SCENARIO 2

BY : GROUP 4
SCENARIO
A man, 25 years old, and Indonesian, was declared dead at the Mujrahayu Hospital, Jalan Manukan
kulon Kel. Manukan Kulon on Sunday 1 October 2017 at 01.30 WIB. According to the investigator, the
person was found lying on the edge of the road in front of the Balongsari gas station after a clash
between soccer supporters and martial arts groups on Sunday October 1, 2017 at around 01.15 WIB.
By the social service officer, the person was taken to RS Mujirahayu (about 1 km from the incident),
before receiving treatment, the person was declared dead. Then the corpse was sent by the police of the
Tandes sector to Surabaya Hospital for examination. The body arrived on Sunday 1 October 2017 at
06.00 WIB. Then an external and internal examination is conducted according to the SPVR that we
received on October 1, 2017 at 08.20 WIB. Found a lot of blunt objects at the crime scene.

External Check:
· Body bruises found on the back of the back, lost with emphasis.
· Stiff bodies in arm joints, easily resisted.
· There are no signs of decay.
STEP 1: Difficult Words
No difficult words found.

STEP 2: Keywords
1. Male aged 25 years
2. Declared to die on Sunday 1 October 2017 at 01.30 WIB
3. There were clashes between groups on Sunday 1 October 2017 at 1:15 a.m. WIB
4. Found many blunt objects at the crime scene
5. Bruising the body on the back and apaha the back. Lost with emphasis
6. Rigid bodies in joints, easily resisted
7. There are no signs of decomposition
STEP 3: Problem
1. What kind of violence does the victim
experience?
2. What are the possible causes of death in
the victim?
3. When is the estimated time of death of
the victim?
4. Describe the wound found on the victim
based on the photo printed.
5. How do you write Visum et Repertum on
victims?
Answers to Problem
1. There is blunt violence and sharp violence,
because it is found torn wounds,
abrasions, punctures and even cuts to the
victim.
2. Possibility of death time between 01.15 -
01.30 WIB Sunday on October 1, 2017
because the clash was estimated at 01.15
WIB and the victim was declared dead at
01.30 WIB.
3. Description of the wound to the victim
based on the photo in the scenario:
4. Obtained 3 open wounds in the left head
section with an area of 5cm x 5cm
blackish red
5. Found in the attachment
STEP 4: MIND MAPPING
Terjadi peristiwa bentrok Minggu 01-10-2017 pukul 01.15 WIB

Laki-laki 25 tahun dinyatakan meninggal Minggu 01-10-2017 pukul

01.30 WIB

Dikirim ke RS Surabaya

Jenazah tiba pada 01-10-2017 pukul 06.00 WIB

SPVR diterima pada pukul 08.00 WIB tanggal 01-10-2017

Dilakukan Otopsi

Pemeriksaan luar Pemeriksaan dalam

Laporan VetR

Untuk kepentingan peradilan

STEP 5: LEARNING OBJECTIVE
1. Able to explain the pathophysiology of corpse bruising.
2. Able to explain the types of injuries.
3. Able to explain thanatology
4. Able to describe the parts of the wound description
5. Able to explain internal and external examinations based on SPVR
6. Able to explain the Islamic view of the scenario
STEP 6 : LEARNING
LO1 : ABLE TO EXPLAIN THE PATHOPHYSIOLOGY OF
CORPSE BRUISING.

Purple red patches appear

on the lower part of the Bruising colors can
body except for the part determine the cause of
where the hard bottom is death, for example, bright
pressed. red in carbon monoxide
(CO) or cyanide (CN)
poisoning. And browning in
aniline, nitrite or sulfonal
Bruises are formed due to poisoning.
gravitational forces on
erythrocytes and begin to
appear 20-30 minutes after
death, then settle after 8-
12 hours. The incision is made and
watered, bruising the body
will fade / disappear, but in
cases of blood infiltration
(extravasation due to
However, bruising can still trauma) the spots don't
be formed after 24 hours if disappear
a position change is made
LO 2: ABLE TO EXPLAIN THE TYPES OF INJURIES
Based on the level of
contamination
• Clean Wounds
• Clean-contamined Wounds
• Contamined Wounds
• Dirty or Infected Wounds
Based on the depth and Based on the time of
breadth of the wound wound healing
• Stage I: Superficial "Non- • Acute wounds
Blanching Erythema" Injury • Chronic wounds
• Stage II: "Partial Thickness"
Injury
• Stage III: "Full Thickness"
Injury
• Stage IV: "Full Thickness"
Injury
 MECHANICAL INJURIES
BLUNT VIOLENCE SHARP VIOLENCE

