El Paso County Office Of The Medical Examiner
El Paso County Office of the Medical Examiner2019 Annual ReportOffice of the Medical ExaminerCommissioners CourtRicardo A SamaniegoCounty JudgeMario A Rascon, MD, MHCMChief Medical ExaminerLorenzo FloresForensic PhotographerJuan U Contin, MDJanice Diaz-Cavalliery, MDDeputy Medical ExaminersAngela PetersonSenior Administrative SpecialistIrene SantiagoChief of OperationsAnnabel Salazar, D-ABMDIChief InvestigatorJose ”Louie” Romero, D-ABMDIDeputy Chief InvestigatorMiguel Aguirre, D-ABMDIChristina Enriquez, D-ABMDIGabriela MaciasKathy MartinezJorge Ordaz, D-ABMDIMorgan Riddle, D-ABMDIAshley Rios, D-ABMDIInvestigatorsAna RamirezAdministrative Specialist - IntermediateCarlos LeonCommissioner, Precinct 1David StoutCommissioner, Precinct 2Vincent PerezCommissioner, Precinct 3Concepcion GrajedaAdministrative SpecialistCarl L RobinsonCommissioner, Precinct 4Hilda AmadorOffice AssistantOlga ChavezMorgue ManagerSal TellezMorgue Attendant - IntermediateArturo VelasquezDenise RomeroMorgue AttendantsEl Paso County Office of the Medical Examiner4505 Alberta DriveEl Paso, TX. 79905Telephone: (915) 532-1447 Fax: (915) 532-6630Website: http://www.epcounty.com/medicalexaminer/1
El Paso County Office of the Medical Examiner2019 Annual ReportPROLOGUEThe information found in this annual report has been gathered from the case management system of the El PasoCounty Office of the Medical Examiner in El Paso, Texas (EPOME). Our staff strives to serve the citizens of El Pasowith empathy, competency, integrity, and professionalism.The EPOME incorporates the scientific rigor of medicine and forensic science to investigate cases of sudden,unexpected deaths, or those that occur under violent or suspicious circumstances in El Paso County. Our missionstatement is: “We help the community be safer and healthier through efficient and timely medicolegal deathinvestigation”. This translates into an important public health role played by the EPOME, which included: to identifypotential hazards in the community; to monitor trends in violence and injury; to be adequately prepared for apotential emergency response; and to evaluate areas of concern regarding the health, safety, and welfare of thecommunity. It is our hope that this report helps identify trends in the community that allow public health and policyefforts to enhance death prevention and surveillance efforts that protect the lives of all El Pasoans.The year 2019 brought indescribable challenges to our community as a whole; we saw the true spirit of this city bywitnessing all sectors coming together in solidarity for those in need. The OME is proud to function as a helping handfor grieving families. We are continuously inspired by them and we vow to provide high-quality, compassionate, andtimely service during the trying times these families face.Mario A Rascon, MD, MHCM, D-ABP, D-NBPAS, D-ABMDI, F-CAP, F-NAMEChief Medical ExaminerEl Paso County Office of the Medical Examiner2
El Paso County Office of the Medical Examiner2019 Annual ReportTABLE OF CONTENTSPrologue2Introduction4Organizational Chart5Case Jurisdiction6Executive Summary – 20197EPOME Data (2015 – 2019)7Total cases handled by the EPOMEExam Cases: Examination Type; Manner of Death; Toxicology and Histology RequestsEPOME Exam Cases: 20199Manner of Death and Autopsy Status 9Sex and Age Group10Natural ed17Child Fatality18Infant, and Child Deaths Summary Table18Manner of Deaths and Autopsy Status19Child Deaths: Cause of Death19Infant Deaths: Cause of Death20Summary20Toxicology related deaths20Summary Table20Manner of Death21Single vs. Multiple Drug21Single Drug-Related Deaths: Drug Involved22Multiple Drug-Related Deaths: Most Commonly Involved Drugs22Multiple Drug-Related Deaths: Number of Drugs Involved23Multiple Drug-Related Deaths: Medication Key25Motor Vehicle Related Deaths26Summary Table26Status of Decedent26Forensic Consultations27Organ & Tissue Donation27Cremation Authorizations27Unidentified Bodies28Unclaimed Bodies28Medical Examiner Performance Audit28Academic Outreach, Community Involvement, and Professional Development30Glossary333
