steger and the trial of Jeffery Trevino Part II Sgt. Paul Dunnom, Lindsey G. Garfield, Michael B. McGee, M.D., Richard J. Dusterhoft, J.D., Andrew R.K. Johnson, J.D. Understand the investigation, forensics, medical examination and legalities of the actions that Jeffery Trevino caused to end the life of his wife, Kira Steger.

2-2:30

The suicide bereaved: Helping them heal Daniel J. Reidenberg, Psy.D., BCPC, CMT, FAPA, DAPA, CRS Recognize the importance of the shock of those bereaved by suicide; describe the differences between suicide death experiences for survivors and other death experiences; learn how to maintain objectivity in an overly emotional situation.

2:30-2:45 BREAK (refreshments served) 2:45-3

When is a seizure death not a seizure death? Mitchel K. Morey, M.D. Appreciate the distinctions between the causes, manners, and mechanisms of seizurerelated deaths.

3-3:30

Ambien zombies: The pharmacology and side effects of the world’s most popular prescription sleeping pill Michel A. Cramer Bornemann, M.D., D-ABSM, FAASM Review the mechanism of action of the GABAA Receptor, specifically the alpha1 subunit, and the pharmacokinetics Zolpidem (Tradename: Ambien); review the physiologic effects and potential adverse consequences attributed to Zolpidem; appreciate that adverse effects associated with Zolpidem may have potential forensic implications; review and analyze a criminal case for which Zolpidem had been implicated.

3:30-3:45

Somali death culture in Minnesota Emily Anderson, B.S. Understand the unique aspects of working with the Somali community.

3:45-4:30

Depositions--Not the same as testifying at trial Michael B. Miller, J.D., Garry F. Peterson, M.D., J.D. Understand the similarities and differences between deposition and courtroom testimony; learn the value of preparation for testimony and opting to review and, if necessary, correcting the deposition transcript.

4:30 4:45-5:30

CONCLUSION OF DAY ONE MC&MEA Annual Meeting MC&MEA members may remain in the main room for the annual business meeting.

6:30-9

Donation: Bringing hope and healing to those in need Kathleen M. Selden, B.S., Michael H. Burakowski, D-ABMDI, Richard Haliburton, B.S., Gregory L. Kinblom, M.S., Natalie Buckman, B.A., Gregory A. Juda, PhD, CTBS, Jackie K. Ulven, ABMDI Learn how you can help facilitate this life changing opportunity; recognize the increasing need for organ, eye and tissue donation, learn about the impact of donation on donor families and recipients; describe the strategies utilized at a ME office to facilitate donation and maintain the integrity of the death investigation; understand how to overcome perceived barriers to donation; learn how donated tissue is processed, stored, and utilized.

Program — Day Two Friday, October 10, 2014 7:30 a.m.

REGISTRATION (complimentary refreshments)

7:45-8

Genetic testing in deaths due to aortic dissection: When is it helpful? Peter T. Lin, M.D. Understand the role of genetic testing in deaths due to aortic dissection; describe familial connective tissue disorders and other conditions associated with aortic dissection; understand the limitations of genetic testing in connective tissue disorders.

8-9:15

Prosecution of an animal mistreatment: example of a fatal dog abuse Arno Wuenschmann, DMV, DACVP, Kevin P. O’Laughlin, J.D., Sgt. Eric Strop, B.S. Recognize similarities between abuse of animals and children.

9:15-9:30

Pop, stop and drop: An artificial heart pump death Kelly M. Mills, M.D. Describe the challenges of investigating a death involving artificial heart pump.

9:30-10

The death certificate: A medicolegal perspective A. Quinn Strobl, M.D. Explain the purpose and significance of a properly signed death certificate; demonstrate the format of a death certificate; explain the proper method for forming a cause of death statement.

10-10:15 BREAK (refreshments served) 10:15-10:30

Death resulting from a “safe” substance Owen L. Middleton, M.D. Understand a potentially serious complication from administering a widely available medication.

10:30-12

The Marjorie Holland case: A domestic homicide Phillip D. Prokopowicz, J.D., Det. Sean McKnight, M.S., Lindsey G. Garfield, B.A., Enid D. Boeding, M.D. Review the timeline of a domestic homicide case, from investigation through adjudication; understand the importance of multidisciplinary cooperation in death investigation.

12-1p.m. LUNCH (included in registration fee) 1-1:30

The value of molecular autopsy in cases of inherited arrhythmia conditions Katherine A. Lynch, M.S. Describe the scenarios in which molecular autopsy for inherited arrhythmia conditions may be appropriate; illustrate the value of molecular autopsy with a specific case example; emphasize the critical role of the medical examiner in retaining an appropriate DNA specimen from the decedent to allow the family the option of genetic testing.

1:30-3

Travis Magdalena Scott: The aftermath of staged suicide Sheriff Brent C. Lindgren, AAS, Brandon Johnson, M.P.A., Lindsey G. Garfield, B.A. Understand that an investigation based on facts will always uncover the truth.

