REGIONAL FORENSIC SCIENCE CENTER Timothy P. Rohrig, Ph.D. — Director Timothy S. Gorril, M.D.,. Ph.D. ~ District Coroner - Chief Medical Examiner AUTOPSY REPORT CASE: 18-18-1552 NAME: Glass, Emily DATE: 06/08/2018 ADDRESS: 655 $ Edgemoor, Wichita, KS 67218 TIME: 1030 Hours 27- year old female PERSONS PRESENT AT AUTOPSY: Forensic Assistants: Paul Schauner, Devin Lasley PATHOLOGIC DIAGNOSES 1. Gunshot wound of the head A, Entrance: Midline of the forehead B. Injuries: Perforation of skull and brain with extensive open skull fractures and avulsion of the cerebral cortices from the cranial vault C. Pathway: Front to back D. Range of fire: Contact IL. Notes of suicidal intent at the scene UL, Scars consistent with remote self-injury/cutting on the left forearm IV. Marijuana use (See Toxicology Report) CAUSE OF DEATH: Gunshot wound of the head MANNER: Suicide Jaffe L. Oeberst, M.D. Déphty Coroner-Medical Examiner Olefze 7 Date 1109 N.Minneapofs + Wichita, Kansos 67214-3129 + Telephone (316 640-4800 + Fax (316) 383-4535,NAME: Glass, Emily CASE: 18-18-1552 CIRCUMSTANCES OF DEATH According to reports, the decedent’s boyfriend went to the home where the decedent was residing during the early morning hours of 06/08/18. He entered the residence and found the decedent on the floor with an apparent gunshot wound of the head. An AR-15 semi-automatic rifle was between her legs. 911 was contacted and Emergency Medical Services and Wichita Police Department officers were dispatched to the scene. Notes of suicidal intent were present at the scene. She was pronounced dead at the scene at 0144 hours on 06/08/18. POSTMORTEM EXAMINATION An autopsy is performed on the body of Emily Glass at the Sedgwick County Regional Forensic Science Center, Wichita, Kansas on June 8, 2018, RADIOLOGIC STUDIES An oblique x-ray of the head reveals open skull fractures of the calvarium, basilar skull fractures, a radiopaque item consistent with a bobby pin, and scattered minute radiopaque fragments. CLOTHING The body is received clad: See Chain of Custody Document EXTERNAL EXAMINATION ‘The body is received in a body bag. Body identification includes a yellow identification band with “UI female (Glass, Emily)” and the case number. The hands have been covered with paper bags. The body is fingerprinted (ink) and photographed. Digital images are obtained of the fingerprints and submitted for comparison for identification purposes. Identification is confirmed by comparison of images of postmortem fingerprints to known print cards bearing the name Emily A. Glass, DOB 05/10/91. (See Latent Print Unit Report) ‘The body is that of a well-developed, well-nourished, adult, white female who weighs 135 pounds, is 68 inches in height and appears compatible with the stated age of 27 years. The unembalmed body is cool to touch. Rigor mortis is fixed in the jaw and reducible in the extremities. Fixed purple-red livor mortis extends over the posterior surfaces of the body, except in areas exposed to pressure. The scalp hair is brown and measures 14 inches in length over the crown. The irides are blue and the corneas are clear. Petechial hemorrhages are in the bulbar conjunctivae of the left eye. Except as noted in “Evidence of Injury”, the nose and ears are not unusual, The natural teeth are in good repair. The neck, chest, and abdomen have normal contour without deformity. Striae are present on the abdomen, The anus and back are unremarkable. The genitalia are those of a normal adult female and are atraumatic. All four extremities are present and are normally developed. A band aid is on the right great toe with underlying erythema of the medial cuticle of the nail.NAME: Glass, Emily CASE: 18-18-1552 IDENTIFYING MARKS AND SCARS A black tattoo of “TMP” is on the ventral aspect of the distal right wrist. A ¥s inch, linear scar is, ‘on the medial aspect of the right knee. A ¥/8 inch scar is inferolateral to the right knee. A black tattoo of a cross with “TLR” is on the dorsum of the right foot. Scattered scars, up to % inch, are on the left knee. A 1 % inch x 3/8 inch, horizontally oriented scar is on the ventral aspect of the distal left forearm. A black tattoo of “ASP” is on the ventral aspect of the left wrist. Multiple fine linear, horizontally oriented scars, up to 78 inch, are on the ventral aspect of the left