Abstract
Medical practice in police custody needs to be harmonized. A consensus conference was held on 2–3 December 2004 in Paris, France. The health, integrity, and dignity of detainees must be safeguarded. The examination should take place in the police station so that the doctor can assess the conditions in which the detainee is being held. If the minimum conditions needed for a medical examination are not available, the doctor may refuse to express an opinion as to whether the detainee is fit to be held in custody or may ask for the detainee to be examined in a hospital. Doctors are subject to a duty of care and prevention. They should prescribe any ongoing treatment that needs to be continued, as well as any emergency treatment required. Custody officers may monitor the detainee and administer medication. However, their role should not be expected to exceed that required of the detainee’s family under normal circumstances and must be specified in writing on the medical certificate. Doctor’s opinion should be given in a national standard document. If the doctors consider that the custody conditions are disgraceful, they may refuse to express an opinion as to whether the detainee is fit for custody.
References
Anonymous (ed) (1993) Three-faced practice: doctors and police custody. Lancet 341:1245–1247
Moon G, Kelly K, Savage SP, Bradshaw Y (1995) Developing Britain’s police surgeon service. BMJ 311:1587
Brinkmann B (1999) Harmonisation of medico–legal autopsy rules. Int J Leg Med 113:1–14
Mavroforou A, Michalodimitrakis E (2002) Forensic pathology on the threshold of the 21st century and the need for harmonization of current practice and training. The greek concept. Am J Forensic Med Pathol 23:19–25
Chariot P, Bourokba N, Durigon M (2002) Forensic medicine in France. Am J Forensic Med Pathol 23:403
ANAES (1999) Conférences de consensus-base méthodologique pour leur réalisation en France. ANAES, Paris
NIH Consensus Development program. http://www.consensus.nih.gov/aboutCDP.htm
Franklin P (2000) The medical management in police custody of alcohol dependent detained persons. J Clin Forensic Med 7:201–203
Roberts G, Roberts J, Patton HF, Patton M, Megson K, Murphy R (2006) A qualitative and quantitative survey of forensic medical examiner workload in the Northumbria Police Force area October 2002–January 2003. J Clin Forensic Med 13:1–8
Chariot P, Ragot F, Authier FJ, Questel F, Diamant-Berger O (2001) Focal neurological complications of handcuff application. J Forensic Sci 46:1124–1125
Acknowledgements
Sponsors
Collégiale des médecins légistes hospitaliers et hospitalo–universitaires; Société de médecine légale et de criminologie de France.
Co-sponsors: Association des professionnels de santé intervenant en milieu pénitentiaire; Centre de documentation et de recherche en médecine générale; Conférence des bâtonniers;
Conseil national de l’ordre des médecins; Direction de l’hospitalisation et de l’organisation des soins; Direction des affaires criminelles et des grâces; Direction générale de la Gendarmerie nationale; Direction générale de la Police nationale–Inspection générale de la Police nationale; Direction générale de la santé; Fédération française d’addictologie; Fédération française de psychiatrie; Fédération hospitalière de France; Ligue des droits de l’Homme; Mission interministérielle de lutte contre la drogue et la toxicomanie; Société française d’alcoologie; Société française de santé publique; Société francophone de médecine d’urgence; SOS-médecins France.
Supporting organisations: Ministère de l’Intérieur, de la Sécurité intérieure et des Libertés locales; Ministère des Solidarités, de la Santé et de la Famille; Ministère de la Défense; Ministère de la Justice.
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Chariot, P., Martel, P., Penneau, M. et al. Guidelines for doctors attending detainees in police custody: a consensus conference in France. Int J Legal Med 122, 73–76 (2008). https://doi.org/10.1007/s00414-007-0157-7
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DOI: https://doi.org/10.1007/s00414-007-0157-7