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c S  

ʹ is a branch of medicine which c ^ 


 S  S    
deals with the application of medical knowledge  
to the purposes of law and in the administration © uivil Law ʹ is a mass of precepts that
of justice. determines and regulates the relation of
© Àt is the application of basic and clinical, assistance, authorit and obedience between
medical and paramedical sciences to members of a famil and those which exist
elucidate legal matters. among members of a societ for the
î  non mous to protection of private interest.
• Jorensic Medicine. î Œnowledge of legal medicine ma be
• Medical Jurisprudence. useful in the following.
© S   ʹ is primaril the application • he determination and termination of
of medicine to legal cases. civil personalit .
© J 
  - concerns with the • he limitation or restriction of a
application of medical science to elucidate natural person͛s capacit to act.
legal problems. • he marriage and legal separation
©   
   ʹ denotes knowledge • he paternit and filiation.
of law in relation to the practice of medicine. • he testamentar capacit of a person
î Àt concerns with the stud of rights, duties making a will.
and obligations of a medical practitioner © uriminal Law ʹ that branch or division of law
with particular reference to those arising which defines crimes, treats of the nature
from doctor-patient relationship. and provides for their punishment.
c ¦
       
   î Àt is a bod of specific rules regarding
 
 human conduct which have been
© ½rdinar ph sician sees an injur or disease promulgated b political authorit , which
on the point of view of treatment, while appl uniforml to all members of the
medico-jurist sees injur or disease on the classes to which the rules refer, and which
point of view of cause. are enforced b punishment administered
© he purpose of an ordinar ph sician b the state.
examining a patient is to arrive at a definite î Legal medicine is applicable in the
diagnosis so that appropriate treatment can following.
be instituted, while the purpose of the • uircumstances affecting criminal
medical jurist in examining a patient is to liabilit .
include those bodil legions in his report and • urimes against persons.
testif before the court or before an • urimes against chastit .
investigative bod , thus giving justice to © emedial Law ʹ that branch or division of law
whom it is due. which deals with the rules concerning
© Minor or trivial injuries are usuall ignored b pleadings, practices and procedures in all
an ordinar clinician inasmuch as the do not courts of the Philippines.
require usual treatment. uperficial î he law which gives the part a remed
abrasions, small contusion and other minor for a wrong. Àt is intended to afford a
injuries will heal without medication. private remed to a person injured b the
However, a medical jurist must record all wrongful act/ it is a designed law, which
bodil injuries even if the are small or minor redresses an existing grievance or
because these injuries ma be proofs to introduces regulation conducive to public
qualif the crime or to justif the act. good.
î Legal medicine ma be applied in the death, or render opinion pertinent to
following. the issue and medical in nature.
• Ph sical and mental examination. ©      
• Proceedings for hospitalization of an î A medical witness ma be allowed b the
insane person. court to confirm his allegation or as a
• ules on evidences. corroborated proof to an opinion he
© pecial Laws. previousl stated.
î ¦angerous ¦rug Act (A 6425). © ¦     
î Úouth and uhild Welfare uode (P¦ 603). î A document is an instrument on which is
î Ànsurance Law. recorded b means of letters, figures, or
î uode of anitation. marks intended to be used for the
î Labor uode. purpose of recording that matter which
î Ñmplo ee͛s uompensation Law. ma be evidentiall used.
c 
     © Ô 
   
©        î his are articles and materials which are
î his is an evidence made known or found in connection with the investigation
addressed to the senses of the court. Àt is and which aid in establishing the identit
not limited to that which is known of the perpetrator or the circumstances
through the sense of vision but is under which the crime was committed, or
extended to what the sense of hearing, in general assist in the prosecution of a
taste, small and touch is perceived. criminal.
î Limitation to the presentation of autoptic c   
        
evidence. © ¦ 
     
  
  
• Àndecenc and impropriet . 