3-3:15

BREAK (refreshments served)

3:15-3:45

Patience, passion and perseverance when preparing Humpty Dumpty Jody LaCourt, MLS Recognize the amount of time and effort that is required in order for an open casket to be possible; understand the importance of clear communication among the ME’s Office, organ procurement agencies and the families involved.

3:45-4

Homicide by unspecified means: How to certify a suspicious death without one clear cause of death Lindsey C. Thomas, M.D. Identify the diagnostic criteria for homicide by unspecified means.

4-4:15

Values, beliefs, and traditions of Hispanic funerals Krisell E. Rivera, B.A. Describe the beliefs and cultural issues surrounding death and final disposition for Hispanic families, including general beliefs passed down from generations, general spiritual beliefs, pre-burial procedures, post autopsy, and procedures at the cemetery.

4:15-4:30

This family is challenging! Jackie K. Ulven, ABMDI Recognize the effects of emotional trauma on family members dealing with death and learn the tools to communicate effectively with them.

4:30

CLOSING REMARKS Lorren W. Jackson, M.D.

Faculty

Emily Anderson, B.S. Licensed Funeral Director, Anderson Funeral Home

Mark A. Koponen, M.D. Deputy Medical Examiner/Coroner, Associate Professor of Pathology, Board of Directors, MC&MEA, University of North Dakota

Enid D. Boeding, M.D. Assistant Medical Examiner, Hennepin Jody LaCourt, MLS County Medical Examiner’s Office Senior Teaching Specialist, Program of Mortuary Science, University of Natalie Buckman, B.A. Minnesota Hospital Liaison Minnesota Lions Eye Bank/ Jessica S. Lelinski, M.D. University of Minnesota Forensic Fellow, Hennepin County Medical Examiner’s Office Michael H. Burakowski, D-ABMDI Funeral Director/Medical Examiner Peter T. Lin, M.D. Liaison, LifeSource Senior Associate Consultant, Mayo Clinic, Division of Anatomic Michel A. Cramer Bornemann, M.D., D-ABSM, FAASM, Director--HealthEast Pathology Care Systems , Sleep Medicine Brent C. Lindgren, AAS Services; Sleep Forensics Assoc., Sheriff, Mille Lacs County Sheriff LLC Paul Dunnom Executive Sergeant , St. Paul Police Robbery/Homicide Unit

Katherine A. Lynch, M.S. Manager of Genetic Counseling Outreach Services, Gene DX, Inc.

Richard J. Dusterhoft, J.D. Criminal Division Director, Ramsey County Attorney’s Office

Michael B. McGee, M.D. Chief Medical Examiner, Board of Directors, MC&MEA, Ramsey County Medical Examiner’s Office

Lindsey G. Garfield, B.A. Forensic Scientist 3, Minnesota Bureau Sean McKnight, M.S. Core Investigator, Apple Valley Police of Criminal Apprehension Department Investigations Richard Haliburton, B.S. Executive Director, American Donor Owen L. Middleton, M.D. Assistant Chief Medical Examiner, Services Board of Directors, MC&MEA, Hennepin County Medical Examiner’s Kirk A. Hughes, RN, EMT, CSPI Office Certified Poison Information Specialist, Hennepin Regional Poison Michael B. Miller, J.D. Center Senior Attorney, Hennepin County Attorney’s Office Lorren W. Jackson, M.D. Assistant Medical Examiner, President, MC&MEA, Hennepin County Medical Kelly M. Mills, M.D. Principal Assistant Medical Examiner, Examiner’s Office Ramsey County Medical Examiner’s Office Andrew R.K. Johnson, J.D. Assistant County Attorney, Ramsey Mitchel K. Morey, M.D. County Attorney’s Office Assistant Medical Examiner, Hennepin County Medical Examiner’s Brandon Johnson, M.P.A. Office Supervisory Special Agent – Fraud Bureau Minnesota Dept. of Kevin P. O’Laughlin, J.D. Commerce Assistant County Attorney, Winona County Attorney’s Office Gregory A. Juda, PhD, CTBS Chief Scientific Officer, Bacterin International, Inc. Gregory L. Kinblom, M.S. Area Manager/Team Leader, American Tissue Service Foundation

