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CAUSE and MANNER
of DEATH
DEGREES of CERTAINTY
86 Yr. Old Man
Assaulted
by 4 teenagers
Struck, knocked down
Wife knocked down and fell on his legs
Found the next day
Hospitalized: red marks on neck; no
other bruising
No internal injuries
86 Yr. Old Man
Released
to Niece’s care
Died 1 month following assault
Autopsy by forensic pathologist
Pulmonary emboli
Arteriosclerotic heart disease
Emphysema
Cause
of Death: Pulmonary Emboli due to
Phlebothrombosis of leg
86 Yr. Old Man
Manner
Forensic pathologist: Undetermined
Elected Coroner:
Homicide
Result:
of Death
Trial and Conviction
60 year sentence
4 Month Old Female
Found
dead in playpen by mother
Last seen alive by father (not biological
father)
No medical history
Small bruise on neck
Two healing rib fractures
“Confession” by father to previous
smothering
4 Month Old Infant
Cause
of Death : Smothering
Manner of Death: Homicide
Trial
Confession retracted
Forensic pathologist: possible SIDS
Result:
Conviction
CAUSE and MANNER of
DEATH CERTAINTY
FOR DEATH
CERTIFICATE
PROBABILITY
>50%
CAUSE AND MANNER OF
DEATH CERTAINTY FOR
MEDICAL EXAMINERS
HIGHLY
VARIABLE
A CAUSE OF DEATH
VS.
THE CAUSE OF DEATH
CAUSE of DEATH
DISEASE
INJURY
COMBINATION
The cause of death is a medical
diagnosis
MECHANISM of DEATH
PATHOPHYSIOLOGY and BIOCHEMISTRY
Violent
deaths: structural
Natural deaths: functional
MANNER of DEATH
NATURAL
ACCIDENT
SUICIDE
HOMICIDE
UNDETERMINED
IMMEDIATE CAUSE OF DEATH
vs.
PROXIMATE CAUSE OF DEATH
Very
important in cases of
severe injury with long term
survival
CONTRIBUTORY CAUSE OF
DEATH
Contributes
to death but is
an unrelated disease or
injury
STANDARDS
Cause
of Death
Competence in practice of forensic
pathology
Manner of Death
Convention
Common sense
Legitimate argument
Death Investigation
Evaluate
the circumstances
Operate without undue
influence
Forensic Autopsy
Performance
or Supervision
Limit to number performed
Interprets all ancillary reports
Determines cause of death
Determines manner of death
Autopsy Standards
External
Examination
Postmortem Changes
Injuries
Photographic Documentation
Internal Examination
X-rays
Laboratory Testing
Histology
Autopsy Report
Description
of Findings
Interpretation of Results