forearm, ‘A2 inch, linear scar is on the dorsolateral aspect of the left hand, A 5/8 inch, linear scar is in the web space of the left thumb. A \ inch scar is on the dorsum of the right hand. MEDICAL INTERVENTION There is no evidence of medical intervention. EVIDENCE OF INJURY 1, GUNSHOT WOUND OF THE HEAD Commencing approximately 65 inches above the heels in the midline of the forehead is a gunshot entrance wound, Multiple irregular tears extend from the entrance wound onto the forehead, onto and around the nose, and into the frontal, parietal, and occipital scalp, encompassing an area of approximately 15 inches 6 inches, in association with extensive open skull fractures. Following reapproximation, the entrance wound is, approximately 7s inch x s/s inch, and has a circumferential red abrasion collar that contains soot, up to 3/16 inch. Soot is visible in the scalp and on the bone underlying the entrance wound. No stippling is identified on the skin around the entrance wound. Patchy red and purple subscalpular and subgaleal hemorrhage is present. Multiple comminuted fractures are in the anterior cranial fossa and bilateral middle cranial fossa with obliteration of the bone and the pituitary gland. Multiple comminuted fractures are in the posterior cranial fossa with partial atlanto-occipital dislocation. Patchy subconjunctival purple-red ecchymoses are in the right eye, and bilateral purple and red periorbital ecchymoses are present with superficial lacerations of the right upper eyelid up to % inch, The dura mater is lacerated and the cerebral cortices are avulsed from the cranial vault with lacerations and pulpification of the parenchyma. Diffuse subarachnoid hemorrhage is present. The brainstem and cerebellum are in the posterior fossa of the skull and exhibit subarachnoid hemorrhage and punctate and linear red and purple hemorthages. AL inch x 38 inch, purple-red contusion is on the lower buccal mucosa and gingiva with lacerations medial to the lower central incisors. Palpable fractures are in the mandibular rami and mandibular condylar processes. Purple-red contusion is in the lateral aspect of both sides of the tongue.NAME: Glass, Emily CASE: 18-18-1552 A small lead-colored metal fragment is recovered from the clothing posterior to the left shoulder during removal of the clothing. Due to the traumatic deformation of the head and loss of bony and soft tissue associated with the gunshot wound, a definitive exit wound is not identified. No projectile or projectile fragments are identified within the head during the examination. ‘The path of the projectile is front to back. Further definition of the pathway cannot be established due to the extensive injuries to the head. The range of fire is contact. Il, ADDITIONAL INJURIES A114 inh x % inch, purple-red contusion is on the right upper arm. A 4 inch x 1s inch, red-purple, abraded contusion is on the anterior aspect of the distal right thigh. A ss inch, red-purple contusion is on the anteromedial aspect of the proximal left lower leg. INTERNAL EXAMINATION BODY CAVITIES No adhesions or abnormal collections of fluid are in any of the body cavities. Ail body organs are present in normal anatomic position. The subcutaneous fat layer of the abdominal wall is 2.5 om thick, RVOUS HEAD (CE! STEM, Received in a separate red biohazard bag with the body are portions of the cerebral cortices that are 750 grams, The cerebellum and brainstem are 100 grams. Except as noted in “Evidence of Injury”, the head (Central Nervous System) exhibits no significant gross pathologic abnormalities. The visualized spinal cord is unremarkable. NECK Examination of the soft tissues of the neck, including strap muscles and large vessels, reveals no abnormalities. The epiglottis is not enlarged and the laryngeal mucosa is smooth. The thyroid cartilage, thyroid cornu and hyoid bone are intact. Except as noted previously, the tongue is unremarkable, CARDIOVASCULAR SYSTEM The heart weighs 240 grams. The pericardial sac lining is smooth, glistening, and unremarkable, and the pericardial fluid is not increased, The epicardium of the heart is smooth and unremarkable, The coronary arteries arise normally, follow the usual distribution with a right dominant system, and are widely patent and show no evidence of atherosclerosis, The cardiac 4NAME: Glas CASE: 