The forensic examination of corpses of deaths in health facilities.

  • Causes of sudden death
  • Investigation of the corpses of deaths in hospitals, is made by the General rules, but has certain characteristics. In hospitals there is a lot of diagnostic and medical manipulations that affect morphological manifestations of injuries and diseases.
    Thus, in cases of death from mechanical injury as a result of surgical interventions significantly changed the original appearance of the lesions (excising the edge of the RAS, deleted, corrupted bodies is trepanation of the skull and others).
    At carrying out of reanimation and intensive therapy can not only get injured tissue (ribs), but also to experience changes nontraumatic nature (morphological, changes of blood rheology and others).
    In these cases, the medical examiner should not only set the first character of damages, but to distinguish pathological changes resulting from sickness, from changes related to treatment. A great role in the solution of these problems belongs to medical documentation. In particularly difficult cases, people are forced to interrogations (the investigator) doctors order to clarify unclear and insufficiently reflected in the medical documents of issues related to the original form of damage and the nature of the medical aid given.
    In cases of detection of damages in the resuscitation medical examiner should solve not only questions about the nature of these injuries, but also about the time of their occurrence. Resuscitation are made not only in premorbid period, but also during clinical death, and in some cases continue in the coming biological death. Damage can occur in either of these periods.
    In some cases there is a necessity to give an expert evaluation of the injury, with which the victim was admitted to the hospital, and, in addition, evaluation of morphological manifestations of treatment and the complications of diagnostic and therapeutic procedures, anesthesia, etc. and the effects of treatment on the course and outcome of the injury. Because the solution of these issues represents a significant challenge, in some cases, the examination is made not by one, but by several experts, with the involvement of specialists of high qualification.
    When detected in the process of examination of the defects diagnostics and treatment in pre-hospital and hospital periods, these cases are discussed at clinical-anatomical conferences.
    Sudden death. A significant place in expert practice occupy a forensic examination of the corpses of persons who died suddenly that 25-30 % of all sectional cases.
    Suddenly called happened rapidly, unexpected surrounding the death, which occurred against the background of apparent health from hidden flowed and acute advanced disease.
    Note. In the medical literature, especially foreign, are synonymous with "sudden death" is the term "sudden death". In forensic medicine used the term: "sudden death".
    Sudden death is always non-violent death, because it comes from disease (healthy people suddenly dies).
    As can be seen from the definition, the sudden death characterizes the speed of its occurrence (from a few seconds to 1 day), and a surprise to others (since deceased before seemed healthy). These circumstances make the sudden death suspicious, like violent, resulting in the bodies of persons who died suddenly, be subject to forensic examination.
    As practice shows, the conditions and circumstances under which comes sudden death, can be very different. Sudden death can occur at work, on the street, in transport, in the bath, while sleeping, etc., If death occurs within a few hours, atonal period may experience symptoms that resemble the symptoms of poisoning.
    The bodies of inquiry, directing the corpse suddenly died for forensic research, put before the expert a question about the cause of death, because in such cases, without examination of the body it is impossible to exclude the possibility of a violent death. Primary care, if the deceased for a long time had not applied for medical help, can't give in these cases, the death certificate, as it does not know its cause. Therefore, the main task of a forensic expert in the study of corpses suddenly the dead is to establish the cause of death, and nature of diseases leading to death, exceptions, injury or poisoning. In expert practice rarely, but there are cases when the persons concerned are trying to prove that the man died allegedly from the disease, and in the study established that the cause of death was the injury.