Definition of Death
Definition of Death
Bayag-o
Chapter III
Medico-Legal Aspects of Death
Definition of Death
Death is the termination of life.
It is the complete cessation of all vital functions without possibility of
resuscitation.
Dying is a continuing process while death is an event that takes place at a
precise time.
The ascertainment of death is a clinical and not a legal problem.
Categories of Death
The following are the categories of death:
1. Brain Death
Death occurs when there is irreversible coma, absence of electrical brain
activity and complete cessation of all the vital functions without possibility
of resuscitation.
2. Cardio-Respiratory Death
Death occurs when there is a continuous and persistent cessation of heart action
and respiration.
3. Others
Some countries or states provide both brain and cardio-respiratory bases in an
alternative or electric way in the determination of the death.
Kinds of Death
Based on criterion used in its determination, death maybe:
1. Somatic Death or clinical Death
This is the state of the body in which there is complete, persistent and
continuous cessation of the vital functions of the brain, heart and lungs that
maintain life and health. It occurs the moment the physician or other members
of the family declare a person has expired, and some of the early signs of death
are present. It is hardly possible to determine the exact time of death.
2. Molecular or Cellular death
About three to six hours, later, there is death of individual cells. This is
known as molecular or cellular death.
Its exact occurrence cannot definitely ascertain because its time of
appearance is influenced by several factors, i.e., previous state of health,
infection, climatic condition, cellular nutrition, etc.
3. Apparent Death or State of Suspended Animation
This condition is not really death but merely a transient loss of consciousness or
temporary cessation of the vital functions of the body on account of disease,
external stimulus or other forms of influence.
It is important to determine the condition of suspended animation to prevent premature burial. There
are records of cases wherein a person was pronounced dead; placed in a coffin and later angrily rise
from it and walk unaided.
Signs of Death
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2. Cessation of Respiration
Like heart action, cessation of respiration in order to be considered a sign of
death must be continuous and persistent.
A person can hold his breath for a period of no longer than 3 ½ minutes.
Examination of respiration
Expose the chest: no movement noted
Examination with mirror: no moisture formation
Examination with feather or cotton, put feather/cotton in front of nostrils: no
noted movement
Examination with a glass of water: no rippling
Winslow’s Test: place mercury or water on a saucer, and put on the chest,
no movement of the reflections
As a general rule, the body attains the temperature of the surrounding air from 12 to 15 hours
after death in tropical countries.
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The following are the stages of the entire muscular tissue death:
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a. Heat Stiffening
If the dead body is exposed to temperature above 75 degrees, it will
coagulate the muscle proteins and cause the muscles to be rigid.
The stiffening is more or less permanent and may not be easily affected by
putrefaction.
b. Cold Stiffening
The stiffening of the body may be manifested when the body is frozen,
but exposure to warm conditions will make such stiffening disappear.
The cold stiffening is due to solidification of fat when the body is
exposed to freezing temperature.
c. Cadaveric Spasm or Instantaneous Rigor
This is the instantaneous rigidity of the muscles which occurs at the
moment of death due to extreme nervous tension, exhaustion and injury
to the nervous system or injury to the chest.
It is principally due to the fact that the last voluntary contraction of muscle
during life does not stop after death but is continuous with the act of
cadaveric rigidity.
In case of cadaveric spasm, a weapon may be held in the hand before death and can
be removed with difficulty. For practical purposes it cannot be possible for the
murderer or assailant to imitate the condition.
The findings of weapon, hair, pieces of clothing, weeds on the palms of the hand and
firmly grasped is a very important medico-legal point in the determination whether it
is case of suicide, murder or homicide. The presence of weeds held by the hands of a
person found in water shows that the victim was alive before disposal.
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Clots are homogenous/cannot be Clots can be stripped away
stripped away
Clot with uniform color Clot with distinct colored layers
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Changes in Putrefaction
What is Marbolization?
The prominence of the superficial veins with the reddish discoloration
during the process of decomposition that develops on both flanks of the
abdomen, root of the neck and shoulder and which makes the area look
like a marbled reticule of branching vein.
Greenish discoloration over the iliac fossa appearing after one to three days, and
extension of the greenish discoloration over the whole abdomen and other parts of
the body.
