Prepared by:

Israt Jahan Tisha (108)

Bayazid Hasan (110)

Presented by:
Salifa Gulzar (107)
Musaiba Kadir (109)
 Somatic Death

Definition:

It is the complete and irreversible stoppage of the

circulation, respiration and brain function (Bishop’s
tripod of life)
Medico Legal Importance:
For Transplantation purpose
 Cornea can be removed from the dead body within 6 hours
Skin within 24 hours
Bones within 48 hours and
Blood vessels within 72 hours for transplantation

The moment of Death

 The concept of death was that of “heart and respiration
death”
Molecular Death/Cellular Death

Definition:
Molecular death means the death of cells and
tissues individually, which takes place usually
one to two hours after the stoppage of the vital
functions.
Medico Legal Importance:

1. Nervous tissue die rapidly

2. Vital centers of brain about 5 minutes
3. Muscles live up to 1-2 hours
 Difference between somatic and
molecular death:
Points Somatic death Cellular/molecular
death
1. Definition Cessation of the Death of the
function of nervous, individual cells of
circulatory and the body.
respiratory systems.
2. Precedents It proceeds to molecular It follows somatic
death. death.
3. Organ Can possible. Cannot possible
transplantation
4. Confusion with May be confused No confusion
suspended animation
/death trance
5. Response to stimuli Muscles respond to Do not respond
electrical stimuli.
 Suspended Animation

Definition:
It is a condition,where in the vital functions of the
body(heartbeat & respiration) are maintained at a low
pitch reduced to a minimum for sometimes, that they
could not be detected by routine methods for clinical
examination.
Cause of death

A)Voluntarily (by practice):

Practitioners of Yoga.

B)Involuntarily in:

1) Vagal inhibition.

2) Severe syncopal attack.

3) Newborn infants.
4) Drowning.
Cause of death
5) Electrocution.
6) Sunstroke.
7) Cholera.
8) Narcotic poisoning
9) After anaesthesia.
10) Shock.
Medico Legal Importance:

It may be confused with death and the doctor may give

a death certificate.
 Sudden Death

Definition:
Sudden death is the death, which is not known to have
been caused by any trauma, poisoning or violent
asphyxia, & where death occurs all on a sudden or
within 24 hours of the onset of the terminal symptoms.
Causes of sudden death
Causes of sudden death:

A) Cardiac causes (45%-50%):

1) Coronary thrombosis & myocardial infarction.
2) Stenosis and insufficiency of valves
3) Congenital heart diseases.
Causes of sudden death:
B)Respiratory causes (15%-23%):
1) Haemoptysis of different origin.
2) Diphtheria, influenza, pneumonias & other acute infective
conditions.
3) Air embolism.
4) Oedema glottis.
Causes of sudden death:
.
5) Pulmonary oedema.
6)Pleural effusion and collapse of the lungs
7) Foreign body in the respiratory passage.
8)Lung abscess, neoplasm and other causes
Causes of sudden death:

C)CNS causes (10% - 18%):

1) Different intracranial hemorrhages & thrombosis.
2) Meningitis & encephalitis.
3) Epilepsy.
4) Brain tumour & brain abscess.
Causes of sudden death:

D)GIT causes (6%-8%):

1) Haemorrhage in the stomach or in the intestine due to various
pathological conditions.
2) Strangulation of hernia.
3) Acute appendicitis.
4) Intestinal obstruction.
5) Rupture of liver abscess or enlarged spleen.
6) Perforation of the stomach or the intestine.
INFLAMED APPENDIX
Causes of sudden death:

E)Genito-urinary causes (3%-5%):

1) Rupture of ectopic pregnancy.
2) Toxaemia of pregnancy.
3) Uterine haemorrhage due to various reasons. Ruptured Ectopic Pregnancy
4) Twisting of ovarian cyst.
5) Nephrolithiasis.
6) Chronic nephritis and other pathological conditions.
Causes of sudden death:

F) Miscellaneous (5% - 10%):

1) Anaphylactic reactions.
2) Wrong blood transfusion etc.
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