El Paso County Office of the Medical Examiner2019 Annual ReportINTRODUCTIONThe EPOME provides medicolegal death investigation for El Paso County. This includes autopsy services andcertification of cause and manner of death in cases of homicides, suicides, accidents and otherwise sudden orunexpected natural deaths. Exceptions to this disposition are areas within the County that arrange for their owndeath investigations through their own governance bodies or with Federal assistance (e.g., Fort Bliss, Ysleta del SurPueblo).The cause of death is a disease, injury, toxic material, or combination of factors that causes a physiologicderangement severe enough to result in death. The manner of death refers to the circumstances surrounding howthe death came about and is divided into five categories: natural, accident, suicide, homicide, and undetermined.The Texas Code of Criminal Procedure (Chapter 49. ‘Inquests Upon Dead Bodies’), stipulates that the EPOME shallconduct an inquest into the death of a person who dies in the County if:(1) the person dies in jail or in prison (except under circumstances different than described by Section501.055(b);(2) the person dies an unnatural death from a cause other than a legal execution;(3) the body or a body part of a person is found, the cause or circumstances of death are unknown, whetherthe person is identified or unidentified;(4) the circumstances of the death indicate the death may have been caused by unlawful means;(5) the person commits suicide or the circumstances of the death indicate that the death may have beencaused by suicide;(6) the person dies without having been attended by a physician;(7) the person dies while attended by a physician who is unable to certify the cause of death and whorequests the justice of the peace to conduct an inquest; or(8) the person is a child younger than six years of age (few exceptions are part of this provision)Decisions about autopsies are not mandated and are left to the discretion of the medical examiner. Furthermore, thelaws are general enough that jurisdiction may be accepted in a wide variety of cases that are not otherwise specifiedin law.In addition, the EPOME services the community by assisting families with funeral arrangements, authorizingcremations, signing death certificates, reporting viable candidates to the local tissue bank for postmortem altruisticdonation, positively identifying decedents, preparing for a mass disaster, teaching Medical Students (Paul L FosterSchool of Medicine), and fostering community outreach through different institutions.4
El Paso County Office of the Medical Examiner2019 Annual ReportEPOME – ORGANIZATIONAL CHART5
El Paso County Office of the Medical Examiner2019 Annual ReportCASE JURISDICTIONEl Paso covers an area of about 256 square miles, and has an estimated population (2019 census estimate) of about839,238. Countywide, the population is about 92% white (which includes 82% white-hispanic and 10% white nonhispanic), 4% black, 1% American Indian, 1.3% Asian, 1.5% two or more races.When a local death (one that occurs within the boundaries of El Paso County) is reported to the EPOME, the case iseither accepted or released. If a case is accepted, it means that the medical examiner will be signing the deathcertificate. A case is released when the death is natural (e.g., non-natural contributing factors such as trauma havebeen ruled