Marked discoloration and swelling of the face with bloody froth coming out of the
nostrils and mouth.
Swelling and discoloration of the scrotum or the vulva, distention of the
abdomen with gases, and development of the bullae in the face of varying
sizes.
Bursting of the bullae and denudation of large irregular surfaces due to the
shedding of the epidermis, and escape of blood-stained fluid from the mouth and
nostrils.
Brownish discoloration of the surface veins giving an arborescent pattern on the
skin, and liquefaction of the eyeballs.
Increased discoloration of the body generally and progressive increase of abdominal
distention.
Presence of maggots, shedding of the nails and loosening of hair, and conversion
of the tissue into semi- fluid mass.
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Facial feature unrecognizable, bursting of the abdomen and thoracic cavities, and
progressive dissolution of the body.
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48 hours Ova of flies can be seen; Trunk bloated; Face discolored and
swollen; Blisters present; Moving Maggots can be
seen
72 hours Whole body grossly swollen and disfigured; hair and nails loose;
tissues soft and discolored
1 week Soft viscera is putrefied
2 weeks Only more resistant viscera is distinguishable; soft tissues largely
gone
1 month Body is skeletonized
MODIFICATION OF PUTREFACTION
Mummification – the dehydration of the whole body which results in the shivering
and preservation of the body. It usually occurs when the body is buried in a hot and
dry place with free access of air.
Saponification – a condition where the fatty tissues are transformed to soft brownish-
white substance known as adipocere.
DURATION OF DEATH
In the determination as to how long a person has been dead from the
condition of the cadaver and other external evidences, the following points
must be taken into consideration.
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Chapter IV
Medico Legal Investigation of Death
2. Autopsy
An autopsy is a comprehensive study of a dead body, performed by a trained
physician employing recognized dissection procedure and techniques.
It includes removal of tissues for further examination. There are two kinds of
autopsies, i.e., hospital or non-official autopsy, and medico-legal or official
autopsy.
Chapter V
Causes of Death
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The cause of death is the injury, disease, or the combination of both which produce
the fatal termination. Cause of death may either be;
Immediate or Primary Cause of Death- applies when trauma or disease kill
quickly that there is no time for complications to develop.
Proximate (Secondary)Cause of Death- occurs when the injury or
disease was survived but complications developed which actually
caused the death.
Manner of Death -the explanation as to how the cause of death arose. It can be
natural or violent.
1. Natural Death
This is death caused by natural disease condition in the body.
The disease may develop spontaneously or it might have been a
consequence of physical injury inflicted prior to its development.
If a natural disease developed without the intervention of the felonious acts of
another person, no one can be held responsible for the death.
2. Violent or Unnatural Death
Violent deaths are those due to injuries inflicted in the body by some forms of
outside force.
The physical injury must be the proximate
cause of death. Examples:
a. Accidental Death- death due to misadventure or accident.
b. Negligent Death- death due to reckless imprudence, negligence, lack of skill,
or lack of foresight.
c. Suicidal Death- destruction of one’s own life.
d. Parricide- killing one’s father, mother, or child
e. Homicidal- killing of person other than ascendants or descendants.
That the victim at the time of physical injuries is inflicted was in normal health.
That the death may be expected from physical injuries inflicted.
That death ensued within a reasonable time.
Chapter VI
Special Deaths
JUDICIAL DEATH
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Starvation or Inanition – the deprivation of a regular and constant supply of food and
water which is necessary to normal health or a person. The cause may be due to
suicidal, homicidal or accidental.
Types of Starvation
a. Acute Starvation – food is suddenly and completely withheld from a person.
b. Chronic Starvation – gradual or deficient supply of food.
The human body without food loses 1/24th of its weight daily, and a loss of 40% of the weight
results to death. The length of the survival depends upon the presence or absence of water.
Without food and water, a person cannot survive more than 10 days. But with water a person may
survive without food for 50 to 60 days.
ASPHYXIA BY STRANGULATION
ASPHYXIA BY SUFFOCATION
Suffocation is the exclusion of air from the lungs by closure of the air openings
Smothering – closing of the air openings with the use of hand or other means
Overlaying – use of pillow or beddings
Gagging – use of handkerchief or clothing
Choking – due to impaction of foreign body in the respiratory passages
Chapter VII
Disposal of the Dead Body
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