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2009 MSH ED Critical Care Conference

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Medical Examiner Cases

posted ‎‎Mar 11, 2008 10:07 AM‎‎ by Phillip Andrus   [ updated ‎‎May 14, 2008 12:07 PM‎‎ ]
Reportable Deaths:

All forms of criminal violence, unlawful act or criminal neglect

All Accidents (motor vehicle, home, falls, industrial)

All suicides

All deaths caused or contributed to by drug/chemical overdose or poisoning

Sudden death of a person in apparent good health

Deaths unattended by a physician

Deaths of all persons in legal/court ordered detention

Deaths during or due to complications of diagnostic or therapeutic procedures

Deaths related to employment

Deaths which occur in any suspicious or unusual manner

Fetus born dead due to maternal trauma or drug abuse or in the absence fo a physician/midwife

 

Any death that is not 100% due to natural disease must be reported to the OCME even if it takes years for an injury to result in the fatality.
 
There is no 24 hour rule in NYC: Hospital deaths entirely from natural causes in which a diagnosis has been made with reasonable medical probability, despite the fact that the patient survived less than 24 hours in the hospital, need not be reported to the OCME.


Examples of Proximate Cause:
Arteriosclerotic Cardiovascular Disease
Hypertensive Cardiovascular Disease
Asthmatic Bronchitis
Pulmonary Emphysema
Lobar Pneumonia
Pancreatic Carcinoma
AIDS
AIDS due to Chronic Intravenous Drug Use
Chronic Alcoholism


Examples of Mechanisms/Immediate Cause:
Bronchopneumonia
Pulmonary Embolism
Acute Myocardial Infarct
DIC
Cardiac Arrythmia
Congestive Heart Failure