out), circumstances are known, the person has extensive and well documented comorbidities/medicalhistory, and a community physician is willing and able to sign the death certificate.Local deaths that fall under the EPOME jurisdiction are transported to the EPOME for examination by a contract bodytransport company. In the vast majority of cases, an EPOME investigator attends the death scene in person to performa preliminary examination of the body and present a written field report to the medical examiner. EPOMEinvestigators usually attend all homicides, suicides, and accidental deaths, and selected natural deaths. Investigatorsare on staff and available 24 hours/day, 365 days/year. EPOME investigators do not physically perform sceneinvestigations on cases that are reported to them from outside of the physical boundaries of El Paso County.On accepted cases, the medical examiner uses one of two approaches to obtain information to complete the deathcertificate: Inquest. The death certificate is signed without examining the body (review of medical records and other pertinentreports). Exams: The body is physically transported to the EPOME, and a final written report is produced. There are two typesof exam cases: 1) External Examination. Formal external examination, which may or may not includetoxicology/chemical testing. 2) Autopsy. Complete autopsy, which may or may not include toxicology/chemicaltesting, histology, and/or other ancillary tests.Area served by the EPOME is highlighted in red6
El Paso County Office of the Medical Examiner2019 Annual ReportEXECUTIVE SUMMARY – 2019In 2019, the El Paso County had a total of 6182 deaths. Of these, 4799 were reported to the EPOME. Everyreported case requires a preliminary screening by EPOME investigative staff to determine if it falls under thejurisdiction of the EPOME. Of those calls, a total of 3432 cases were released, with death certificates beingsigned by primary care physicians in the community. Additionally, 405 additional calls were related to casesthat did not meet the guidelines as described above to be reported to the EPOME (declined jurisdictioncases). Jurisdiction was accepted on a total of 962 cases (260 inquests and 702 exam cases). A significantproportion [(38.3% (269)] of the exam cases came from local hospitals. In all the exam cases the bodies werephysically examined at the EPOME. Full body autopsies were conducted on 645 cases and 57 underwent anexternal examination only. The EPOME does not perform partial autopsies.There were a total of 1250 death scenes investigated. This represented an increase of 4.8% from those in2017 (1192). A total of 898 bodies were transported to the EPOME facilities. Note that the number oftransported bodies is greater than the exam cases; this is due to the fact that some release and some inquestcases are transported to the EPOME morgue as a courtesy to families in need of body storage while waitingto finalize funeral arrangements.One case remained unidentified after examination (migrant found in water canal). There were no exhumationsperformed and no cases previously autopsied at local hospitals were retained by the EPOME in 2019.EPOME DATATOTAL CASES HANDLED BY THE EPOME – 2015 to quest28630822886Exam260366931363837100002015 (3949) 2016 (3848) 2017 (4083) 2018 (4643) 2019 (4799)7Non jurisdiction
El Paso County Office of the Medical Examiner2019 Annual ReportEXAM CASES 2015 to 2019– EXAMINATION 009410068515744020152016201720182019The autopsy to external examination ratio has gone from 4.6:1 in 2015 to 11.3:1 in 2019.EXAM CASES 2015 to 2019 – MANNER OF DEATH300283264243250220264257230228 2232015 (531)1962002016 (676)1502017 (586)10010084712018 (596)78 83585031 31 262019 (702)4213211118 160NaturalAccidentSuicideHomicide8Undetermined
