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This article presents a series of three complex forensic cases that posed significant challenges for identifying human remains. These include a mass dam disaster, burnt human remains, and extensively decomposed human remains. Positive identification was achieved using a shadow positioning technique with imaging comparisons of medical findings. After establishing the biological profile, medical data were evaluated with digital radiography and computed tomography examinations the human remains. These aimed to replicate the original (intravitam) traits in the same angulation to examine postsurgical characteristics, as well as the anatomical, pathological, and morphological features, which were sufficient to establish a positive scientific identification. Technological advancements tend to reveal additional skeletal details, making medical data comparisons significantly more effective in the context of anthropological identification. These cases demonstrate that the possibility of identification should never be ignored, even in situations with advanced decomposition., Key Points: Conventional identification methods may not always be applicable in forensic anthropology cases.The presented cases include a mass dam disaster, burnt human remains, and extensively decomposed human remains.These three cases involved successful human identification with medical findings comparisons using the shadow position technique.Identification could be established in these cases, despite challenges, such as fire damage, an incomplete body, and extensive decomposition.These cases suggest medical findings should be considered as biological identifiers rather than secondary identifiers., Competing Interests: Eugénia Cunha initial holds the position of Editorial Board Member for Forensic Sciences Research and is blinded from reviewing or making decisions for the manuscript., (© The Author(s) 2024. Published by OUP on behalf of the Academy of Forensic Science.)

The development of antiplatelet and antithrombotic therapies, in addition to interventionist strategy, has resulted in great improvements in the outcomes of patients with non-ST-segment elevation acute coronary syndrome. Parallel to therapeutic advances, bleeding, which can be induced during management, increases the risk of recurrent ischemia, myocardial infarction and death. The present literature review describes the benefits and bleeding risks of each medication or intervention strategy and suggests guidelines for managing these patients.