Garry F. Peterson, M.D., J.D. Retired – Chief Medical Examiner Hennepin County Eric A. Pfeifer, M.D. Chief Medical Examiner, Office of the Chief Medical Examiner, State of Oklahoma Phillip D. Prokopowicz, J.D. Chief Deputy, Dakota County Attorney’s Office R. Ross Reichard, M.D. Chief Medical Examiner, Board of Directors, MC&MEA, Mayo Clinic Daniel J. Reidenberg, Psy.D., BCPC, CMT, FAPA, DAPA,CRS, Executive Director, SAVE (Suicide Awareness Voices of Educ.) Krisell E. Rivera, B.A. Hispanic Funeral Coordinator, Thomson Dougherty/ Funeraria La Paz Kathleen M. Selden, B.S. Hospital Services Manager, Lifesource A. Quinn Strobl, M.D. Chief Medical Examiner, Board of Directors, MC&MEA, Midwest Medical Examiner’s Office Eric Strop, B.S. Sergeant, Rochester Police Department Lindsey C. Thomas, M.D. Program Chairperson, Assistant Medical Examiner, Board of Directors, MC&MEA, Hennepin County Medical Examiner’s Office Vincent Tranchida, M.D. Chief Medical Examiner, Dane County, Wisconsin Jackie K. Ulven, ABMDI Senior Investigator, Hennepin County Medical Examiner’s Office Arno Wuenschmann, DMV, DACVP Minnesota Veterinary Diagnostic Laboratory and College of Veterinary Medicine , University of Minnesota

Seminar Planning Team

Roberta Geiselhart, B.S.N., F-ABMDI Supervisor of Investigations, Board of Directors, MC&MEA, Hennepin County Medical Examiner’s Office Lorren W. Jackson, M.D.* Assistant Medical Examiner, President, MC&MEA, Hennepin County Medical Examiner’s Office Joan Jung Seminar Coordinator, Executive Secretary, MC&MEA, Hennepin County Medical Examiner’s Office Owen L. Middleton, M.D.* Assistant Chief Medical Examiner, Board of Directors, MC&MEA, Hennepin County Medical Examiner’s Office

R. Ross Reichard, M.D.* Chief Medical Examiner, Board of Directors, MC&MEA, Mayo Clinic Michael Rossman Administrator, Hennepin County Medical Examiner’s Office Lindsey C. Thomas, M.D.* Assistant Medical Examiner, Board of Directors, MC&MEA, Hennepin County Medical Examiner’s Office, Program Chairperson Jackie K. Ulven, ABMDI* Senior Investigator, Hennepin County Medical Examiner’s Office *denotes faculty and planning team member

David P. Peterson, B.S., CLPE Forensic Science Supervisor, Board of Directors, MC&MEA, Bureau of Criminal Apprehension

Location

Accommodations

Minneapolis Boulevard Hotel

Minneapolis Boulevard Hotel

2200 Freeway Boulevard Brooklyn Center, MN 55445

2200 Freeway Boulevard Brooklyn Center, MN 55445

Plenty of free parking is available in surface lots at the Boulevard Hotel. Maps and directions can be viewed and downloaded at http://mncmea.org, or by visiting mapquest.com.

October 8-10, 2014 at a rate of $91/night. This rate includes a full American breakfast and one complimentary drink ticket. Space and special rate cannot be assured after September 24, 2014.

From Minneapolis or Saint Paul: Take I-94 West to I-694 West to Shingle Creek Parkway exit. Follow cloverleaf around and turn left. Go one block to Freeway Boulevard and turn left. The Boulevard Hotel is ½ block on the right.

Room reservations can be made by calling 763-566-8000 and mentioning the Forensic Science Seminar 2014 group rate.

Registration form (may be photocopied) I will attend: ❑ Thursday, 10/9/14 and/or ❑ Friday, 10/10/14 Registration fee: $280 to attend both days – lunch is included ❑ I would like a printed copy of the handouts and have enclosed $25. ❑ I am a physician and have added $40. ❑ Optional Thursday evening session: Donation: Bringing hope and healing to those in need

(To be eligible to participate in the evening session from 6:30-9 p.m., you must have registered and paid.)

_________________________________________________________ Name Job title

_________________________________________________________ Employer County

_________________________________________________________ Office address

(_________)_____________________________(_______)__________ Office phone



Office fax

_________________________________________________________ COMPLETE e-mail address

NOTE: We will be distributing a list of attendees and their contact information to all conference participants. If you do not wish to be on this list, please check here. ❑

Choice of lunch entrée for day 1 (served tableside at Minneapolis Boulevard Hotel) Please choose: ❑ Grilled Chicken Breast OR ❑ Vegetable Lasagna (Lunch on day 2 will consist of a chicken and BBQ rib lunch buffet served at Minneapolis Boulevard Hotel.)

Special needs

Please advise us of any special needs you may have regarding facility access, hearing/vision, diet, etc. We will do our best to accommodate you!

Your comfort

Make check payable to:

Please dress in layers–room temperature is unpredictable.

Hennepin County Medical Examiner

Payment

Return completed registration to: Joan Jung, Seminar Coordinator Hennepin County Medical Examiner’s Office 530 Chicago Ave., Minneapolis, MN 55415 Phone: 612-215-6320 Fax: 612-466-9980

Registration check or purchase order MUST accompany registration and be received no later than October 1,2014. NO REFUNDS after October 3, 2014.

Videotaping and audiotaping are strictly prohibited during the conference.