El Paso County Office of the Medical Examiner2019 Annual ReportEXAM CASES 2015 to 2019– TOXICOLOGY & HISTOLOGY ared to 2018, there was an increase of 19% in toxicology studies in 2019.EPOME 2019: EXAM CASES2019 TOTAL EXAM CASES (702) – MANNER OF DEATH2.3%8.3%Natural, 26414.2%37.6%Accident, 264Suicide, 100Homicide, 5837.6%Undetermined, 169
El Paso County Office of the Medical Examiner2019 Annual Report2019 TOTAL EXAM CASES (702) – MANNER OF DEATH & AUTOPSY STATUSMANNER OF DEATHNATURALFull Autopsy (%)ACCIDENTSUICIDEHOMICIDEUNDETERMINEDTOTAL (%)230 (87%) 245 (93%)96 (96%)58 (100%)16 (100%)645 (92%)Partial Autopsy (%)000000External Exam (%)34 (13%)19 (7%)6(4%)0057 (8%)2642641005816702TOTAL2019 TOTAL EXAM CASES (702) – SEX AND AGE GROUPNATURAL Age GroupUnknown0 966-752976-857 851TOTAL190 : 500 : 202 male; female*unidentified drowning victimM A N N E R O FACCIDENTSUICIDED E A T HHOMICIDE UNDETERMINED 0610
El Paso County Office of the Medical Examiner2019 Annual ReportNATURAL DEATHSNATURAL DEATHS: 2015 - 01820192019 NATURAL DEATHS (264) – SEX AND AGE GROUP806970605041403029251920101021 11-50414811167101506-10 11-18 19-25 26-35 36-45 46-55 56-65 66-75 76-85male 85femaleIndividuals aged 50 - 73 years comprised 62.5% of all people who succumbed to natural deaths in 2019. The male:female ratiofor natural deaths investigated by the OME was 2.5:1 in 201911
El Paso County Office of the Medical Examiner2019 Annual Report2019 NATURAL DEATHS (264) – CAUSE OF DEATHCardiovascular DiseaseComplications of Chronic Alcohol AbuseLiver CirrhosisPulmonary EmbolismDiabetes MellitusUpper Gastrointestinal Tract BleedingPneumonia/BronchopneumoniaChronic Obstructive Pulmonary DiseaseSeizure DisorderSpontaneous Intracerebral HemorrhageComplications of Abdominal HerniaUndetermined Natural CausesCongenital AnomaliesPyelonephritisPeritonitisSeptic Complications Following ProstatitisMorbid ObesityPulmonary FibrosisAsthmaSmall Bowel PerforationHIV/AIDSPancreatitisDementiaPeptic Ulcer DiseaseAlcoholic KetoacidosisSpastic ParaplegiaCellulitisEndocarditisVolvulusMultiple Coinfections (GI and Lung)Cancer:Retroperitoneal LiposarcomaRenal Cell ined 111264
El Paso County Office of the Medical Examiner2019 Annual ReportCardiovascular Disease includes 172 cases with the following cause of death statements: hypertensive andatherosclerotic cardiovascular disease (68), hypertensive heart disease (45), atherosclerotic cardiovascular disease(33), arteriosclerotic cardiovascular disease (4), ruptured aortic aneurysm (4), intracranial hemorrhage due tosystemic hypertension (3), coronary artery thrombosis (3), acute myocardial infarction (2), dilated cardiomyopathy(2), aortic dissection (2), ruptured myocardial infarction (2), ruptured berry aneurysm (2), idiopathic cardiomyopathy(1), and Wolff-Parkinson-White syndrome (1).ACCIDENTSACCIDENTS: 2015 – 01820192019 ACCIDENTS (264) – SEX AND AGE 01264631femaleAccident victims were most frequently male (73%). Individuals between the ages of 23 – 50 years comprised 48.8% of allaccidental fatalities.13
El Paso County Office of the Medical Examiner2019 Annual Report2019 ACCIDENTS (264) – MECHANISMBlunt Force InjuriesAcute Drug ToxicityDrowningAsphyxia – ChokingAsphyxia – SuffocationMixed Drug/Alcohol ToxicityEnvironmental Heat ExposureCarbon Monoxide PoisoningAsphyxia – TraumaticAlcohol ToxicityGunshot WoundEnvironmental Cold ExposureThermal CIDESSUICIDES: 2015 - 201912010010080857883716040200201520162017Compared to 2018, there was an increase of 20% in suicides in 20191420182019
