Medico Legal Aspects of Death
Medico Legal Aspects of Death
Medico Legal Aspects of Death
INVESTIGATION
DEATH DEFINED
• Death – a permanent cessation of all vital functions; the end of
life (merriam-webster dictionary)
• According to medical dictionary, death is defined as the
cessation of all vital functions of the body including the
heartbeat, brain activity (including the brain stem), and
breathing
DEATH DEFINED
• In the Philippines as stipulated under RA 7170 DEATH shall
mean the irreversible cessation of circulatory and respiratory
functions or the irreversible cessation of all functions of the
entire brain, including the brain stem. A person shall be
medically and legally dead if either:
DEATH DEFINED
• (1) In the opinion of the attending physician, based on
the acceptable standards of medical practice, there is an
absence of natural respiratory and cardiac functions
and, attempts at resuscitation would not be
successful in restoring those functions. In this case,
death shall be deemed to have occurred at the time
these functions ceased; or
DEATH DEFINED
• (2) In the opinion of the consulting physician, concurred in by the
attending physician, that on the basis of acceptable standards of
medical practice, there is an irreversible cessation of all brain
functions; and considering the absence of such functions,
further attempts at resuscitation or continued supportive
maintenance would not be successful in resorting such natural
functions. In this case, death shall be deemed to have occurred at
the time when these conditions first appeared.
THE FOUR MANNERS OF DEATH
CLARIDGE, J. (2017)
• Natural Causes: Quite simply when the body ceases to function of its
own accord or if there are mitigating medical factors such as terminal
illness, heart disease or the like, which would bring about death - this is
generally referred to as death by natural causes.
• Homicide: The taking of one human life by another human being by
means of pre-meditated murder. The term pre-meditated means to have
purposely planned and executed the murder of another human being in
cold blood whilst trying to elude capture by the authorities.
THE FOUR MANNERS OF DEATH
CLARIDGE, J. (2017
• If the crime penalized in this article be committed by the mother of the child for the
purpose of concealing her dishonor, she shall suffer the penalty of prision
correccional in its medium and maximum periods, and if said crime be committed
for the same purpose by the maternal grandparents or either of them, the penalty
shall be prision mayor
REQUISITES OF THE CRIME:
The civil case for claims which does not survive is dismissed
upon death of the defendant:
• When the action is for recovery of money, debt or interest
thereon, and the defendant dies before the final judgment in the
court of the First Instance, it shall be dismissed to be prosecuted
in the manner especially provided by these rules (Rule 3, Sec.
21, Rules of Court).
KINDS OF DEATH
SOMATIC OR CLINICAL DEATH
• Immediately after death the face and lips become pale, the
muscles become flaccid, the sphincters are relax, the lower jaw
tends to drop, the eyelids remain open, pupils dilate and the skin
losses its elasticity. The body fluid tends to gravitate to the most
dependent portions of the body and the body heat gradually
assumes the temperature of the surroundings.
MOLECULAR OR CELLULAR DEATH:
• After cessation of the vital functions of the body there is still animal life
among individual cells. This is evidence by the presence of excitability of
muscles and ciliary movements and other functions of individual cells.
• About three to six hours later, there is death of individual cells. This is
known as molecular or cellular death. Its exact occurrence cannot be
definitely ascertained because its time of appearance is influenced by several
factors. Previous state of health, infection, climatic condition, cellular
nutrition, etc. influence its occurrence.
APPARENT DEATH OR STATE OF SUSPENDED
ANIMATION
• Cold Stiffening:
• The stiffening of the body may be manifested when the body is
frozen, but exposure to warm condition will make such
stiffening disappear. The cold stiffening is due to the
solidification of fat when the body is exposed to freezing
temperature
CHANGES IN THE MUSCLE
• 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.
• The findings of weapon, hair, pieces of clothing, weeds on the palms of the
hands and firmly grasped is a very important medico-legal point in the
determination whether it is a case of suicide, murder or homicide.
CHANGES IN THE MUSCLE
• Distinctions Between Rigor Mortis and Cadaveric Spasm:
• Time of Appearance:
• Rigor mortis appears three to six hours after death, while cadaveric spasm
appears immediately after death.
• Muscles Involved:
• Rigor mortis involves all the muscles of the body whether voluntary or
involuntary, while cadaveric spasm involves only a certain muscle or group of
muscles and are asymmetrical.
CHANGES IN THE MUSCLE
• Distinctions Between Rigor Mortis and Cadaveric Spasm:
• Occurrence:
• Rigor mortis is a natural phenomena which occurs after death, while cadaveric
spasm may or may not appear on a person at the time of death.
