Death Trauma Violence
Death Trauma Violence
Legal medicine is a branch of medicine but utilized in law purely for • trauma
the ends of justice
• violence
Medical jurisprudence is a branch of law dealing with the relation of
a patient and a doctor Nature of study
Overly expanded – 7610, 1853, 80, 7877 • Ability to acquire facts and draw conclusions
therefrom
Labor Code – Med. Welfare of a child
• Must possess powers to impart to others
Combi -> forenmed verbally or in writing all those he has observed
“Egyptian children are the most confused children, when their daddy
dies, they don’t know whether to call him mummy or daddy”
Zacchias?
• The trier of fact is apt to give almost conclusive weight • It lacks the general scientific acceptance of reliability
• No qualification parameters for the examiner • The judge may give it uncritical and absolute reliability
• Examinee may unwittingly waive his right against self- • The hypnotized subject may deliberately fabricate
incrimination
• The subject may be in a state of “heightened
• Error factors of the examination itself* suggestibility”
• Unresponsiveness in a living or guilty subject - Beer can lower the mask of sanity
- Once you drop your civility then the real you would be
• Attempts to beat the machine revealed
- “in wine there is truth”
Rubor – redness
Thrust
Calor – heat
Stab
Dolor – pain
Gun powder explosion
Mortal – brain, upper spinal cord (where the respiratory centers are
Superficial
located) – cause instantaneous death
Deep – penetrating, perforating (hollow)
- heart, lungs, big vessels, stomach, liver, spleen, intestines
As to the site of application of force in relation to location of injury
Non-mortal – will not produce death immediately or shortly
thereafter Coup – where inflicted, the injury was there
Classification of wounds as to the kind of instrument used Locus minoris existencia – point of minimal resistance
Blunt - Any blow on the head would crack some part of the skull –
black eye at the plate of the orbit
Contusion –mababaw
Area of rape - hymenal lacerations
Hematoma – malalim, hue
6:00 – most frequent site of lacerations in rape, point of minimal
Laceration – may tear resistance
Sharp-edged-pointed – stab would Closed wounds – no break in the continuity of the skin or mucous
membrane
Deeper than wide – stab
Petechiae, contusion, hematoma
Wider than deep – incise
Sprain, dislocation, fracture, strain Psychotic behaviors
Edges are not deeply stained. A. Shall become insane, imbecile, impotent or blind;
B. Shall have lost the use of speech, or the power to hear
Removable by washing or to smell, or shall have lost an eye, a hand, a foot, an
No inflammatory or repair process arm or a leg or shall have lost the use of any such
member, or shall have become incapacitated for work in
Not gaping which he was theretofor habitually engaged;
• Wounds sustained by the victim while parrying the thrusts 264 – administering injurious substances or beverages
of the assailant in an attempt to defend himself … Any person who without intent to kill, shall
inflict upon another:
• Always found on the extremities of the victim - any serious physical injury
- by knowingly administering any injurious substance or
Hesitation cuts or test cuts beverage
- by taking advantage of the victim’s
- Presuicidal injury, usually found on the area where mortal
weakness of mind or credulity
cut is located
265 – less serious
… Shall incapacitate the offended party for labor ten (10)
Self inflicted wounds (motives)
days or more or shall require medical attendance for the
To create or deliberately magnify an existing injury or same period…
disease for pension or workmen’s compensation Qualified if the injuries shall have been inflicted with
To escape certain obligations or punishments manifest intent to insult or offend the injured person, or
To create a new identity or destroy existing one under circumstances adding ignominy to the offense.
To gain attention or sympathy – Munchausen syndrome
Psychotic behavior
… or the victim is the offender’s parents, ascendants,
guardians, curators or teachers;
in authority…
or a person of rank or
1.Aging of the
wound
266 – slight physical
… By inflicting physical injuries which shall incapacitate the
offended party for labor from one to nine days, or shall
require medical attendance for the same period;
… by inflicting injuries which do not prevent the offended
party from work nor require medical attendance;
… by ill-treating another by deed without causing injury
2.Determination
252 Physical Injuries inflicted in a tumultuous array
… When serious physical injuries are inflicted upon the
participants thereof, and the person responsible therefo
of weapon used
3.Reasons for
cannot be identified, all those who appear to have used
violence upon the offended party shall suffer the penalty
next lower in degree than that for the physical injuries so
1.multi-plicity of
inflicted…
… if of less serious nature… arresto from 5 to 7 days.
