MEDICOLEGAL ASPECT OF F DEATH Flashcards
(33 cards)
It is the complete cessation of all the vital functions without possibility of resuscitation
DEATH
It is an irreversible loss of the properties of living matter.
DEATH
KINDS OF DEATH
- Somatic Death or Clinical Death
- Molecular or Cellular Death
- Apparent Death or State of Suspended Animation
It is hardly possible to determine the exact time of death
Somatic Death or Clinical Death
Somatic or Clinical types of Deaths
- Sociological Death
- Psychic Death
- Biologic Death
- Physiologic Death
Type of death wherein withdrawal and separation from the patient by others producing a sense of isolation and abandonment, unvisited and let alone to die
SOCIOLOGICAL DEATH
Condition of death wherein the patient regresses, gives up or surrenders accepting death prematurely and refuses to continue living.
PSYCHIC DEATH
Type of death characterized by the absence of cognitive function or awareness, although artificial support system may maintain organs functioning.
BIOLOGIC DEATH
Type of death when all vital organs cease to function.
PSYSIOLOGIC DEATH
Its exact occurrence cannot be definitely ascertained because its time of appearance is influenced by several factors like previous state of health, infection, climatic condition, cellular nutrition, etc.
Molecular or Cellular Death
This condition is not really death but merely a transient loss of the vital functions of the body on account of disease, external stimulus, or other forms of influence.
Apparent Death or State of Suspended Animation
Methods of detecting the cessation of heart action and circulation
a. Examination of Heart
b. Examination of the Peripheral Circulation
Examination of heart
a. Palpation of the pulse
b. Auscultation for the heart sound at the precordial area
c. Fluoroscopic Examination
d. By the use of electrocardiograph
It is the pulsation is very imperceptible and irregular that the examiner experiences much difficulty
Palpation of the pulse
The rhythmic contraction and
relaxation of the heart is audible through the stethoscope.
Auscultation for the Heart Sound at the Precordial Area
reveal the shadow of the heart in its rhythmic contraction and relaxation. The shadow may be enlarged, and the excursion made less visible due to pericardial effusion.
Fluoroscopic Examination
This is the best method of determining heart action but quite impractical
By the Use of Electrocardiograph
It will record the heart beat even if it is too weak to be heard by auscultation
Electrocardiograph
Examination of the Peripheral Circulation
a. Magnus Test
b. Opening of small Artery
c. Icard’s Test
d. Pressure on the Fingernails
e. Diaphanous Test
f. Application of heat on the skin
g. Palpation of the radical pulse with fingers
A ligature is applied around the base of a finger with moderate tightness.
MAGNUS TEST
• Living: the blood escapes in jerk and at a distance.
• Dead: the blood vessel is white and there is no jerking escape of blood but may only ooze towards
the nearby skin.
OPENING OF SMALL ARTERY
This consists of the injection of a solution of fluorescein subcutaneously.
ICARD’S TEST
This test should be applied only with the use of the daylight as the color is difficult to be appreciated with the use of artificial light.
ICARD’S TEST
Pressure is applied on the fingernails of a living person intermittently, there will be a zone of paleness at the site of the application of pressure which become livid on release
PRESSURE ON THE FINGERNAILS