POST MORTEM INTERVAL (TIME OF DEATH) (The Autopsy)

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POST MORTEM INTERVAL (TIME OF DEATH) http://library.thinkquest.org/04oct/00206/text_index.htm (The Autopsy) Chemical change in the muscles after death, causing the limbs of the corpse to become stiff and difficult to move or manipulate. Onset: 3-12 hours Disappears after 72 hours in humans (but WHY?!) TEMPERATURE can have an effect!! 1

Muscles and Rigor Mortis Occurs in all muscles simultaneously, but can sometimes be seen in smaller muscles first (face, jaw, neck; then trunk and extremities) RIGOR MORTIS 2

What position? What might be the cause of the discoloration (darker parts) of the skin in Livor Mortis? Livor mortis Why isn t the entire backside discolored? What can this tell us about the body postmortem? Livor mortis (postmortem lividity/hypostasis) the settling of blood to the dependent (lowest) parts of the body. Livor begins at or very soon after death (30min-2hrs) since it is a function of cardiac activity. However, stasis can occur to some extent in shock and some degree can be present even while the person is technically alive. The color of the dependent part will be governed by skin pigmentation and any additional compounds which may be present within the blood (i.e. carbon monoxide, etc.). The areas where the blood has settled will generally be dark blue or purple in color. 3

Livor Mortis What can you tell about the condition of the body based on the pattern of lividity? 4

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What assumptions can be made about the victim based on lividity? If this victim was found upright in a chair, what else can be assumed? Algor mortis refers to cooling of the body postmortem. 7

In average environmental conditions/temperatures, a few simple rules of thumb can be helpful: Body Condition Warm and flaccid Warm and stiff Cold and stiff Cold and flaccid Bernard Knight s Formula < 3 hours 3-8 hours 8-36 hours > 36 hours PMI Postmortem body temperature (T PM ) declines progressively until it reaches the ambient temperature (T A ). Metabolism generates heat (regulated to a narrow range) The body cools at a uniform rate, thus the rate of T PM decrease can be used to accurately determine the time of death (TOD). HOWEVER body temperature is a narrow range, not a fixed temperature! Temperature factors (maintain/raise T PM ): activity, illness, decomposition, infection and absorption of heat The body cools by radiation (transfer of heat to the surrounding air by infrared rays) convection (transfer of heat through moving air currents) conduction (transfer of heat by direct contact with another object). The Glaister equation is one formula used for determining the approximate time period since death based on body temperature: 98.4 o F - measured rectal temperature( o F) = approximate hours since death 1.5 Example: Rectal Temperature is 88.4 deg. 98.4-88.4 = 10 degrees / 1.5 hours = 6.33 hours PMI. STANDARD NOMOGRAM 1. Rectal Temperature (C) 2. Ambient Temperature (C) 3. Draw line connecting 4. Draw 2 nd line from crosshairs through intersection 5. Mass (in kg) 6. Use 2nd crosshairs line to find TOD on the appropriate mass line 7. Apply variation 8. Count backwards from discovery to death ~19 hours Victim = 100 kg 8

Many factors may influence the rate of heat loss. Careful consideration of the scene, clothing, victim size, activity and physical factors must be considered in interpreting cooling rate. USING CORRECTIVE FACTORS: Take the body mass in kg and multiply by the correction factor to get the corrected body mass due to external conditions: Mass (kg) = mass of body CF = correction factor Mass c = corrected mass Mass (kg) x CF = Mass c NOMOGRAM: USING CORRECTION FACTORS 1. Rectal Temperature 2. Ambient Temperature 3. Draw line connecting 4. Draw 2 nd line from crosshairs through intersection 5. CALCULATE Mass (in kg) 6. Use 2nd crosshairs line to find TOD on the corrected mass line 7. Apply variations 8. Count backwards from discovery to death Eye Part Open/Closed Onset Corneal film Open minutes Closed hours Scleral discoloration Open Minutes-hours Cornea cloudiness Open 2 hours Closed Up to 24 hours Cornea Opacity 3 days 9

Size of Meal Time in Stomach (Starts to empty within 10 minutes) Meal Size Light Medium Heavy PMI 0.5-2 hours 3-4 hours 4-6 hours Forensic Entomology is the study of decomposer insect activity in order to give the most accurate determination of PMI. PMI Changes Rigor Mortis Definition Onset* Loss* External Factors Muscular contraction 3-12 hrs 72 hrs > Temp = > rate of Rigor mortis < Temp = < rate of Rigor mortis Livor Mortis Algor Mortis Ocular Changes Stomach Contents Pooling of blood; lividity / hypostasis Cooling of body 30min - 2hrs 6-12 hrs it becomes fixed** Corneal Film Minutes-hrs Eyes open or closed Sclera Discolored Cornea Cloudy Cornea Opaque Minutes-hrs 2-24 hrs 3 days Body position, weight, skin color, body temperature, toxicity Temp = rate of algor mortis Temp = rate of algor mortis Clothing/covering of body will slow the process; environmental conditions must be considered Light 0.5-2 hours to empty Caloric content, age, psychological state/stress levels, Medium 3-4 hours to empty disease, when they last ate, what they ate, etc. Heavy 4-6 hours to empty *These are approximate figures and subject to variation **not consistent in all cases; in some cases livor can remain unfixed for days even up until decomposition not incredibly reliable for PMI due to variability 10

Additional Resources: http://forensicpathologyonline.com/index.php? option=com_content&view=category&layout=blog&id=49&itemid=75 http://colbycriminaljustice.wikidot.com/medicolegal-investigation1 ***** http://www.intechopen.com/books/forensic-medicine-from-oldproblems-to-new-challenges/death-scene-investigation-from-theviewpoint-of-forensic-medicine-expert Fig. 2. Detail of section of the head separation where the injury edges appear generally irregular and infiltrated with blood; signs of abrasion under the chin. Fig. 1. Macroscopic view of traumatic head separation with full thickness interruption of the C4 C5 cervical tract and complete resection of the spinal cord. Purge fluid is frequently expelled from the mouth and nose What happened here? 11

Sun exposure following death can actually lead to dark discoloration of the exposed skin surface, a so-called postmortem suntan or sunburn What s next? Forensic Specialist Introduction Forensic Specialist Project Eyewitness testimony and types of evidence Crime scene search & JonBenet 12