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Monday 4 March 2013

Unexpected And Sudden Death

Unexpected
 and
 Sudden
 Death
  From
 Natural
 Causes
 
Introduction:
 
In
  countries
  where
  deaths
  have
  to
  be
  officially
  certified,
  the
  responsibility
  for
  certification
  travel
 either
 to
 the
 doctor
 who
 attended
 the
 patient
 during
 life
 or
 one
  who
 can
 reasonably
 be
 assumed
 to
  love
 sufficient
 of
 the
 clinical
 history
 to
 give
  a
  sensible
 assessment
 of
 the
 cause
 of
 death.
 This
 is
 an
 honest
 opinion,
 fairly
  given,
  hardly
  many
  studies
  have
  shown
  that
  there
  is
  a
  large
  flaw
  rate
  in
  death
  certificates
  and
  that
  in
  2560
  per
  cent
  of
  deaths
  there
  are
  significant
  differences
  between
  the
  clinicians
  presumption
  of
  the
  cause
  of
  death
  and
  the
  lesions
  or
  diseases
 actually
 displayed
 at
 the
 autopsy.

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  The
 World
 Health
 Organization
 (WHO)
 definition
 of
 a
  jerky
 death
 is
  indoors
 24
  hours
  of
  the
  onset
  of
  symptoms,
  but
  in
  forensic
  practice
  most
  sudden
  deaths
  occur
 within
 minutes
 or
 even
 seconds
 of
 the
 onset
 of
 symptoms.
 Indeed,
 it
 is
 very
  in all likelihood
  that
  a
  death
  that
  is
  delayed
  by
  hours
  will
  not
  be
  referred
  to
  the
  coroner
  or
  other
  medico-­?legal
  authority,
  as
  a
  diagnosis
  may
  well
  have
  been
  made,
  and
  a
  death
  certificate
  can
  be
  completed
  by
  the
  attending
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