Cause of death Flashcards

1
Q

what happens when someone dies>

A
  • physically confirm death
  • issue a death certificate
  • if not able to certify, refer to the procurator fiscal (coroner)
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2
Q

issuing a death certificate

A
  • can only be done by a GMC registered medical doctor
  • legal obligation (Registration of Births, Deaths and Marriages (Scotland) Act 1965)
  • no fee payable
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3
Q

After death certified..>

A
  • relatives have to take death certificate to registrar’s office
  • certificate of disposal given
  • if cremation - cremation certificate needed
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4
Q

Legal systems

A
  • Procurator Fiscal (SCO)

- HM Coroner elsewhere

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5
Q

Procurator Fiscal

A
  • prosecution of crimes
  • investigation of deaths
  • not involved with the most serious of crimes
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6
Q

Coroner

A
  • limited to investigation of sudden and unexpected deaths

- no role in investigating/prosecuting crime

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7
Q

coroner

A

additional role in investigating deaths where person not seen by doctor in past 14 days

  • holds inquests (Scotland holds FAI’s)
  • has to pass onto CPS if criminal case
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8
Q

coroner’s inquest

A
  • conducted entirely by the coroner
  • sits with jury (deaths at work or in custody)
  • 1 of 9 verdicts will be determined
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9
Q

Verdict

A

natural causes, suicide, accident/misadventure, industrial disease, dependence on drugs, lack of care, lawful killing, unlawful killing, open

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10
Q

Causes of death in Scotland

A
  • natural causes
  • alcohol abuse
  • suicide
  • accident
  • drug abuse
  • homicide
  • other
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11
Q

Natural disease

A

Cardiovascular disease

  • heart disease
  • coronary artery disease
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12
Q

Coronary artery disease

A
  • common cause of death
  • causes chronic electrical instability
  • amenable to bypass surgery
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13
Q

Pulmonary thromboembolism (PTE)

A
  • involves the veins
  • related to deep vein thrombosis (lower limb)
  • embolism passes to the lungs - can’t breath
  • blocks blood vessels
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14
Q

Cerebral haemorrhage

A

2 types:

  1. Intra-cerebral
  2. Subarachnoid
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15
Q

Stroke

A

-cerebrovascular accident (CVA)
2 causes:
1. cerebral haemorrhage
2. cerebral infarct

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16
Q

Sudden death

A
  • Ischaemic heart disease
  • Hypertensive heart disease
  • PTE
17
Q

Less rapid?

A
  • myocardial infarction
  • rupture aortic aneurysm
  • acute asthma
  • epilepsy
18
Q

Fire related deaths

A
  • red blistering with marginal zone
  • more severe - stiff, leathery
  • can be completely charred/destroyed
  • bone may be blackened/brittle
19
Q

fire related deaths

A
  • muscle contracures -‘pugilistic attitude’
  • skin splits - esp. extensor surfaces
  • 30-50% of body surface
  • less in vulnerable groups
  • death from secondary problems
20
Q

Burns

A

1st degree = epidermis damaged
2nd degree = full thickness (epidermis + dermis)
3rd degree = epidermis, dermis + subcutaneous (down to bone)