Determination
MEDICO-LEGAL INVESTIGATION OF WOUNDS:
Rules to be observed
wounds
whether the
• All injuries must be described however small.
4.Determination
injury is
whether injury
• The description of the wound must be comprehensive.
•
Whenever possible, take a sketch or a photograph.
dangerous to
is
lifeaccidental,
Examination must NOT be influenced by information
obtained from others
• suicidal orthe
2.Whether
1.Determination
General investigation of the surroundings
a consequence
accident,
- position
Retraction of
- blood
suicide or
- hair and substances
wound homicide
FROM THE ASSAILANT:
edges
Points in considering whether wound is homicidal, suicidal or
- fingernails, paraffin test
- intoxication, mental
accidental:
condition, physique, etc.
1. External signs and circumstances related to the position and
attitude of the body when found FROM THE CLOTHING:
5. The possibility of offender deliberately changing the truth of the FROM THE CRIME SCENE:
condition
- hemorrhage
Length of time of survival after infliction of the wound:
- personal articles
wound was
• Width of the knife
inflicted
• Contusion Maxims
• Incised wound • The length of the wound is the width of the knife
• Lacerated wound • The length of the wound may be longer than the width of
the knife but it could never be shorter
• Punctured wound
• In the presence of a HILT MARK, the depth of the wound is
• Abrasion the length of the knife
• Gunshot wound • In the absence of a hilt mark: “ I cannot tell you how long
is the knife but I can tell you how not short is the knife!”
Death
Defense wounds
Time of death – not time of arrival. It is a precise event
Blood
groundat the
is no distinction between dead and brain dead”
• Held:
back
Weaponof the
is
– A person though unconscious, if breathing, is still
alive!
neck,
usuallyhands
absent Death is nothing but a precise event
are usually
or hidden
EFFECT OF MEDICAL AND SURGICAL INTERVENTION:
clean
Criteria for brain death (Ottawa Protocol)
elsewhere
Offender may still be held liable for the death of the victim if it can
be proven that death is inevitable and that even without the
1.
2.
Pupils are dilated and non-reactive to light
Absence of deep reflexes
none
operation, death is the normal and direct consequence of the
3. No circulation
injuries sustained.
4. Absence of respiration
It must be shown that the physician treating the victim is competent 5. Flat EEG (brain waves)
History of
and that he exercised care and diligence.
Death – the ceasing to exist of such animal (locomotion) and
That the wound inflicted must be the direct and proximate cause of vegetative (growing and aging) functions of a human being
recent
the death.
Medical death – continuing process.
EFFECT OF NEGLIGENCE OF THE INJURED PERSON:
- Concerns of post-mortem care
altercation
• If death occurred from complications arising from a simple
Legal death
injury owing to the negligence of the injured person in its
proper care and treatment, the offender is still held - Precise event
usually in a
responsible. - Art 42
- Concerns of succession
• A person is not bound to seek medical attention for the
drinking spree
injuries sustained. Who determines brain death
• The fact that the victim would have lived had he received - 2 physicians working independently
treatment is immaterial!
For transplant
No priors
- Death of either the principal or agent extinguishes the
agency (Art. 1919 )
- REVISED PENAL CODE:
- The criminal liability of a person is totally extinguished
when his death occurs before final judgment (ART. 89)
The Philadelphia -
-
RULES OF COURT:
The civil case for claims which do not survive is dismissed
upon death of the defendant
Protocol
PENAL
Cause of death CLASSIFICATIO
- The injury, disease or combination of both, responsible for
initiating the trend or disturbance, brief or prolonged, N OF DEATHS:
which produces the fatal termination
“Triad of consent” • That the victim at the time of infliction was healthy.
- Patient, physician and hospital through a living will, donor • That death may be expected from the physical injuries.
card or any legal document
• That death ensued within a reasonable time.
Legal consequences
Violence + natural causes
- Art 42, 774, 1830, 1919 RPC. 89
- CIVIL CODE: - If death was accelerated by violence
- The civil personality of a natural person is extinguished by
death (Art. 42 ) Euthanasia – mercy killing
- Transmission of properties to his heirs at the time of death
(Art. 774 ) Because of Art 253 of RPC, there is no legal euthanasia
- One of the causes of dissolution of a partnership
agreement (Art. 1830)
Did the victim die of a natural cause independent of the Not all deaths would result to Cadaveric Spasm – it is only applicable
violence inflicted? to those who died w/ pressure, spasm, stress, tension
- immediately
- binding as a mandatory directive written in a PUBLIC
INSTRUMENT, unless there is actual notice of contrary
intention
group of
- delayed in asphyxia and opium, cyanide or carbon
Changes in the muscles monoxide poisoning
muscles
Stage of Primary Flaccidity Livor Mortis; Post-mortem Suggilation; Post-mortem
Hypostasis; LIVIDITY
- Everything about you is soft
- Immediately after death • Accumulation in the most dependent part of the body due
- Muscles are relaxed to coalescence of capillaries resulting in a dull red or
- Urine and feces are expelled due to relaxation of the purplish color of the skin
- May or may
sphincters
- Lasts for about 3-6 hrs. • Once completed at the back, the lividity does not transfer.