• epulsive objects and those offensive î se of pol graph or a lie detector
to sensibilities. machine.
© 
     • Àt records ph siological changes that
î A ph sician ma be commanded to occur in association with l ing in a
appear before the court to give his pol graph. Àt is the fear of detection of
testimon . the subject which allows the
• ½ 

ʹ a ph sician who determination. he fear of the subject


testifies in court on matters he when not telling the truth activates
perceived from his patient in the the s mpathetic nervous s stem to a
course of ph sician-patient series of automatic and involuntar
relationship is considered as an ph siological changes which are
ordinar witness. recorded b the instrument.
c Ñxception: Privilege of î se of the word association test.
communication (confidential) • A list of stimulus and non-stimulus
between ph sician and patient. words are read to the subject who is
•  

ʹ a ph sician on instructed to answer as quickl as


account of his training and experience possible. he time interval between
can give his opinion on a set of words uttered b the examiner and
medical facts. He can deduce or infer answer of the subject is recorded.
something, determine the cause of • Like the lie detector, the subject
cannot be compelled to be subjected
to the test without his consent.
î se of the ps chological stress evaluator. reflected in the maxim ͞  
• PÑ detects, measures and graphicall  
͟, in wine there is truth.
displa s the voice modulations that we • uonfessions made b the subject while
cannot hear. under the influence of alcohol ma be
• When a person is under stress as admissible if he is ph sicall capable to
when he is l ing, the microtremor in recollect the facts that he has uttered
the voice utterance is moderatel or after the effects of alcohol have
completel suppressed. he degree of disappeared.
suppression varies inversel to the © G 

degree of ps chologic stress in the î Àt is the alteration of consciousness and
speaker. When a person is relaxed and concentration in which the subject
responding honestl to the questions, manifests a heightened of suggestibilit
those inaudible frequencies are while awareness is maintained.
registered clearl on the instrument. î ‰ot admissible.
But when a person is under stress, as © ^ 
 
when he is l ing, these frequencies î A good criminal investigator must be a
tend to disappear. keen observer and a good ps chologist. A
© 
  
       subject under stress on account of the
î Administration of ͞truth serum͟. stimulation the s mpathetic nervous
• ͞ruth serum͟ is actuall a s stem ma exhibit changes which ma be
misnomer͙does not make someone used as a potential clue of deception.
tell the truth; not a serum but a drug. ©      
• G
     is given î Ànterrogation - is the questioning of a
h podermicall in repeated does until person suspected of having committed an
a state of delirium is induced. When offense or of persons who are reluctance
the point is reached, questioning to make a full disclosure of information in
begins and the subject feels a his possession which is pertinent to the
compulsion to answer the questions investigation. Àt ma be done on a suspect
truthfull . or a witness.
• ‰ot without element of danger hence © u 

 
the are not admissible as evidence. î uonfession is an expressed
î ‰arcoanal sis or narcos nthesis. acknowledgement b the accused in a
• Practicall the same as that of criminal case of the truth of his guilt as to
administration of truth serum, the the crime charged, or of some essentials
onl difference is the drug used. thereof.
• Ps chiatric
   or
  c u 

 


 
   is administered to the © uonfession is a statement of guilt while
subject. Admission is usuall a statement of fact b
• he result of the test is not admissible the accused which does not directl involve
in court. an acknowledgement of guilt of the accused.
î Àntoxication. c Œ 
  

 
• he abilit of alcohol to reveal the real ©   

 ʹ a confession made
person behind the mask which all of us outside of the court prior to the trial of the
are said to wear (mask of sanit ) is case.
î  oluntar extra-judicial confession ʹ when
the accused speaks on his free will and
accord, without inducement of an kind, î How criminal liabilit is totall
and with full and complete knowledge of extinguished- uriminal liabilit is totall
the nature and consequence of the extinguished:
confession, and when the speaking is so • B death of the convict, as to the
free from influences affecting the will of personal penalties; and as to
the accused, at the time of the confession pecuniar penalties, liabilit therefore
was made that it renders it admissible in is extinguished onl when the death of
evidence against him. the offender occurs before judgment
î Ànvoluntar extra-judicial confession ʹ (Art. 89, Pu).
obtained through force, threat, © he civil case for claims which does not
intimidation, duress or an thing survive is dismissed upon death of the
influencing the voluntar act of the defendant.
confessor. î When the action is for recover of mone ,
© a  

