The Armed Forces medical examiner system: a change for the better

The armed forces of the United States of America maintain bases throughout the United States as well as in many other countries. The current situation with regard to the investigation of the approximately 2,500 non-combat deaths each year as well as other deaths occurring on military reservations in complex, confusing, and inconsistent at best. Under existing federal law, base commanders can order an autopsy on all active-duty personnel as well as on anyone dying within an area of exclusive federal jurisdiction. Base commanders unfamiliar with the law are often unwilling to order autopsies, and bodies may go to their graves leaving serious questions, such as cause and manner of death, unanswered. In an effort to rectify this situation, as well as to provide consistency in death investigations in the United States military, the Office of the Armed Forces Medical Examiner (AFME) is being established. The AFME will have its headquarters at The Armed Force Institute of Pathology (AFIP) in Washington, DC. All deaths coming under its jurisdiction will be reported in a timely manner and, when required, authorization for autopsy will be granted from the AFME. Regional deputy medical examiners will be appointed to perform autopsies and on-scene investigations. All cases and case materials will be reviewed and retained by the office of the AFME at AFIP. The quality of death investigation will be improved within the United States military by adoption of this system.