• Medico-Legal Significance:
• Rigor mortis may be utilized by a medical jurist to approximate the time of
death, while cadaveric spasm may be useful to determine the nature of the crime.
CHANGES IN THE MUSCLE
• . Stage of Secondary Flaccidity or Secondary Relaxation:
• After the disappearance of rigor mortis, the muscle becomes soft and
flaccid. It does not respond to mechanical or electrical stimulus. This is
due to the dissolution of the muscle proteins which have previously been
coagulated during the period of rigor mortis.
CHANGES IN THE
BLOOD
A. COAGULATION OF THE BLOOD:
• Diffusion Lividity
• This appears during the later stage of its formation when the
blood has coagulated inside the blood vessels or has diffused
into the tissues of the body. Any change of position will not
change the location of the lividity
IMPORTANCE OF CADAVERIC LIVIDITY:
• (1) It is one of the signs of death.
• (2) It may determine whether the position of the body has been changed after its
appearance in the body.
• (3) The color of the lividity may indicate the cause of death.
• Example: a. In asphyxia, the lividity is dark.
• b. In carbon monoxide poisoning, the lividity is bright pink
• c. If the body is found for considerable time in snow or ice the lividity is bright red.
• (4) It may determine how long the person has been dead.
• (5) It gives us an idea as to the time of death.
POINTS TO BE CONSIDERED WHICH MAY INFER THE
POSITION OF THE BODY AT THE TIME OF DEATH
• c. Cadaveric Spasm:
• In violent death, the attitude of parts of the body may infer position
on account of the spasm of the muscles.
• Example: (1) In drowning, the victim may be holding the sea weeds.
• (2) In suicide, the wounding weapon may be grasped tightly by the
hands
PUTREFACTION OF THE BODY
Natural Mummification;
•When a person is buried in hot, arid, sandy soil,
there will be insufficient moisture for the growth and
multiplication of putrefactive bacteria. The body will
become dehydrated and mummified which is caused
by the forces of nature.
KINDS OF MUMMIFICATION:
• (2) Artificial Mummification:
• The principles involved in artificial mummification are:
• (a) Acceleration of the evaporation of the tissue fluid of the body before
the actual onset of decomposition.
• (b) Addition of some body preservatives to inhibit decomposition and to
allow evaporation of fluid. This is made by treatment of the body with
arsenic, formalin, resinous or tarry materials.
SAPONIFICATION OR ADIPOCERE
FORMATION:
• This is a condition wherein the fatty tissues of the body are transformed to soft
brownish-white substance known as adipocere. The layer of subcutaneous tissue
is the frequent site of its formation. It occurs naturally in the visceral organs and
even in non-fatty tissues of the body like the muscles.
• Adipocere is a waxy material, rancid or moldy in odor, floats in water, and
dissolves in ether and alcohol. With diluted solution of copper sulfate, it gives a
light greenish-blue color. It is inflammable and burns with a faint yellow flame.
DURATION OF
DEATH
CONSIDERATION IN DETERMINING DURATION
OF DEATH
• 1. Presence of Rigor Mortis:
• In warm countries like the Philippines, rigor mortis sets in from 2 to 3
hours after the death. It is fully developed in the body after 12 hours.
It may last from 18 hours to 36 hours and its disappearance is
concomitant with the onset of putrefaction.
• 2. Presence of Post-mortem Lividity:
• Post-mortem lividity usually develops 3 to 6 hours after death. It first
appears as a small petechia-like red spots which later coalesce with
each other to involve bigger areas in the most dependent portions of
the body depending upon the position assumed at the time of death.
CONSIDERATION IN DETERMINING DURATION
OF DEATH
• 3. Onset of Decomposition:
• In the Philippines like other tropical countries, decomposition is early and the average
time is 24 to 48 hours after death. It is manifested by the presence of watery, foul-
smelling froth coming out of the nostrils and mouth, softness of the body and presence of
crepitation when pressure is applied on the skin.
• 4. Stage of Decomposition:
• The approximate time of death may be inferred from the degree of decomposition,
although it must be made with extreme caution. There are several factors which modify
putrefaction of the body.
CONSIDERATION IN DETERMINING DURATION
OF DEATH
• 5. Entomology of the Cadaver:
• In order to approximate the time of death by the use of the flies
present in the cadaver, it is necessary to know the life cycle of the
flies. The common flies undergo larval, pupal and adult stages. The
usual time for the egg to be hatched into larva is 24 hours so that by
the. mere fact that there are maggots in the cadaver, one can conclude
that death has occurred more than 24 hours.
CONSIDERATION IN DETERMINING DURATION
OF DEATH