Problems and Obstacles to Assist in Pre-autopsy and to Confirm Death by Paramedics: a Case Study of the Emergency Medical Service System in Bangkok
Keywords:
Forensic Science, Paramedic, Pre-hospital emergency, medical careAbstract
This study aimed to examine the problems, obstacles, and professional responsibilities of paramedics involved in assisting with forensic autopsies. This qualitative research employed in-depth interviews with Paramedics working in Bangkok who have operational experiences under the command of the Erawan Center, Medical Services Department, Bangkok Metropolitan Administration. Ten paramedics participated in the study. Data collection was done during September – October 2027. The findings revealed several challenges faced by Paramedics at death scenes, including difficulties in dealing with bereaved relatives or colleagues who were unable to cope with the loss, inconsistencies between relatives’ statements and the operational team’s findings, and delays or inadequate scene control by police officers. Regarding their role in assisting forensic autopsies, 80% of paramedics agreed with the idea of paramedic involvement in autopsy assistance, while 20% disagreed. Further studies are recommended to explore and clarify the roles and responsibilities of paramedics in assisting with forensic autopsy procedures in the future.
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