Blood accumulates at vessels
Cadaveric spasm – one portion of the body becomes hard because
of adrenaline rush not appear
• Once blood diffuses out of the body, it will never return
of death
• Useful in determining if body has been moved after death
• Results from extreme nervous tension prior to death such
as salvage or suicide. • May also be a good determinant of time of death
• Explains why some suicide victims are found grasping the • TYPES:
knife or gun used in committing suicide
- to establish
• HYPOSTATIC (movable)
Rigor Mortis – natural phenomenon
• DIFFUSION (permanent)
• Also known as: POST-MORTEM RIGIDITY
CADAVERIC RIGIDITY, DEATH STIFFENING nature of
Secondary Flaccidity – soft
death
DEATH STRUGGLE Stage of Putrefaction
• Onset at 3-6 hrs after death, completed at 12 hrs. and - Beginning of putrefaction at 24th hour
lasts for 36-48 hrs. - begins after the “waning” of rigor mortis
- due to dissolution of the coagulated proteins
• Begins at the muscles of the neck and jaw, spreads to the
chest, arms and legs Beyond 48 hours Putrefaction
• You turn totally rigor, complete – 12th hour. Plateau up to Breakdown of complex proteins into simpler components
18th hour Greenish discoloration on the right iliac fossa followed by
rapid spread
Generalized swelling
Algor mortis Skeletonization
- Cooling of the body - The soft tissues begin to liquefy and are consumed by
- Di nangyayari ditto dahil tropical country bacteria and scavengers leaving behind only the bony
- Body assumes the room temperature structures
- Cold prevents the body from decomposing
- Begins after metabolism has ceased and no more heat is Kinds of death
produced. Body loses heat by evaporation or conduction
Somatic death – occurs when a physician declares a person
resulting in progressive fall of temperature
has expired due to complete, persistent and continuous
- rapid on the first 2 hrs then slows down
cessation of the vital function of the brain, heart and
- (NORMAL TEMP.) 98.4 – (RECTAL TEMP.) lungs. But there is still animal life among individual cells as
evidenced by presence of excitability of muscles and ciliary
1.5 movement of individual cells
Molecular death – occurs 3-6 hours after death. There is
- = approximate number of hours after death death to individual cells
Apparent death or state of suspended animation – this
Sweden
condition is not really death but a mere transient loss of
- Females usually wear mink coats which is a good habitat consciousness or temporary cessation of the body.
for flea. If body is fished out w/in 24 hrs, fleas would still
Signs of death:
be alive because they could hibernate
Cessation of heart activity
Africa
Palpation – sa pulse
- Maggots
- How long has been the body dead of there are ova? 48 hrs Auscultation – heart and lungs
- Pag young flies? 96 hrs
Fluoroscopy – accdg to achie, ginagamit siya sa buhay. May iniinject
Stomach contents din na dye tapos ixray. By means of some fluorescent substance, the
shadows of objects enclosed in media opaque to ordinary light but
- Solids would empty after 4 hrs
transparent to x-rays. Barium is the dye used.
- Liquid after 1 hr
- Electrocardiogram – to be sure.
Effects of pressure of gases of putrefaction: Magnus test – color change. placing a ligature
round the base of a finger. If the finger turns red, buhay. Pag ash
• Displacement of blood
white - patay
• Fluid coming out of nostrils and mouth
Icard’s test - injecting a solution of fluorescin(dye) and when the
• Bloating neighboring skin is still alive nagiging yellowish green
• Floating Diaphanous test – place flashlight behind palm. Pag black - dead, red
- alive looking through the web of the fingers at a bright light
• Extrusion of the fetus in a gravid uterus
Cessation of respiration
MUMMIFICATION
Mirror test – place a mirror near the nose, if mist forms, then the
• Body becomes dry, dark brown and brittle due to long body is breathing.
exposure to warm and dry environment.
Feather test or cotton test
ADIPOCERE FORMATION
- Place it on the nose, watch for it move.