 ʹ this is the confession of debt or interest thereon, and the


an accused in court. Àt is conclusive upon the defendant dies before the final judgment
court and ma be considered to be mitigating in the court of the first instance, it shall be
circumstance to criminal liabilit . dismissed to be prosecuted in the manner
c À     ¦  ¦     especiall provided b these rules (ule 3,
© he civil personalit of a natural person is Ñu 21, ½u).
extinguished b death. c ¦   
î he civil personalit is extinguished b © ^   ʹ death occurs when there is
death. he effect of death upon the rights deep irreversible coma, absence of electrical
and obligations of the deceased is brain activit and complete cessation of all
determined b law, b contract and b the vital functions without possibilit of
will (Art 42. ‰uu). resuscitation.
© he propert of a person is transmitted to his © u 
   ʹ death occurs
heirs at the time of death. where there is continuous and persistent
î uccession is a mode of acquisition b cessation of heart action and respiration.
virtue of which the propert , rights and uardio-respirator death is a condition in
obligations to the extent of the value of which the ph sician and the members of the
the inheritance of a person are famil pronounced a person to be dead based
transmitted through his death to another on the common sense or intuition.
or others b will or b operation of law © ome countries or states provide    
(Art 774, ‰uu).   
 

in an alternative
© he death of a partner is one of the causes of or eclectic wa in the determination of the
dissolution of partnership agreement. moment of death.
î ¦issolution of partnership is caused͙(5) c u 

   
   
b death of an partner (Art. 1830, ‰uu). ©      

 ʹ here is
© he death of either the principal or agent is a total unawareness to externall applied
mode of extinguishment of agenc . stimuli and inner need and complete
î Agenc is extinguished͙(3) b death, civil unresponsiveness- irreversible coma. Ñven
interdiction, insanit or insolvenc of the the most intense painful stimuli evoke no
principal or of the agent (Art 1919, ‰uu). vocal or other response not even a groan,
© he criminal liabilit of a person is withdrawal of his limb, or quickening of
extinguished b death. respiration.
© ‰        ʹ observations © Molecular or cellular death ʹ after cessation
covering a period of at least 1 hour is of the vital functions, there is still animal life
adequate to satisf the criteria of no among individual cells͙evidence b the
spontaneous muscular movements or presence of excitabilit of muscles and ciliar
spontaneous respiration or response to movements and other functions of individual
stimuli such as pain, touch, sound or light. cells.
© ‰   
ʹ irreversible coma with abolition î About 3 to 6 hours later, there is death of
of central nervous s stem activit is individual cells͙known as molecular or
evidenced b the absence of elicitable cellular death. Àts exact occurrence is
reflexes. he pupil will be fixed and dilated influenced b several factors, i.e. previous
and will not respond to a direct source of state of health, infection, climatic
bright light. ½cular movement and blinking condition, cellular nutrition.
are absent. here is no evidence of postural © Apparent death or state of suspended
activit . wallowing, awning, vocalization animation ʹ this condition is not reall death
are in abe ance. uorneal and phar ngeal but merel a transient loss of consciousness
reflexes are absent. As a rule the stretch or or temporar cessation of the vital functions
tendon reflexes cannot be elicited, i.e. of the bod on account of disease, external
tapping the tendons of the biceps, triceps and stimulus or other forms of influence. Àt ma
pronator muscles, quadriceps and arise especiall in h steria, uremia, cataleps
grastrocnemius muscles with the reflex and electric shock.
hammer elicits no contraction of the c 
 ¦  
respective muscles. Plantar or noxious © uessation of heart action and circulation ʹ
stimulation gives no response. there must be an entire and continuous
© J        ʹ of great cessation of the heart action and flow of
confirmator value is the flat or iso-electric blood in the whole vascular s stem. As a
ÑÑ . Assume that the electrodes have been general rule, if there is no heart action for a
properl applied, that the apparatus is period of 5 minutes, death is regarded as
functioning normall , and that the personnel certain.
in charge are competent. © uessation of respiration- cessation of
c Π
 ¦   breathing.
© omatic death or clinical death ʹ this is the © uooling of the bod (  
)
state of the bod in which there is complete, î After death the metabolic process inside
persistent and continuous cessation of the the bod ceases. ‰o more heat is
vital functions of the brain, heart and lungs produced but the bod loses slowl its
which maintain life and health. temperature b evaporation or b
î Àmmediatel after death the face and lips conduction to the surrounding
become pale, the muscles become flaccid, temperature.
the sphincters are relax, the lower jaw î he progressive fall of the bod
tends to drop, the e elids remain open, temperature is one the more prominent
pupils dilate and the skin losses its signs of death.
elasticit . he bod fluid tends to © Ànsensibilit of the bod and loss of power to
gravitate to the most dependent portions move.
of the bod and the bod heat graduall î After death the whole bod is insensible.
assumes the temperature of the ‰o kind of stimulus is capable of letting
surroundings. the bod have voluntar movement. his
condition must be observed in
conjunction with cessation of heart beat here is no redness of the surrounding
and circulation and cessation of skin.
respiration. î Àn the living, the blister contains abundant
© uhanges in the skin. serum and area of vital reaction
î Ô   looking due to the absence (congestion) on the skin around is
of circulation; dependent portion develop present.
livid discoloration on account of î he following combination of signs show
gravitation of the blood. death has occurred.
î S