El Paso County Office of the Medical Examiner2019 Annual Report2019 SUICIDES (100) – SEX AND AGE GROUP181716141312111087 776656 6-85femaleSuicide victims were most frequently male (67%). Individuals between the ages of 23 – 48 years comprised 49% of all suicides.2019 SUICIDES (100) – METHOD6%2%Firearm, 4814%48%Hanging, 30Drug Toxicity, 14*Blunt Force, 630%Sharp Force, 2The vast majority (42 out of 48 [87.5%]) of suicide by firearm involved wounds to the head.*Drug toxicity includes 14 cases with the following cause of death statements: Multiple drug toxicity (7), ethylene glycolpoisoning (2), acetaminophen toxicity (1), carbon monoxide poisoning (1), paroxetine toxicity (1), olanzapine toxicity (1), andquetiapine toxicity (1).15
El Paso County Office of the Medical Examiner2019 Annual ReportHOMICIDESHOMICIDES: 2015 - here was a 38% increase in homicides from 2018 (42 cases) to 2019 (58 cases). The August 3rd attack brought the homiciderate for El Paso County in 2019 to 8.5 per 100,000 people (compared to 5 per 100,000 in 2018).2019 HOMICIDES (58) – SEX AND AGE GROUP141212108766554322122132221116-10 11-18 19-25 26-35 36-45 46-55 56-65 66-75 76-85 850 11-5malefemaleHomicide victims were most frequently male (68.9%).16
El Paso County Office of the Medical Examiner2019 Annual Report2019 HOMICIDES (58) – MODE OF INFLICTION5%5%Firearm, 4710%Blunt Force, 5Sharp Force, 357%23%Strangulation, 2External AirwayObstruction, 1UNDETERMINEDUNDETERMINED MANNER OF DEATH: 2015 - 2019252120181615131110502015201620171720182019
El Paso County Office of the Medical Examiner2019 Annual Report2019 UNDETERMINED MANNER OF DEATH (16) – SEX AND AGE GROUP3210malefemaleCHILD FATALITYIn 2019, there were 46 deaths of individuals 18 years or age or younger, which included the deaths of 14 infants (a child in thefirst year of life).2019 INFANT, AND CHILD DEATHS (46) – SUMMARY TABLEFull Autopsy (%)Partial Autopsy (%)External Exam (%)TOTALNATURAL3 (75%)01 (25%)4MANNER OF DEATHACCIDENT SUICIDE HOMICIDE27(100%)5 (100%)4 (100%)000000275418UNDETERMINED6 (100%)006TOTAL (%)98%02%100%
El Paso County Office of the Medical Examiner2019 Annual Report2019 CHILD ( 18 YEARS) FATALITY CASES (46) – MANNER OF DEATH & AUTOPSY STATUSM A N N E RNATURAL ACCIDENTO FHOMICIDED E A T HSUICIDEUNDETERMINEDAgeGroup 011-15012110301016-181052021000TOTAL311611135042 : 29 : 17total: 46 male; female2019 CHILD DEATHS (AGE: 1-18) – CAUSE OF DEATH (32)Blunt Force Injury*Firearm**DrowningHangingChokingDiabetes MellitusUndeterminedAsthmaEnvironmental Heat ExposureStrangulationIntestinal and Lung InfectionsTOTAL*includes: multiple injuries (6), injuries of head (4), and injuries of torso (2).** includes suicides (3), homicides (2) and undetermined manner (1)1912642211111132
El Paso County Office of the Medical Examiner2019 Annual Report2019 INFANT ( 1Y) DEATHS (14) – CAUSE OF DEATHAsphyxia – SuffocationUndeterminedBlunt Head TraumaMaternal Trauma - Placental AbruptionExternal Airway ObstructionCongenital AnomaliesTOTAL64111114CHILD FATALITY – SUMMARYChildhood deaths represented 6.5 % of all the exam cases investigated by the EPOME in 2019. Male decedentscomprised 63% of the total deaths in children. The most common manner of death among children was accident(80%).TOXICOLOGY-RELATED DEATHS2019 TOXICOLOGY-RELATED DEATHS (88) – SUMMARYM A N N E RO FD E A T HACCIDENTHOMICIDESUICIDEAge Group 10140060-696600030070-7910000000TOTAL70291011201 : 72 : 42total: 114 male; female20UNDETERMINED
El Paso County Office of the Medical Examiner2019 Annual ReportBy definition, toxicology-related deaths cannot be natural in manner. Accidents comprised 86% of all toxicologyrelated deaths. Half of the decedents who succumbed to drug toxicity were 44 years old or younger. Regardingaccidental toxicology-related deaths, the male-to-female ratio is 2.4:1, while the ratio for toxicology-relatedsuicides had a 12:1 female-to-male ratio.2019 TOXICOLOGY-RELATED DEATHS (114) – Manner of Death1%1%11%Accident, 99Suicide, 13Homicide, 187%Undetermined, 12019 TOXICOLOGY-RELATED DEATHS (114) – Single vs. Multiple DrugsMultiple Drug, 6246%Single Drug, 5254%21
