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Natural death is caused by interruption and failure of body functions resulting from age or disease. This is the most common manner of death. Accidental death is caused by unplanned events, such as a car accident or falling from a ladder.
Mechanisms of death are never etiologically specific and are unacceptable as substitutes for the underlying cause of death. Common fatal mechanisms of death include congestive heart failure, cardiac arrhythmias, septicemia, disseminated intravascular coagulation, hepatic failure and anoxic encephalopathy.
Post-mortem interval (PMI) has traditionally been classified into immediate, early, and late stages. In the immediate period, the body undergoes rapid biochemical and physiological changes that are primarily caused by the absence of circulation of blood and loss of regulatory mechanisms.
Decomposition can divide into five stages fresh, early decomposition, advanced decomposition, skeletonization, and extreme decomposition. The early decomposition phase begins with the onset of skin slippage and hair loss. These changes usually begin from the first day after death to up to five days post-mortem.
As per Xavier Bichat, a French physician, irrespective of what the remote cause of death may be, there are three modes of death. 1- Coma: Death due to failure of brain function. 2- Syncope: Death due to failure of heart function. 3- Asphyxia: Death due to failure of lungs function.
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The cause of death is the specific injury or disease that leads to death. The manner of death is the determination of how the injury or disease leads to death. There are five manners of death (natural, accident, suicide, homicide, and undetermined).
Cause of Death: The underlying medical condition, disease or injury that begins a lethal chain of events resulting in death. Manner of Death: Describes the way in which a death occurs, which may be Homicide, Suicide, Accidental, Natural or Undetermined.
The classifications are natural, accident, suicide, homicide, undetermined, and pending. Only medical examiners and coroners may use all of the manners of death.
The first rule in performing a death scene investigation is to make certain that the scene is safe and secure. Usually, this requires police involvement but in some instances, it will require other professionals, such as fire department personnel or utility workers.

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