• Fatty tissues are replaced with white greasy products due
to hydrolysis of fats forming fatty acids and soap Winslow’s test
• Abdomen distended with gases Even after the reluctance of the victim, the State may still prosecute
the crime.
• Ova of flies seen.
Victim for refusal to be a witness – hostile witness. State can
• 48 hrs
proceed even without a witness.
• Trunk bloated.
Substantive changes – totally altered by amendments
• Face discolored and swollen.
The NEW Anti-Rape Law has also set aside jurisprudence
based on the repealed provisions of the former law and
• Blisters present.
provided for a different governance in rape cases
• Moving maggots seen committed and filed after its effectivity.
• One month - Before, force and intimidation lang, ngayon may threat na.
PSYCHOSOCIAL ASPECTS OF RAPE B. When the offended party is deprived of reason or otherwise
unconscious
An act of violence in a sexual context. Although a form of sexual
assault, it has more to do with aggression. Cautiously considered Deprived of reason – may be preexisting or nagging sira as a result of
was the diagnosis of sexual sadism as a crime against humanity. something
Fraudulent machination – women of low repute, breach of promise - Woman in her deep sleep is considered unconscious
to marry may come under this
STATE vs. LUNG
Grave abuse of authority – can be a product of elimination. Should
be qualified seduction etc. 7877 – sexual harassment - if cantharides were used to incite the victim’s passion,
there is no depreciation of reason hence physical access
D. When the offended party is under 12 yrs of age or is demented, does not constitute rape
even though none of the circumstances mentioned above be
present Frustrated rape? Immaterial ang labia majora
Statutory rape More frequent lacerations sa 5-6-7 o’clock. Why? Always on the
missionary. Rape is always man on top, not woman on top
- One of the easiest crimes to prove
- Only becomes a crime because the law says so. Rape is a crimen sans finesse – crime committed without finesse.
Incidents of laceration are very high
Demented – not exactly normal. Someone biologically over 12 but
mental capacity is under 12
- Partial deprivation of reason will suffice - The character of the victim is immaterial if the crime of
- The cause thereof may be organic or due to lack of sleep rape is committed by force or intimidation.
or induced by drugs - The HUSBAND loses the “RIGHT OF CONSORTIUM”
arising from their connubial relations
Guiding principles in deciding rape cases (Pp. vs. Aldana): This is a ruling pro hac vice – cannot be used in
jurisprudence and it cannot be used as a basis of res
- A rape charge can be made with facility, is difficult to prove but judicata
more difficult for the accused, though innocent, to disprove;
Doctrinal myths
- In view of the intrinsic nature of rape where only two persons are
involved, the testimony of the complainant must be scrutinized with “RAPE IS EASILY FABRICATED…”
extreme caution; and
An accusation for rape is easy to make, difficult to prove
- The evidence for the prosecution must stand or fall on its merits and even more difficult to disprove.
and cannot draw strength from the weakness of the evidence for the
defense. “FILIPINA OF DECENT REPUTE…”
When by reason or on occasion of rape, the victim has DOCTRINE OF “TENACIOUS RESISTANCE”
suffered permanent physical mutilation or disability;
Mere resistance is not sufficient to convict.
When rape is committed in full view of the spouse, parent,
children or third degree relatives; In its enlightened state, the Supreme Court no longer
requires the victim to prove resistance if the prosecution
When the offender knew of the pregnancy of the victim; can prove force or intimidation.
Offender knowingly harbors HIV or any other STD and “NORMAL CONDUCT” DOCTRINE:
such disease is transmitted to the victim;
The demeanor of the victim before, during and after the
When victim is of religious calling or vocation and is assault is judged according to the supposed or expected
personally known to be such by the offender before or at conduct of a woman whose virtue is about to, or has just
the time of commission; been, violated.
When the offender knew of the mental disability, “CRIME OF LUST OR PASSION”
emotional disorder and/or physical handicap of the victim;
“Lust, we now repeat, is no respecter of time and
Last-minute comments: place.”
On victims over 7 and under 12 – simple statutory rape PREDISPOSING CAUSES OF VULVO-VAGINAL INJURIES DURING
SEXUAL ACT:
People vs Erina
Virginity-Prepuberty
Massive disproportion of genitalia
Frustrated rape Genital disproportion
Timely arrival of grandma. Keeping in mind the criminality.
Unprepared or unaroused female
Frustrated stage but not frustrated rape
Position
Male brutality
Over-active female
Sex deviants
Evidence