El Paso County Office of the Medical Examiner2019 Annual Report2019 SINGLE DRUG-RELATED DEATHS (52) – Drug InvolvedDrug olMorphineHydrocodoneIsopropanolEthylene glycol#cases*1696443622*only drugs involved in 2 cases are mentioned2019 MULTIPLE DRUG-RELATED DEATHS (62) –Most Frequently Involved DrugsDrug 2119877665555444
El Paso County Office of the Medical Examiner2019 Annual Report2019 TOXICOLOGY-RELATED DEATHS – Multiple-Drug-Related Deaths (62): Drugs InvolvedNumber of 8394023456 723, 8014, 42, 80, 853, 8, 15, 23, 30, 5823, 66, 813, 5, 18, 33, 58, 64, 65, 824, 57, 75, 8530, 35, 38, 57, 79, 855, 15, 17, 21, 354, 47, 7114, 19, 32, 6417, 37, 5017, 3258, 7922, 30, 373, 6537, 513, 4, 78, 8210, 30, 45, 72, 79, 81, 825, 30, 5137, 5137, 518, 23, 30, 54, 8519, 32, 42, 5837, 5117, 3717, 50, 516, 38, 8537, 5114, 23, 35, 45, 58, 68, 703, 173, 5, 37, 51, 79, 8223, 33, 4222, 23, 32, 41, 65, 66, 8117, 32, 3737, 5117, 18, 32, 3832, 513, 3217, 3732, 3717, 37, 5137, 5137, 515, 5118, 37, 38, 415, 5137, 388, 3023
El Paso County Office of the Medical Examiner2019 Annual ReportNumber of ERMINED123456 723, 363, 4, 18, 38, 41, 7218, 19, 22, 72, 79, 80, 81, 853, 9, 14, 35, 38, 58, 8137, 518, 17, 30, 6214, 22, 50, 723, 3217, 30, 3733, 514, 19, 35, 48, 58, 80, 813, 17, 3217, 37, 5116, 3424
El Paso County Office of the Medical Examiner2019 Annual Report2019 TOXICOLOGY-RELATED DEATHS – Multiple-Drug-Related Deaths: Medication/Drug etamineAripiprazoleBath SaltsBenzodiazepine (NOS)BupropionButalbital12345678910EthanolEthylene 43536373839MirtazapineNaproxenOlanzapineOpiates 4151617181920212223242526272829Hydrogen SulfideHydromorphoneHydroxyzineInhalants eridoneSalicylatesSertralineSynth. demZopiclone69707172737475767778798081828384858625
El Paso County Office of the Medical Examiner2019 Annual ReportMOTOR VEHICLE RELATED DEATHS2019 MOTOR VEHICLE RELATED DEATHS (103) – SUMMARY TABLE male; femaleAge Group 11-56-1011-1819-2526-3536-4546-5556-6566-7576-85 85TOTAL 02161917810116208210125021152121There were 103 motor vehicle related fatalities in 2019. All but five consisted of accidents (four suicides [3.8%]; one homicide[0.9%]). Males comprised 79.6% of all motor vehicle related deaths in 2019.2019 MOTOR VEHICLE RELATED DEATHS (103) – STATUS OF DECEDENTPedestrian struck by motor vehicleMotor vehicle – driverMotorcyclist – operatorMotor Vehicle – Passenger*All-terrain vehicle - driverPedestrian struck by train**Accident involving forkliftMotor vehicle crashing into residenceMotorcycle passengerTOTAL423013932211103*includes one decedent hit by train while on a motor vehicle and one fetal demise due to maternal trauma following motorvehicle crash.**includes one accident and one suicide26
El Paso County Office of the Medical Examiner2019 Annual ReportFORENSIC CONSULTATIONSOn occasion, a detailed forensic neuropathology consultation is required to further characterize importantanatomic findings in selected cases. Likewise, forensic cardiovascular pathology, forensic anthropology, andforensic odontology consultations are readily available to the EPOME.YEAR20152016201720182019Neuropathology Cardiovascular14012070130170Anthropology32011ORGAN AND TISSUE DONATIONThe EPOME allows an organ procurement organization (OPO) to approach families who wish to donate tissues fromthe deceased. These donations include skin, musculoskeletal tissue, and cardiovascular tissue (heart valves).Similarly, the EPOME also works with another OPO, fostering in-hospital postmortem organ donation. In 2019,there were 49 donors, who impacting the lives of local patients in several El Paso Hospitals, including: UniversityMedical Center, Del Sol Medical