Pekka Saukko, Bernard Knight: Knight’s forensic pathology 4th ed.

It is indeed a great pleasure to be asked to review the fourth edition of this substantial text. Originally written by Bernard Knight alone, and now co-authored by his colleague Pekka Saukko, the text has always exemplified a very logical and clear approach to general issues in forensic pathology. While there may be disagreements on specific points, as is the nature of forensic debate, the authors have produced a book which invariably has a sound approach to many situations and problems in forensic practice – ranging from the common place to the arcane. The book has always been an excellent and easily digested introduction to the subject for students and residents, as well as a good source to turn to for more experienced practitioners who may want to refresh their memories, or develop their thoughts on a particular case.

The format of the text has remained unchanged with chapters on the pathophysiology and time of death followed by more specific discussions of particular types of wounds and injuries. Chapters are to be found on deaths from a range of situations including burns, electrocution and immersion. Child deaths and deaths associated with pregnancy and sexual assault are also described in detail. The final chapters relate to toxicological issues.

A pleasing trend has been the use of more color in diagrams and figures, all of which are of high quality. If I could make a couple of suggestions for improvements to the next edition I would suggest expanding and updating the reference list at the end of the chapters –although I do concede that this may be purely my personal preference, and is not really needed for a general text. I do think, though, that it is probably time to have a chapter on forensic imaging.

A very important part of this text that should be emphasized is its common sense, which is encapsulated throughout with aphorisms and pithy statements such as:” Seldom say never – seldom say always”. I will quote in full some of the other gems that leap from the pages:

“It is impossible to be a credible and convincing teacher unless one has continuing practical experience of the subject.” Of course an expert is very much a teacher.

“A poor opinion is often worse than no opinion at all.”

And at death scenes: “The pathologist should observe a great deal, but do very little.”

Perhaps recent graduates should be given a little red book of the thoughts of Professors Knight and Saukko to absorb these invaluable concepts.

Finally, a truly excellent feature of this edition is very easy access to an on-line version of the text to accompany the hard copy. This is through the VitalSource® ebook site, the clear instructions for which are on the inside cover. This book is, and will remain for some time, the international benchmark for general forensic pathology and should be on the shelves of every forensic department and library. It is a joy to read, and never fails to yield pertinent information and details on cases, conditions and issues.