  
  
 ʹ application • Loss of animal heat to a point not
of pressure to the skin surface will make compatible with life.
the surface flattened. • Absence of response of muscle to
î ½  
 ʹ exposure of the hand stimulus.
to translucent light allow the red color of • ½nset of rigor mortis.
circulation to be seen in living person͙in c   
         
dead person, opaque due to absence of   
circulation. © Ñxamination of the heart.
î Ñffect of     ʹ no blister or î Ô    
ʹ made at the
inflammator reaction in dead person. region of the wrist or at the neck.
© uhanges in and about the e e. î 
     
 
î S

      - the cornea is not    ʹ rh thmic contraction


capable of making an reaction to and relaxation of the heart is audible
whatever intensit of light stimulus. through the stethoscope.
î u       ʹ normal clear and î J 
     ʹ reveal the
transparent nature of the cornea is lost. shadow of the heart in its rh thmic
î J     ʹ orbital muscles contraction and relaxation. he shadow
lose their tone making the intra-orbital ma be enlarged and the excursion made
tension rapidl fall, e eball sinks into the less visible due to pericardial effusion.
orbital fossa. î ^ 
      ʹ the
î   
  
  
 ʹ muscle heart beat is accompanied b the passage
of the iris loses its tone, pupil cannot react of electrical charge through the impulse
to light. conducting s stem of the heart which ma
î ½ 
   
 be recorded in an Ñu .
• ½ptic disc is pale and the appearance © Ñxamination of the peripheral circulation.
of optic atroph . î 

 - a ligature is applied around
• Jundus ma have a ellow tinge. the base of a finger with moderate
• etina becomes pale like the optic tightness.
disc. • Living person ʹ appears bloodless zone
• he retinal vessels become at the site of ligature and a livid area
segmented, no evidence of blood flow. distal to the ligature.
î    
    • ¦ead person ʹ no such change of
• A spot ma be found in the sclera. color.
© Action of heat on the skin. î ½   
 
î he heat is applied to a portion of the leg • Living ʹ the blood escapes in jerk and
or arm. Àf death is real, onl a dr blister is at a distance.
produced. he epidermis is raised but on
pricking the blister, no fluid is present.
• ¦ead ʹ blood vessel is white and no econdar relaxation of the muscles will
jerking escape of blood but ma onl appear just when decomposition has set in.
ooze towards the nearb skin. © 3 stages after death.
î À

 ʹ consists of the injection of a î    
  
solution of fluourescein
  ʹ the muscles are
subcutaneousl ͙with use of da light. relaxed and capable of contracting when
• Àf circulation is present͙ ¦ e will stimulated. he pupils are dilated, the
spread and whole skin will have sphincters are relaxed, and there is
greenish ellow discoloration. incontinence of urination and defecation.
• ¦ead͙solution will remain at the site î   
   
of injection.    
   

 
î Ô

      
   
 ʹ the whole bod becomes
• Living͙a zone of paleness which rigid due to the contraction of the
become livid upon release. muscles. his develops 3 to 6 hours after
• ¦ead͙no change of color. death and ma last from 24 to 36 hours.
î ¦ 

 î   
  
• Living͙finger webs appear red .         
• ¦ead͙finger webs appear ellow.  