18-18-1552 valves are normally formed, soft and pliable, without calcifications, vegetations or fibrosis. The myocardium is dark red-brown, firm, and unremarkable. The atrial and ventricular septa are intact. The aorta and its major branches arise normally, follow the usual course, and exhibit fatty atheromatous streaks. The vena cava and its major tributaries return to the heart in the usual distribution and are unremarkable. RESPIRATORY SYSTEM ‘The right and left lungs weigh 320 and 300 grams, respectively. The upper and lower airways contain aspirated gastric contents, The mucosal surfaces are smooth and yellow-tan with rare petechial hemorrhages in the mucosa of the larynx. Both lungs have normal lobulations, and the pleural surfaces are smooth, glistening, with anthracotic pigment deposition and petechial hemorrhages. The pulmonary parenchyma is pink-tan, red, and red-tan and exhibits anthracotic pigment deposition and mild emphysematous changes. The pulmonary arteries are normally developed and patent. LIVER AND BILIARY SYSTEM The liver weighs 1350 grams and has normal lobulation. The hepatic capsule is smooth, glistening, and intact. It covers red-brown parenchyma with no focal lesions noted. The gallbladder contains yellow-green bile. The pancreas is soft, tan, and lobular and there are no focal lesions on the normal appearing cut surface. The intrahepatic and extrahepatic biliary tree is patent without evidence of calculi ALIMENTARY TRACT ‘The esophagus is lined by gray-white smooth mucosa. The gastric mucosa is unremarkable, and the lumen contains 600 mL of tan, chunky, partially digested food. The small intestine, large intestine, mesentery and omentum are unremarkable. The appendix is present. GENITOURINARY TRACT ‘The right and left kidneys weigh 190 grams, respectively. ‘The renal capsules are smooth and the cortices are red-brown and firm. The cortex is sharply delineated from the medullary pyramids. ‘The calyces, pelves, and ureters are unremarkable. The urinary bladder contains 70 mL of cle: yellow urine, ‘The mucosa is white-tan and smooth. The uterus, fallopian tubes, ovaries, and Vagina are unremarkable. RETICULOENDOTHELIAL SYSTEM ‘The spleen is 150 grams. ‘The capsule is smooth and intact and there are no focal lesions on the softened cut surface. An up to 1.3 em accessory spleen is identified near the tail of the pancreas. The regional lymph nodes appear normal.NAME: Glass, Emily CASE: 18-18-1552 ENDOCRINE SYSTE! The right and left adrenal glands are normally formed and the golden brown cut surface is unremarkable. The thyroid gland has normai lobulation and there are no focal lesions on the normal appearing cut surface. MUSCULOSKELETAL SYSTEM Except as noted previously, the bony framework, supporting musculature, and soft tissues are not unusual. EVIDENCE The following items are collected and preserved: a fabric swatch containing a sample of the decedent's blood. (See also Chain of Custody documents) TOXICOLOGY Blood (Heart); Ethanol — Negative Tetrahydrocannabinol [THC] ~ 25 ng/mL Urine: Negative for Amphetamine, Barbiturates, Benzodiazepines, Benzoylecgonine, Codeine, Hydrocodone, Methadone, Methamphetamine, Morphine, and Pheneyclidine [PCP] opt ON In my opinion, Emily Glass died as a result of a gunshot wound of the head. ‘The manner of death is suicide. JLO:rsREGIONAL FORENSIC SCIENCE CENTER Timothy P. Rohrig, PRO — Director Timothy 8. Gori, MD, PhD — Chief Medical Examiner FORENSIC LABORATORY DIVISION TOXICOLOGY LABORATORY REPORT, NAME: U/l FEMALE (GLASS, Emily) TOXICOLOGY CASE Nt 18-0478 Ageney Case No: 18-18-1552 Submitted by: J. Oeberst, MD Date Received: 11 June 18, SPECIMENS SUBMITTED, Blood, Vitreous, Urine, Liver, Brain, Gastric Contents, RESULTS Blood (Heart): Ethanol ~ Negative Tetrahydrocannabinol [THC] ~ 25 ng/mL. Urine: Negative for Amphetamine, Barbiturates, Benzodiazepines, Benzoylecgonine, Codeine, Hydrocodone, Methadone, Methamphetamine, Morphine, and Phencyclidine [PCP]. Resulis Cer Direcior and Chief Toxivologist All specimens wl retin seordng to RFSC specimen renin pole. ‘This report shall nt be reproduced excep in fall wihout she writen epprovel of the laboratory ‘Aw ASCLD/LAB nvernational Accredited Laboratory 109 N.minneapols + Wichita, Kansas £7214-3129 + Telephone (314) 660-4800 + Fax (316) 383-4535 age oft