What are the 3 modes of death?

Mode of Death Coma –death from failure of functioning of brain. Syncope –death from failure of functioning of heart. Asphyxia –death from failure of functioning of lungs.

howmed.net - Concept of Death -Cause, Mode, Manner and Stages - howMed

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Concept of Death -Cause, Mode, Manner and Stages

Forensic thanatology is concerned with the medicolegal study of death.

Death

Death can be defined as the complete and irreversible cessation of body functions especially brain, circulation and respiration, following modern resuscitation attempts.

Concept of Brain Death

Un-receptivity and un-responsiveness, including a total lack of response to the most intense, painful stimuli. No movements or breathing. No effort to breathe for 3 minutes off the respirator with the patients carbon dioxide tension normal and room air being breathed for ten minutes prior to the trial. No reflexes –fixed non reactive pupils, lack of cranial nerve reflexes (corneal, pharyngeal, ocular movements in response to head turning and irrigation of ears with ice water, etc.)(Brain stem death) Isoelectric electroencephalogram (EEG)

Cause of Death

On the basis of cause death can be classified as due to:

Diseases –natural deaths Trauma or poisons –unnatural deaths

Manner of Death

It is important as has legal consequences.

a. Homicide

i. Culpable -Murder or manslaughter

ii. Non culpable –Justified (judicial hanging) or excusable (self defense)

b. Suicide

c. Accident

d. Natural

Mode of Death

Coma –death from failure of functioning of brain Syncope –death from failure of functioning of heart Asphyxia –death from failure of functioning of lungs

Mens rea –“Guilty minded” or “evil thought”

Actus rea –“Actual physical act”

It must be determined, if the person has committed crime by his will or evil thought. A child is not held responsible for a murder as he/she cannot have an evil mind. The intention is judged by circumstances. Circumstances must prove that the person was not able to understand to consequences of his/her act. Protection is provided to mentally ill patients.

Stages of Death

1. Somatic or Clinical Death

All vital functions such as circulation and respiration cease to function

2. Molecular or Cellular Death

Tissues and constituent cells are no longer functioning metabolically. It completes in 3-4 hours after somatic death.

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What do the last hours of life look like?

In the last hours before dying a person may become very alert or active. This may be followed by a time of being unresponsive. You may see blotchiness and feel cooling of the arms and legs. Their eyes will often be open and not blinking.

sunnybrook.ca - What to Expect in the Last Hours of Life - Quality Dying Initiative

It is our priority is to make sure that your loved one receives the highest quality of care that is consistent with their values and desires. Our goal is to make sure your loved one is as comfortable as possible in their final hours. Dying is a natural part of life, but many people do not have experience caring for their loved one in their last hours or days of life. It is normal to feel many emotions when someone you love is dying. People from the same family or other loved ones may cope in different ways or may not agree about the treatments being given or the goals of care. It is common to have questions about all parts of your loved one's care:

What caused this?

Was something missed?

Could we have done something differently?

Each person's dying experience is unique and no one can fully know exactly when or how it will occur. We hope this information will help you care for your loved one through their last hours or days of life. This information is meant to guide you through the physical and emotional needs of a dying person and to answer questions you may have at this time.