 ʹ the muscles becomes
î      
  flaccid, no longer capable of responding
• Living͙blister formation, congestion to mechanical or electrical stimulus and
and other vital reactions on the the reaction becomes alkaline.
injured area. c u 
         
• ¦ead͙no blister, no sign of © uhanges in the muscle.
congestion, or other vital reactions. © uhanges in the blood.
î Ô    
 © Autol tic or autodigestive changes after
• Living͙rh thmic pulsation of the death.
vessel due to the flow of blood in © Putrefaction of the bod .
radial arter . c          
• ¦ead͙no pulsation. ©   ʹ deh dration of the whole
bod which results in the shivering and
î ¦     
preservation of the bod .
• Living͙inflammator edema.
©          ʹ
• ¦ead͙none.
condition wherein the fatt tissues of the
c   
    
  
bod is transformed to soft, brownish white
© ½bserve the movement during inspiration
substance known as adipocere.
and expiration.
î Adipocere is a wax material, rancid or
© Aid stethoscope.
mold in odor, floats in water, and
© With a mirror.
dissolves in ether and alcohol. With
© With a feather or cotton fibers.
diluted solution of copper sulfate, it gives
© With a glass of water.
a light greenish blue color. Àt is
© Winslow͛s test.
inflammable and burns with a faint ellow
c u 
   
 
flame. When distilled it produces a dense
© After death, there is complete relaxation of
oil vapor.
the whole muscular s stem. he entire
©   ʹ the softening of the tissues
muscular s stem is contractile for three to six
when in a fluid medium in the absence of
hours after death, and later rigidit sets in.
putrefactive microorganism which is
frequentl observed in the death of the fetus
en utero.
Æ   
  
c u  

      
 uontracted muscle is Muscle in rigor mortis
more or less transparent losses this translucenc
© Heat stiffening ʹ if the dead bod is exposed
or rather translucent and becomes opaque
to temperatures above 75u it will coagulate Àt is ver elastic, i.e. Àt has lost this elasticit
the muscle proteins and cause the muscles to capable of restoration to and readil maintains a
be rigid. he bod assumes the pugilistic its original form as soon distorted position
as the distorting force has
attitude with the lower and upper extremities
ceased to act
flexed and the hands clenched because the Àn reaction to litmus, it is Àt is distinctl and
flexor muscles are stronger than the either neutral or slightl constantl acid (until
extensors. uommonl observed when bod is alkaline, and an decomposition is
reduction in this alkalinit advanced) owing to the
placed in boiling fluid or burned to death.
is ver speedil removed development of
© uold stiffening ʹ ma be manifested when the sarcolastic and other acid
bod is frozen, but exposure to warm metabolites
condition will make such stiffening disappear. Àf the contraction be Àf rigor mortis be
tiffening due to solidification of fat when the overcome b mechanical overcome b mechanical
force, the muscles force, absolute flaccidit
bod is exposed to freezing temperature. though the ma remain corresponding in degree
© uadaveric spasm or instantaneous rigor ʹ an for a time uncontracted, with the amount of
instantaneous rigidit of the muscles which possess still their mechanical movement at
inherent power of once ensues, and there is
occurs at the moment of death due to
contraction, the ma no power to resume the
extreme nervous injur to the chest. then keep the limb fixed old position, nor an new
c ¦
  
      
  in a new position or allow one, except so far as
u 
 a return to the old gravit ma cause a new
position position. his flaccidit is
© ime of appearance. permanent till
î igor mortis appears three to six hours decomposition destro s
after death while cadaver spasm appears the muscles.
immediatel after death.
© Muscles involved.
     
î igor mortis involves all the muscles of
Jirm in consistenc oft in consistenc
the bod whether voluntar or
urface of the blood urface of the blood
involuntar while cadaveric spasm vessel raw after the clots vessels smooth and
involves onl certain muscle or group of are removed health after the clots are
muscles and are ass metrical. removed
ulots homogenous in ulots can be stripped off
© ½ccurrence.
construction so it cannot in la ers
î igor mortis is a natural phenomena be stripped into la ers
which occurs after death, while cadaveric ulot with uniform color ulot with distinct la er
spasm ma or ma not appear on a
person at the time of death.
© Medico-legal significance.
î igor mortis ma be utilized b a medical
jurist in approximate time of death, while
cadaveric spasm ma be useful to
determine the nature of the crime.
u   under six months of age, while in apparentl
c Purpose of medico-legal autops : determination good health.
of the cause of death. © udden unexplained nocturnal death (‰¦)
c uause of death is the injur , disease or ʹ this is known as     in the
combination of both injur and disease Philippines. Àt is the sudden death of health
responsible for initiating the trend of men of oung age seen in Ñast Asian
ph siological disturbance, brief or prolonged, countries.
which produce fatal termination.
c Àt ma be.   !S u

