From the ∗Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI

†Arkansas State Medical Examiner's Office, Arkansas State Crime Laboratory, Department of Public Safety, Little Rock, AR.

Manuscript received March 1, 2023; accepted May 9, 2023.

The authors report no conflict of interest.

This article was presented at the 2020 Annual Meeting of the National Association of Medical Examiners.

Reprints: Joseph A. Prahlow, MD, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI. E-mail: [email protected].