Bruises Slice wounds

Blisters
- Scratch Scars
- Drawstring Scars (Graze) Stab wound
- Blisters wound Press
- Scratch Injuries

Abraded Stabbed wounds

LO 3: ABLE TO EXPLAIN THANATOLOGY

• Rigor mortis is a sign of death caused by chemical changes in the muscles after death,
where the sign is difficult to move and manipulate. Initially when rigor mortis occurs the
muscles contract randomly and unclearly even after somatic death. Rigor mortis is a sign
of death that can be recognized in the form of irreversible muscle stiffness that occurs in

Rigor mortis corpses.

• Rigor mortis will begin to appear 2 hours postmortem, increasing until it reaches a
maximum of 12 hours postmortem. Then it will gradually disappear according to its
appearance. At 12 hours after maximal stiffness (24 hours postmortem) rigor mortis
disappears.

• Body mortar is a change in skin color in the form of reddish blue due to the
accumulation of blood in the capillary vein which is influenced by the gravitational force
in the lower body along the cessation of circulation. Body bruises are formed when
there is a circulatory failure in maintaining hydrostatic pressure which causes blood to
Livor mortis reach the capillary bed where small and affluent small blood vessels are connected
• Body mass begins to form 30 minutes to 1 hour after somatic death and maximum
intensity after 8-12 hours postmortem. Before this time, the body's bruises could still be
moved if the body's position was changed. After 8-12 hours postmortem cyber broth
will not disappear and within 3-4 days bruising can still change
 • The decrease in temperature at the first moment of death is very slow because there is
still a process of gilogenolisis, but a few moments later the body temperature drops
rapidly. After approaching the ambient temperature the body temperature decreases
slowly again. This decrease is caused by the process of radiation, conduction and heat
Algor emission. The loss of heat through conduction is not an important factor during life, but
after death it is necessary to consider if the body lies on a cold surface. Although a
mortis decrease in body temperature after death depends on heat loss through radiation and
convection, evaporation can be a significant factor if the body and clothes are dry.
Decreasing the temperature of the corpse will occur after death and continue until the
achievement of a condition where the temperature of the corpse is the same as the
temperature of the environment.

• Decay is the process of tissue degradation that occurs due to autolysis and
bacterial action. The autolysis process occurs as a result of the effect of enzymes
released by dead cells.
• Generally this process occurs after 18 to 24 hours

Pounding
LO 4: ABLE TO DESCRIBE THE PARTS OF THE WOUND
DESCRIPTION

1. Number of injuries
2. Location of wound, ie location based on
its anatomical region
3. type of wound
4. wound size (length, width, depth)
5. characteristics of injury (wound border,
area inside wound line, area around
wound line)
6. Coordinates, namely locations based on
axis lines and coordinate lines.
LO 5: ABLE TO EXPLAIN INTERNAL AND EXTERNAL
EXAMINATIONS BASED ON SPVR

• Deep Examination
Insition -> take sample -> check sample and laboratory -> analysis of results
EXTERNAL INSPECTION

1. Write the nam, the 3. identity of the

2. SPVR Number
date and time corpse

4. Check the label of 5. Check the cover or

dead bodies wrap the body
 7. Check the corpse's 8. Check objects beside the
6. Check corpse jewelry
clothes body

10. Check gender, race,

9. Check stiff bodies and
estimated age, height, skin
body bruises
color
 11. check special identities
12. Check hair, eyebrows, 13. Check the condition of
(congenital defects, tattoos,
eyelashes the eyes
scarring)

14. Check the state of the

nose, ears, mouth and 15. Check teeth
tongue
 16. Check for the presence of
liquid / blood / material coming out 17. Check for injuries
of the hole
LO 6 : ABLE TO EXPLAIN THE ISLAMIC VIEW OF THE
SCENARIO

If two Muslims fight with their swords, then the person who kills and who is killed is in hell. "I
asked," O Messenger of Allah, it is only natural that killing hell, then how is it killed? "He replied,"
Because he is also very ambitious to kill his best friend (Muttafaqun ‘alaih. HR. Bukhari no. 31 dan
Muslim no. 2888)
THANK YOU 