Wednesday, 30 January 2013

Emedinews:Insights on Medicolegal Issues:Errors in diagnosis of Death



  • Generally, there is no difficulty in the diagnosis of somatic death by doctors. However, in some cases the heart sounds and breath sounds diminish greatly. Errors occur if proper clinical examination is not done or hurriedly done in patients with kidney failure and Cheyne–stokes respiration etc. Nevertheless, there are occasions when the distinction between death and suspended animation poses a real difficulty.
  • Suspended animation is a death–like state in which vital functions of the body are at such a low pitch that they cannot be determined by ordinary methods of clinical examination.
  • Practitioners of yoga can induce this death like state voluntarily.
  • It can be involuntarily due to: (i) Severe shock following accident (ii) Electrical shock (iii) Poisoning (barbiturate) (iv) Drowning (v) Epilepsy (vi) Sunstroke (vii) Cholera and (viii) Hysteria.
  • Suspended animation lasts for seconds to hours and distinction is not possible by ordinary clinical methods. However, methods like ECG and EEG can be used to reach a diagnosis.
(Ref: Dr. PC Dikshit, Head (MAMC) MD LLB, Textbook of Forensic Medicine, Peepee Publisher)

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