     u

 ¦  
© Àmmediate (primar ) cause of death - this c ‰   
applies to case when trauma or disease kill © his is death caused b a natural disease
quickl that there is no opportunit for conditions in the bod . he disease ma
sequelae or complications to develop. develop spontaneousl or it might have been
î Ñxample: extensive brain laceration. a consequence of ph sical injur inflicted
© he proximate (secondar ) cause of death ʹ prior to its development.
the injur or disease was survived for a c      
sufficientl prolonged interval which î  iolent death are those due to injuries
permitted the development of serious inflicted in the bod b some forms of
sequelae which actuall caused the death. outside force. he ph sical injur must be
î Ñxample: if a stab wound in the abdomen the proximate cause of death.
later caused generalized peritonitis, then î Presumed when with the ff facts:
peritonitis is the proximate cause of the • hat the victim at the time of ph sical
death. injuries were inflicted was in normal
c he mechanism of death is the ph siological health.
derangement or biochemical disturbance • hat the death ma be expected from
incompatible with life which is initiated b the ph sical injuries inflicted.
cause of death. • hat death ensured within a
© Hemorrhagic shock, metabolic disturbance, reasonable time.
respirator depression, toxemic condition, ©    
cardiac arrest, tamponade, etc. © ‰    
c he manner of death is the explanation as to © À    
how the cause of death came into being or how © Ô  
the cause of death arose. Àt ma be: ©   
© ‰   ʹ it is natural when the fatalit © G   
is caused solel b disease. c Penal classification of violent death.
î Lobar pneumonia, ruptured tubal ©    ʹ death due to
pregnanc , cancerous growth, cerebral misadventure or accident.
hemorrhage due to h pertension, etc. î Accident ʹ is something that happens
©         ʹ death due to outside the swa of our will, and although
injur of an sort. it comes about through some act of will,
î unshot, stab, fracture, traumatic shock, lies be ond bounds of human foreseeable
etc. consequences.
c ¦isease where there are no specific finding, © ‰    ʹ death due to reckless
pathognomic of a disease still determined are: imprudence, negligence, lack of skill or lack of
© udden infant death s ndrome (urib death) ʹ foresight.
this is the unexpected death of infant, usuall
©    -destruction of one͛s self . introduced. he most common gas used is
î ociet has alwa s considered a person carbon monoxide.
who attempts to kill himself as an © ½ther methods of capital punishment.
unfortunate being, a wretched person î Beheading ʹ with the use of guillotine.
deserving more of pit than of penalt . î urucifixion.
© À    - killing of a child less than î Beating ʹ a hard object is forcibl applied
3 da s old. to the head to crush the skull.
© Ô  - killing of one͛s relative. î uutting asunder ʹ mutilating the bod
©    ʹ killing of a person attended b usuall with sharp heav instrument until
qualif ing circumstances. death ensues.
© G   ʹ killing a person without the î Precipitation from a height.
attendance of modif ing circumstances . î ¦estruction b wild beast.
î Jla ing ʹ skinning alive.
u  î Àmpaling.
u   î toning.
c a   î mothering.
© Modern methods in the execution of death î ¦rowning .
sentences have abandoned inhuman, cruel
and barbarous means. c   
  "  ʹ is the deliberate
© Methods. and painless acceleration of death of a person
î ¦       ʹ a person is made usuall suffering from an incurable and
to sit on a chair made of electrical distressing disease.
conducting materials with straps of © niversall condemned but some advocate
electrodes on both wrists, ankles and its legalization based on humanitarian
head. sentiments.
î ¦      ʹ the convict is made to ©  pes of euthanasia.
stand in an elevated collapsible flatform î Active euthanasia.
with a black hood on the head, a noose î Passive euthanasia.
made of rope around the neck and the • ½rthothanasia.
other end of which is fixed in an elevated • ¦ sthanasia.
structure above the head. Without the © Wa s of performing euthanasia.
knowledge of the convict, the flatform î Administration of a lethal dose of poison.
suddenl collapses which causes the î ½verdosage of sedatives, h pnotics or
sudden suspension of the bod and other pain relieving drugs.
tightening of the noose around the neck. î Ànjection of air into the blood stream.
¦eath ma be due to asph xia or injur of î Application of strong electric currents.
the cervical portion of the spinal cord. î Jailure to institute the necessar
î ¦  
  ʹ the convict is made management procedure which is essential
to face a firing squad and is put to death to preserve the life of the patient.
b a volle of fire. he convict ma be • Jailure to perform tracheostom when
facing or with his back towards the firing there is marked distress in breathing
squad. due to lar ngeal obstruction.
î ¦  
    ʹ the convict is • Jailure to give transfusion in severe
enclosed in a compartment and an hemorrhage.
abnoxious or asph xiating gas is • ¦epriving the child of nutrition.
• emoval of patient from a respirator © Previous attempt of self-destruction.
when voluntar breathing is not © Àf committed b inflicting of ph sical injuries,
possible. the wounds are located in area accessible to
© Who ma perform euthanasia. the hand, vital parts of the bod and usuall
î he patient himself. solitar .
î he ph sician with or without the © he effects of the act of self-destruction ma
knowledge and consent of the patient. be found in the bod of the victim.
c   î Hand ma be blood stained if suicide was
© uicide or self-destruction is usuall the done b inflicting wound.
unfortunate consequence of mental illness î Wounding hand ma be positive to
and social disorganization. paraffin test in gunshot.
© Ps chological classification. î Ñmpt bottle or container of poison at
î Jirst degree ʹ deliberate, planned, suicide scene.
premeditated, self-murder. î Absence of signs of struggle.
î econd degree ʹ impulsive, unplanned, î uadaveric spasm present in the wounding
under great provocation or mitigating hand holding the weapon.
circumstances. © Presence of suicide note.
î hird degree ʹ sometimes called © uicide scene in a place not susceptible to
accidental suicide. public view, and,
î uicide under circumstances which © Ñvidences that will rule out homicide,
suggest a lack of capacit for intention, as murder, parricide and other manner of
when a person was ps chotic or highl violent death.
intoxicated from the effects of drugs, 
including alcohol.     
î elf-destruction due to self-negligence ʹ c tarvation or inanition is the deprivation of a
chronic alcoholism, reckless driving, regular and constant suppl of food and water
ignoring medical instructions, cigarette which is necessar to normal health of a person.
smoking, and similar dangerous activities. c  pes.
î Justifiable suicide ʹ self-destructive action © Acute starvation.
of a person with terminal illness. © uhronic starvation.
c uommon methods of committing suicide. c uauses.
© ¦rugs and poisons ʹ barbiturates, non- © uicidal.
barbiturates, sedative, acids and other © Homicidal.
irritants, carbon monoxide, pesticides and © Accidental.
herbicides, other organic and inorganic c Length of survival.
poisons. © he human bod without food loses Î  of


