The School of Specialization in Forensic Medicine at the University of Trieste participated for the fourth consecutive year in the most important event in forensic pathology worldwide, the international conference of the American Academy of Forensic Sciences, held in Baltimore (Maryland) from February 17 to 22, 2025.

This edition, focused on technological innovation in forensic medicine, titled “Technology: a tool for transformation or tyranny?” featured a team of young doctors trained by UniTS, consisting of Davide Radaelli, Monica Concato, Stefano Di Maria, and Filippo Bolzan, who were involved in four oral presentations and two posters.

“Our newly specialized doctors and residents,” explains Professor Stefano D’Errico, professor of Forensic Medicine at the Department of Medical, Surgical, and Health Sciences at UniTS and director of the Complex Structure of Forensic Medicine at ASUGI, “presented the results achieved in a year of challenging fieldwork and the fruits of solid scientific collaborations with other Italian and international academic institutions.”

The residents' interventions referred to forensic cases collected by the Trieste Forensic Medicine department, applying a rigorous methodology that spans from the crime scene to the research laboratory, including the autopsy table. The works presented by the Trieste team were selected from thousands of submissions from around the world.

A major innovation this year was the prestigious collaboration with the interregional Scientific Police Department of Padua, which provided its expertise and resources in reconstructing and interpreting a complex suicide scenario using three-dimensional virtual animation techniques. Special interest was raised by the studies that the School of Forensic Medicine at UniTS is conducting on markers of autophagy in traumatic cranio-encephalic injuries and lipidomic profiles in sudden coronary cardiac deaths.

“As the title of the international conference suggests, forensic medicine is also a discipline that looks to the future and technological innovation,” points out Professor Stefano D’Errico. “The involvement of both medical and non-medical professionals demonstrates the value of interdisciplinarity in the search for high-quality evidence to serve the administration of justice.”

Among the works selected by the scientific board of the American Academy of Forensic Sciences is also the project for a Balkan register of sudden cardiac deaths in youth, inspired by the unique initiative of the regional register in Friuli Venezia Giulia, which involves not only UniTS but also the Universities of Belgrade, Skopje, Athens, Ankara, and Ljubljana.

The project, coordinated by the forensic medicine and cardiology departments of ASUGI, was launched following the recent international congress on the topic, held in Trieste in October 2024. “In this way,” continues Professor D’Errico, “we aim to continue the work carried out across the entire regional territory, while also exploring the role of ethnicity in the pathogenesis of sudden cardiac death.” Trieste is the leader of this project due to the experience gained, thanks to the efforts of all colleagues across the provinces who contribute to the registry, and, of course, the Region of Friuli Venezia Giulia, which has promoted and continues to support the regional register of sudden cardiac deaths in youth since 2021.

“A decisive boost in this direction,” concludes D’Errico, “will come from setting up a forensic toxicology laboratory within the Forensic Medicine Department, which, I hope, will soon meet the growing demands of citizens and local authorities engaged in safeguarding public health and rights.”