Center, El Paso Children’s Hospital, Sierra Providence East, and Las Palmas MedicalCenter. Furthermore, the EPOME started working in coordination with the Southwest Brain Bank (SWBB), a braintissue repository for research in mental illness, for altruistic postmortem donation. In 2019, there were 7 generousfamilies that donated tissue for this laudable endeavor.CREMATION AUTHORIZATIONSIn Texas, Medical Examiners are required by law to sign an authorization before a body is cremated. The forensicpathologists at the EPOME review each cremation authorization form and the respective death certificate beforeauthorizing cremation. The table below shows the number of cremation authorizations signed by our forensicpathologists over the recent 133278339227
El Paso County Office of the Medical Examiner2019 Annual ReportUNIDENTIFIED BODIESThe EPOME interacts with law enforcement agencies to positively identify individuals. A commonly used techniquefor identification is fingerprint comparison. Other scientific methods of identification (ID) include: radiographcomparison (dental or body), medical devices, and DNA extraction. Over the past 5 years, 314 decedents have beenpositively identified using fingerprints.YEAR20152016201720182019Fingerprint ID24495185105UNCLAIMED BODIESEl Paso County General Assistance Program provides financial aid to help families who have lost a loved one pay forthe funeral and cremation of the individual's remains. Over the past 5 years, 104 cases have been referred to thisprogram.YEAR20152016201720182019Unclaimed Bodies2625171422MEDICAL EXAMINER PERFORMANCE AUDITTURNAROUND TIME FOR FINAL AUTOPSY REPORTThe EPOME adopts national standards as set forth by the National Association of Medical Examiners (NAME).Regarding final written autopsy reports, NAME recommends that 90% of all exam cases are finalized within 60calendar days in order to avoid a phase II (minor) deficiency, and that 90% of all exam cases are finalized within 90calendar days in order to avoid a phase I (major) deficiency.2019 EPOME EXAM CASES (702) – TIME FROM AUTOPSY TO FINAL WRITTEN AUTOPSY REPORTTime for final reportWithin 60 daysWithin 90 days 90 daysNo. of cases (%)688 (98)695 (99)7 (1)28
El Paso County Office of the Medical Examiner2019 Annual ReportTHE COST OF MEDICOLEGAL DEATH INVESTIGATIONA rule-of-thumb figure for providing quality medicolegal death investigation has been said to be about 3 perperson per year, according to a study that included nearly 60 NAME-accredited offices (J Forensic Sci, September 2013,Vol. 58, No. 5). In this study, the average cost per autopsy (total budget/total number of autopsies) had a mean of 4265 per autopsy and ranged from 1120 to 14,696. The budget per capita (total budget/total number ofinhabitants of jurisdiction) had a mean of 3.02, although there was a very wide range ( 0.62– 10.22). Anotherstudy conducted in the State of Colorado (available at www.denvergov.org/auditor) calculated the cost per deathreported (total budget/total reported deaths) and found an average cost per death reported of 755 for the NAMEaccredited medical examiner offices in their jurisdiction.In 2019, the EPOME has a cost per death reported of 580; a cost per autopsy of 4315; and a budget per capita of 3.31/year.EL PASO COUNTY COST OF MEDICOLEGAL DEATH INVESTIGATION(AS COMPARED WITH OTHER 60 NAME-ACCREDITED OFFICES).Budget per capitaCost per Autopsy29
