Transcript of Postmortem Changes and Time of Death 12.1.14. Postmortem = after death Necessary interdependent...
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- Postmortem Changes and Time of Death 12.1.14
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- Postmortem = after death Necessary interdependent systems for
life: Respiratory system Circulatory system Central nervous system
Clinical death: All three of the above systems must be
non-functioning Legal death: Can be determined based on absence of
neurological function despite lack of clinical death
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- Determination of Clinical Death Observation for breathing
Auscultation for heart beat Palpation for a pulse Instrumentation
Electroencephalogram measures brain activity Can be misleading in
cases of hypothermia due to depressed body functions
Electrocardiogram
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- Immediate Postmortem Changes
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- Cessation of respiration Cessation of circulation Muscular
relaxation Loss of reflexes Skin pallor (paleness loss of natural
color) Dilated pupils
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- Early Postmortem Changes (not immediate) Apparent after one or
two hours:
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- Early Postmortem Changes (not immediate) Apparent after one or
two hours: Algor mortis Livor mortis Rigor mortis
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- Early Postmortem Changes (not immediate) Apparent after one or
two hours: Algor mortis body cooling Livor mortis discoloration due
to blood settling Rigor mortis stiffening of muscles
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- Algor Mortis Normal body temperature varies Body cooling does
not occur at a uniform rate Under average conditions, the body
cools at the rate of about 2.0-2.5 o F per hour for the first few
hours, then slower afterwards. Skin cools more rapidly than the
inside of the body that is why the inner body core temperature
should be taken at the scene.
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- Modes of Heat Loss Conduction Radiation Convection -
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- Modes of Heat Loss Conduction Heat transfer by items in contact
Radiation Infrared heat transfer Convection Heat transfer by air
movement
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- Factors Affecting Algor Mortis
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- Time Time Environmental temperature Location of body In water
the temperature of a body would drop more rapidly, on the ground
more slowly due to insulating effect of soil, etc. Body type and
clothing obesity or heavy clothing slows cooling due to insulation
Humidity and air currents body exposed to wind will cool more
rapidly
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- Livor Mortis Discoloration of the skin in lower regions of the
body Usual color of lividity is red-purple Begins immediately at
death due to lack of circulation Blood settles due to gravity Small
vessels and capillaries become congested with blood
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- Livor Mortis Not generally apparent for 1-2 hours Fixed (or
permanent) after 6-12 hours Blood will not flow to a new region if
the body is moved after livor is fixed, thus inappropriate lividity
(livor mortis in an unexpected location) is an indication that the
body has been moved at least 6-12 hours after death
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- Livor Mortis Pressure can effect appearance of livor mortis, as
pressure can displace blood in regions that should otherwise be
darkened
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- Livor discoloration Red-purple Normal Pink Cyanide or cold
Cherry-red CO or fluoro-acetate Brown Nitrites or methemoglobin
Note: Livor can be confused with bruises livor can be drained, but
blood from bruises cannot since the blood has infiltrated the
surrounding tissues and is no longer in the capillaries
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- Livor Mortis While livor mortis is a poor indicator of time of
death, it is excellent for determining the place/position of
death
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- Rigor Mortis A post-mortem stiffening of the muscles due to
lactic acid causing a cross-linkage between actin and myosin (the
proteins involved in muscle contraction)
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- Rigor Mortis ATP generally breaks this cross-linkage, but ATP
is depleted shortly after death Rigor persists until decomposition
begins to break down the protein complex, thus relaxing the
muscles
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- Factors Affecting Rigor Rigor is generally noticeable at ~3
hours, but can be accelerated by: Environmental heat Fever in
victim prior to death Some drugs Exercise prior to death Can be
slowed by: Cold environment Emaciation
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- Rigor/Algor at Average Temperatures Body warm and flaccid:36
hours
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- Other time of death indicators?
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- Insects various insects deposit eggs and those eggs develop and
known rates Stomach contents -
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- Other time of death indicators? Insects various insects deposit
eggs and those eggs develop and known rates Stomach contents food
takes approximately two hours to digest and then be emptied from
the stomach under normal conditions
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- Late changes in Death
DecompositionAdipocereMummificationSkeletonization
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- Decomposition Two processes drive decomposition:
AutolysisPutrefaction
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- Decomposition Autolysis Bodys own digestive enzymes begin to
break down cellular proteins and other molecules. Begins
immediately after death. Putrefaction
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- Decomposition Two processes drive decomposition: Autolysis
Bodys own digestive enzymes begin to break down cellular proteins
and other molecules. Begins immediately after death. Putrefaction
Decomposition driven by bacterial activity. This is the primary
factor causing decomposition.
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- Putrefaction process Green discoloration of abdomen begins at
24-36 hours after death Marbled appearance often noticeable due to
intravascular hydrogen sulfide producing bacteria Gas formation and
bloating noticeable at 60-70 hours causes blisters and skin
slippage, loss of hair and nails
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- Putrefaction Liver filled with holes why??
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- Putrefaction Liver filled with holes due to invasion and
proliferation of gas-producing bacteria during decomposition
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- Factors affecting decomposition
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- TemperatureHumidity Body location: Decomposition rates on land
are generally twice as fast as in water, and eight times as fast as
those when a body is buried due to lack of oxygen and lower
temperatures
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- Alterations to normal decomposition Adipocere Grave Wax
Conversion of fats to oleic, palmitic, or stearic acids (these are
waxes, not fats) Occurs in damp, warm, anaerobic (no oxygen
present) environments Due to lack of oxygen, other decomposition
changes do not occur
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- Adipocere
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- Mummification The process of desiccation of a body Occurs in
exceedingly dry conditions Normal decomposition processes prevented
due to lack of water necessary for bacterial growth