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THE ATTIC : Cause of Death - Proximate of Causes

Date Added
AUG 2002

All deaths can be attributed to one of three proximate causes which relate to the failure of one of the organs essential to life: Coma (brain), syncope (heart) or asphyxia (lungs).

Coma

Arrest of the brain's functions is principally caused by:


1. Compression of the brain resulting from a depressed fracture (homicidally, most commonly the result of bludgeoning.)


2. The effects of poisoning, wither suicidally, homicidally or accidentally introduced into the body.


3. The effects of narcotic and hypnotic drugs usually self induced to the body accidentally in the form of overdose or impurities in the substance.


4. Medical conditions such as cerebral haemorrhage, brain tumour and diseases, the by-products of which may poison the bran and produce coma.

Syncope

1. 'Natural' heart failure is associated with many degenerative diseases of the organ, often accelerated by shock or powerful emotion.


2. Homicidal syncope's can be induced by certain poisons, or by extensive injury caused to the heart.

Asphyxia

Anoxia meaning simply 'lack of oxygen', is the principal cause of death and widely encountered in acts of homicide. The condition results from several causes, of which the first, anoxic anoxia, is usually known as asphyxia, or manual asphyxia.

Anoxic Anoxia (Asphyxia)
1. Associated with breathing an atmosphere with insufficient oxygen.


2. Obstruction of the oxygen supply by occlusion of the air passages.


3. Pressure on the chest or abdomen preventing breathing.


4. Paralysis of the respiratory function due to electric shock, the action of some poisons (morphine, barbiturates), etc.
Anaemic Anoxia
1. An insufficient supply of oxygen in the tissues as the result of heavy loss of blood and obstruction of the arteries; possible homicidal causes are extensive cut and stab wounds (i.e.; bleeding to death).


2. Obstruction of the supply of oxygen to the blood, as in the case of carbon monoxide poisoning.
Histotoxic Anoxia
Toxic materials paralyse the body tissues preventing them from utilizing the oxygen released by the blood; for example, cyanide.
Stagnant Anoxia
Where blood circulation is stopped as the result of shock: heart failure or embolism.
Cause of Death : Specific Causes of Death
It may be quite obvious to the pathologist from the state of the body at a homicide scene what the most likely cause of death was - the victim may, for example, still have a ligature tied around their neck, or the skull may have been smashed with the bloody brick lying close by. The wise medic, however, always waits until he has performed a thorough post mortem examination before committing themselves to the precise cause of death; to do otherwise could seriously mislead investigating officers in the early stages of their inquiry. The most commonly encountered specific causes of death are:
Bludgeoning [ read more about bludgeoning ]
In which for convenience are included not only the typical 'blunt instruments', but also other weapons which inflict impact injuries, (usually to the head) resulting in death - a motor car, for example, and 'personal weapons' such as feet and fists.

Burning
Although death can result instantly from burning in the case of events such as flash fires, the most common cause of death associated with fire is asphyxia from smoke inhalation.

Drowning [ read more about drowning ]
One of the categories of asphyxia, caused by obstructing the respiratory channels with liquid.

Embolism [ read more about embolism ]
Clogging of the blood vessels by bubbles of air (or more rarely by fat) which causes an obstruction to the heart or to the brain where it blocks the blood supply.

Explosives
Proximity to explosive blasts results in a variety of injuries connected with the effects of the explosive itself - disintegration of the body, flash burns, effects of air pressure; and others associated with the result of the blast - flying debris and glass, collapsing buildings, etc

Gunshot Wounds
The result of shooting with all types of firearms.
Knife Wounds
Damage to the body tissue of an extent where physical functions are destroyed; to which for convenience is added throat cutting.
Poison
Where extensive tissue damage combined with shock and paralysis destroy vital functions of the body.
Strangulation [ read more about strangulation ]
Embracing the most common forms of asphyxia:
Manual Strangulation
Caused by direct pressure on the victim's trachea by the killer's hands, forearm or feet.
Ligature Strangulation
Caused by constriction of the neck by direct application of pressure by means of a rope, scarf, etc. pulled tightly by the killer.
Hanging [ read more about hanging ]
Caused by constriction of the neck by an indirect application of pressure on the ligature by the weight of the body; more commonly encountered as suicide than homicide.
Suffocation and Smothering
External stoppage of the nose and mouth preventing air being taken into the lungs, resulting in asphyxia.

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