El Paso County Office of the Medical Examiner2019 Annual ReportACADEMIC OUTREACH, COMMUNITY INVOLVEMENT, AND PROFESSIONAL DEVELOPMENTThe EPOME regularly interacts with the community in a variety of ways such as academic outreach (lectures inacademic institutions such as local High Schools, Colleges and Universities), inter-agency outreach (local Lawenforcement agencies, fire department) and cooperative efforts (invited lectures, County Child Fatality ReviewTeam). The EPOME also provides teaching in forensic pathology for students at the Paul L Foster School ofMedicine, Texas Tech University Health Sciences Center and fulfills, through courtroom testimony as expertwitness, the legal obligations related to its involvement in medicolegal death investigation.ACADEMIC OUTREACH AND COMMUNITY INVOLVEMENTI. LECTURES AND PRESENTATIONSLorenzo Flores – Forensic Photographer- 01/09/2019120th DC Judge Maria Salas-Mendoza-Presentation.- 02/27/2019Eastwood Middle School-Presentation.- 04/26/2019J. M. Hanks H.S.-Presentations.- 07/31/2019Juvenile Probation Department-Presentation.- 10/24/2019John Drugan School-Career Day.Mario A Rascon, MD – Chief Medical 6/19/1905/16/1904/17/19Cutaneous Conditions that Simulate Trauma. XIX FEDPATMEX National Meeting.Pitfalls in Postmortem Neck Dissection. XIX FEDPATMEX National Meeting.Histopathology of Recreational Drug Abuse. XIX FEDPATMEX National Meeting.A Career in Pathology. Pathology interest group TTUHSC PLFSOM.A Quality Improvement Project for Autopsy Ph
El Paso County Office of the Medical Examiner 2019 Annual Report . In the vast majority of cases, an EPOME investigator attends the death scene in person to perform a preliminary examination of the body and present a written field report to the medical examiner. EPOME investigators usually
El Paso County Coroner’s Office does not perform Hospital Autopsies. 772 The El Paso County Coroner’s Office did not perform any exhumations in 2020 03 772 of 920 El Paso County autopsies required death scene investigation The average number of days f
TERCERO BÁSICO Guía de aprendizaje. Tabla 2 Proceso de aprendizaje significativo Desafío: Paso 1 Exploración: Paso 2 Puentes de aprendizaje: Paso 3 Construcción de nuevos aprendizajes: Paso 4 Integración de aprendizajes: Paso 5 Evaluación: Paso 6 Evaluación ponderada Tabla 1
Paso 1: Controlador y programa de instalacin 6 Paso 2: Colocar la cámara sensor 7-8 Paso 3: Asegurar la cámara sensor 8-10 Paso 4: Preparar el lápiz interactivo 11 Paso 5: Conectar al ordenador 11-12 Paso 6: Calibracin 13-15 Usar el lápiz interactivo IW2 16-21 Usar el lápiz interactivo como ratn 16-17 Usar el lápiz interactivo como pizarra
Outstanding Hot-Check Warrants in El Paso County 2 Warrant Number Defendant’s Name Address Date of Birth 20090C10855 Amos, Phillip 5832 Nike Ln, El Paso, Tx 79924 05/13/73 20080C08160 Anaya, Mara M. 11556 Tony Ponce, El Paso, Tx 79936 09/18/75 20080C07443 Anderson, Mitchell L. Bldg 2420 Room #209, El Paso, Tx 79916 12/20/77 20070C04091 Anderson, Robert 5724 Kalpana Chawla, El File Size: 1MB
County Attorney El Paso County ,Re: 1) Authority of the El Paso Room 201 City-County Bldg. Council of Governments to El Paso, Texas 79901 enter into contract with Dona Ana County, New Mexico, for development of a recrea- tional area. 2) Authority of City of El Paso to enter into a contract with
el paso county bail bond board application for . individual bail bond license . instructions . completed applications must be mailed or delivered to: el paso county sheriff's department . county detention facility . attn: mike navarro, bail bond board administrator . 601 east overland . el paso, tx 79901
County Attorney, El Paso County Room 201, City-County Building El Paso, Texas 79901 Opinion No. H- 183 Re: The duties of the county auditor Dear Mr. Rodriguez: You have asked our opinion on five queations which
Suicide Rate by Sex and Age Group El Paso County (2006-2015) Source: El Paso County Mortality Data, 2006-2015 0 10 20 30 40 50 60 70 80 . 10 Randall County, TX 15.7 14 88900 11 Humboldt County, CA 14.6 12 82240 12 Matanuska-Susitna Borough, AK 13.8 10 72380
