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what are the situations where a death is reported to the coroner?

when the cause is unknown, unnatural or violent, sudden or unexplained
when the person who died was not seen by a medical practitioner during their final illness, or 14days before or after so medical certificate not signed, where there is no certificate available
death during operation or before come out of anaesthetic
death that is suspected to be due to industrial poisoning or disease


what happens if the coroner decides it is clear what happened?

the doctor signs a medical certificate and takes it to registrar, the coroner issues a certificate to the registrar stating a post-mortem is not needed


where can a post mortem occur?

in a hospital or a mortuary


can an objection be placed against a coroners PM?

no but if you have asked then the coroner must inform you and the person's GP when and where the examination will take place


what form is signed by the coroner for a cremation?

cremation 6'


what happens after the coroner PM?

coroner releases the body for funeral once completed PM and no further examinations are needed. If released with no inquest then coroner sends form


when does the coroner hold an inquest?

if the cause of death is unknown
if the person died in police custody or prison
if the cause was violent or unnatural


when is the death registered?

after the inquest - coroner will send the relevant paperwork to the registrar


what happens until the death can be registered?

the coroner provides a interim death certificate to prove person is dead and then once completed PM will inform the registrar of what is to be put in register


what is the main role of coroners?

to assess who, when, where and how and ensure that the circumstances are fully, fairly and fearlessly investigated


what are the three divisions of court?

civil, criminal - these are adversarial
coroners - inquisitorial


what are the characteristics of a civil court?

they follow the national framework and parties commence cases. The pleadings define the issues and the judge acts as an umpire and gives the final judgement. The losing party will pay legal costs. There is a right to appeal


what are the characteristics of criminal court?

they follow the national framework to bring prosecution about. There is an indictment and the judge is the umpire but the jury decides on the verdict. The judge will impose the sentence if guilty


what are the characteristics of the coroners court?

the local government organisation gives guidelines and death will trigger involvement. The coroner decides when a body is released, scope of inquiry, witnesses and questioning, conclusion and draws lessons. They establish facts about death. No one is on trial, there is no reward of costs, and no right to appeal except judicial review. The conclusion is in short and a narrative


what is the significance of inquest?

the public and press are entitled to be present, the proceedings are recorded and for formality the evidence is given on oath or affirmation


what can form part of the conclusion?

only matters that caused or contributed to the death


what is the civil standard?

the balance of probability


what is the criminal standard?

beyond reasonable doubt - must be sure


which causes of death are more common for males?

industrial disease, open, suicide, drug or alcohol, RTC


what causes of death are more common for females?

natural causes


What causes of death are relatively equal for males and females?

accidental death


what is regulation 28?

a coroner has a duty to make a report if there is a further risk of deaths to prevent future deaths to an organisation or person who has the power to take action


what is unusual about regulation 28?

the person must respond to the report but is not required to take action


what does the coroners and justice act of 2009 state?

that coroners have no power to make recommendations


in the capacity of giving evidence what can witnesses of fact give?

they can tell what they saw or did


what can experts provide?

their opinions on matters within their field of expertise


with regards to conditions a patient may have, when should their death be referred to a coroner?

suicide or self harm and the mental health act, drug overdose


when should a death be reported by the coroner?

when there may be medical mismanagement, medical procedure, surgery or anaesthetic, could have been caused by self harm, termination of pregnancy, lack of care, within 24 hours of admittance to hospital, questioning if a child is stillborn, implanted medical device cause, unusual or disturbing features