Changes in The Body Following Death
Changes in The Body Following Death
Changes in The Body Following Death
DURATION OF DEATH
In the determination as to how long a person has been dead, the following points
must be considered:
1. Presence of Rigor Mortis – in warm countries like Philippines, rigor
mortis sets from 2 to 3 hours after death. It is fully develop 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 petechiae-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.
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.
5. Entomology of the Cadaver – in order to approximate the time of death by
the use of 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.
6. Stage of Digestion of Food in the Stomach – It takes normally 3-4 hours
for the stomach to evacuate its content after meal. The approximate time of
death may be deduced from the amount of food in the stomach in relation to
his last meal. This determination is dependent upon the amount of food taken
and the degree of tonicity of the stomach.
7. Presence of Live Flea in the Clothing in Drowning – a flea can only
survive for approximately 24 hours submerged in water. It can be no longer
revived if submerged more than that period. In temperate countries, people
wear woolen clothes. If the body is found in the water, the flea may be found
in the woolen clothing. The flea recovered must be place in a watch glass and
observed if it is still living. If the flea still could move, then the body has been
in water for a period less than 24 hours. Revival of the life of the flea is not
possible if they are in water for morethan 24 hours.
8. Amount of Urine in the Bladder – the amount of urine in the urinary
bladder may indicate the time of death when taken into considerations he was
last seen voiding his urine. There are several factors which may modify
urination so it must be utilized with cautions.
9. State of Clothing – a circumstantial proof of the time of death is the apparel
of the deceased. If the victim is wearing street clothes, there is more likelihood
that death took place at daytime, but if in night gown or pajama, it is more
probable that death occurred at night time.
10. Chemical Changes in the Cerebro-Spinal Fluid – lactic acid increases
from 15mg. To 200mg. Per cc, Non-protein nitrogen increase from 15mg. To
40mg., and amino acid concentration rises from 1% to 12% following death.
This occurs 15 minutes after death.
11. Post-Mortem Clotting and Decoagulation of Blood – blood clots inside
the blood vessels in 6 hours to 8 hours after death. Decoagulation of blood
occurs at early stage of decomposition. The presence of any of these condition
may infer the approximate duration of death.
12. Presence or Absence of Soft Tissues in Remains – under ordinary
condition, the soft tissue of the body may disappear. The disappearance of the
soft tissues varies and influenced by several factors. When the body is found
on the surface of the ground, aside from the natural forces of nature
responsible for the destruction of soft tissues, external element and animals
may accelerate its destruction.
13. Conditions of the Bone – if all the soft tissues has already disappeared
from the skeletal remains, the degree of erosion of the epiphyseal ends of long
bones, pulverization of flat bones and diminution of weight due to the loss of
animal matter may be the basis of the approximation.
CAUSES OF DEATH – the causes of death are injury, disease or combination or
both injury and disease that produces the fatal termination may be immediate or
proximate.
1. Immediate or Primary Cause of Death – this applies to cases when
trauma or disease kill quickly that there is no opportunity for sequelae or
complications to develop. An extensive brain laceration as a result of a
vehicular accident is an example of immediate cause of death.
2. The Proximate or Secondary Cause of Death – the injury or disease
was survived for a sufficient prolonged interval which permitted the
development of serious sequelae which actually caused the death. If a stab
wound on the abdomen later caused generalized peritonitis, then the
peritonitis is the proximate cause of death.
MEDICO-LEGAL CLASSIFICATION OF DEATH
1. Natural Death – is caused by natural disease condition in the body. The
disease may develop simultaneously or it might have been a consequence of
physical injury inflicted prior to its development. If a natural disease develop
without the intervention of the felonious acts of another person, no one can
held responsible for the death.
2. Violent Death – are those due to injury inflicted in the body or some forms
of outside force. The physical injury must be the proximate cause of death.
The death of the victim is presumed to be natural consequence of the physical
injuries inflicted, when the following facts are established; the victim at the
time of physical injury were inflicted was not in normal health, the death may
be expected from physical injuries inflicted and ensued within a reasonable
time.
PATHOLOGICAL CLASSIFICATION OF DEATH
PATHOLOGICAL CLASSIFICATION OF DEATH – An analysis of all deaths
from natural causes will ultimately lead to the failure of the heart, lungs, and the
brain, so that death due to pathological lesions may be classified into:
1. Death from Syncope – this death is due to sudden and fatal cessation of
the action of the heart with circulation included.
2. Death by Asphyxia – is the condition in which the supply of the oxygen to
the blood or to tissues or to both has reduced below.
CLASSIFICATION OF ASPHYXIA
• Asphyxia by Hanging – is a form of violent death brought about by the
suspension of the body by a ligature which encircles the neck and the
constricting force is the weight of the body. It is not necessary that the whole
body will be left suspended. The victim may be sitting or lying with the face
downward provided that the pressure is present in front of the side of the
neck.
• Asphyxia by Strangulation – strangulation is produce by compression of
the neck by means of ligature which is tightened by a force other than the
weight of the body. Usually, the ligature is drawn by pulling the ends after
crossing at the back or front of the neck, or several folds of the ligature may be
around the neck tightly placed and the ends are knotted, or loop it thrown
over the head and a stick inserted beneath it and twisted till the noose
is drawn tight.
• Asphyxia by Suffocation - is the exclusion of air from the lungs by closure
of air opening or obstruction of the air passageway from external openings to
the air sacks.
KINDS OF ASPHYXIA BY SUFFOCATION
1. Smothering – is a form asphyxial death caused by closing the external
respiratory orifices, either by the use of hand or by some other means. The
nostrils and the mouth may be blocked by the introduction of foreign
substance, like mud, paper, cloth, etc.
2. Choking – is a form of suffocation brought about by the impaction of foreign
body in the respiratory passage. Most suffocation by choking is accidental,
although it may be utilized in suicide or in homicide. The post-mortem finding
in suffocation by choking is the same as other forms of asphyxia plus the
presence of the foreign body in the respiratory tract.
3. Entrapment or Environment Suffocation – it is caused by an
inadequate or gross deficiency of oxygen in the environment but, it is not due
to by suffocating gases. These death are almost accidental in nature.
4. Mechanical Asphyxia – it is where the pressure on the outside (added
weight, outside forces/objects, etc.,) of the body prevents respiration. It is also
accidental in manner.
TYPES OF MECHANICAL ASPHYXIA
1. Traumatic Asphyxia – it is another term for mechanical asphyxia.
• Restriction of chest movement due to external mechanical
fixation.
2. Positional Asphyxia
3. Riot-crush or human pile death.