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Injuries may be found on the body and head, such as bruises, abrasions, lacerations, contusions or hemorrhaging. This is because blunt force trauma affects the skin before an internal injury occurs. The conditions surrounding the injury that occurred can be determined from circumstantial evidence, such as the atmosphere when they occurred. The type, direction, depth, and severity of an injury can often help determine the exact position of the force that caused the injury, e.g., pressure point, whip or applied force. This type of analysis may be used as a witness protection strategy by authorities because of the high reliability of the witness as to the injury documented due to the objective nature of the injuries and the position that they occurred (Bonner, 1981). Findings may be made on the clothing indicating the source of the injury. The areas and directions of force that may have caused the injury should be noted and documented. This assists in the identification of the type of force that caused the injury. Also, the degree of blood staining around the injury provides information as to the location. Information as to whether the injury appears older than the time of death; its relationship to defensive wounds; the presence or absence of stippling around the bruise; and the condition of the surrounding skin may assist an investigator in his/her determination of the nature of injury (Figure 2.1). The direction of an injury can be helpful in the investigation of a crime. For example, an area of contusion that is transverse to the apical thoracic region relative to the ulna represents a transverse impact to the left upper extremity. If the injury itself is transverse and approximately 2.5 cm in length and there is associated abrasions on the extremity, a left-hand impact is suspected. A bruise on the left bicep, the left side of the chest, and contusion on the left arm are also consistent with a left-hand injury. If the contusion or bruise can be clearly delineated from muscles, it may be used as a "radioscopic" affectation of the area of force (Figures 2.2 and 2.3). d2c66b5586
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