Unexpected
 and
 Sudden
 Death
 From
 Natural
 Causes
Â
Introduction:
Â
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.
 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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