© Hanging. its weight dail and a loss of  of the


© Jirearm. weight results to death.
© Jumping from a height. © he length of survival depends upon the
© ¦rowning. presence or absence of water.
© uutting and stabbing. © Ê    , a person cannot
© uffocation b plastic bag. survive more than 10 da s, but    a
© Ñlectrocution . person ma survive    for 50 to 60
c Ñvidences that will infer death is suicidal. da s.
© Histor of depression, unresolved personal c Jactors that influence the length of survival.
problem, or mental disease. © Age.
© uondition of the bod .
© ex.
© Ñnvironment.
c he length of survival depends upon the
following.
© Presence or absence of water.
© Partial or complete withdrawal of food.
© urroundings.
© Jemales survive better than males, but
children and older persons die quickl .
© uondition of the bod .
c  mptoms.
© Acute feeling of hunger for the first 30 to 48
hours and this is succeeded b localization of
the pain at the epigastrium which can be
relieved b pressure.
© A feeling of extreme thirst.
© he face is pale and cadaverous.
© Jour or five da s later, there is general
emaciation and absorption of the
subcutaneous fat.
© he e es are sunkened, glistening dilated
pupils and with anxious expression.
© he lips and tongue are dr and with cracks,
while the breath is foul and offensive.
© he voice becomes weak, faint and inaudible.
© he skin is dr , rough, wrinkled and emitting a
peculiar disagreeable odor.
© he pulse is weak and the temperature is
subnormal.
© he abdomen is sunkened and the
extremities are thin, flaccid and with marked
loss of muscular power.
© he intellect ma remain for sometime, later
becomes delirious and convulsion or coma
appears before death.
©  mptoms of secondar infection ma later
appear on account of the weakened
resistance of the bod .
c uause of death.
© Ànanition.
© uirculator failure due to brown atroph of
the heart.
© Àntercurrent infection.

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