Investigations may be as simple as a few phone calls to verify an expected death from a known terminal condition, or as complex as a thorough death scene investigation, protection of property, multiple interviews, autopsy, identification procedures, location and notification of next-of-kin, consultations with other experts, and comprehensive laboratory testing. The Initial report of a death is taken by the coroner, usually by phone. Generally, the Coroner decides whether the death falls under the Coroner's jurisdiction and whether a formal investigation of the death will occur. The Coroner or deputy coroner usually also decides how extensive the investigation should be, varying the extent of the investigation based on the unfolding findings during the investigation. At some point during the investigation the Coroner or deputy may decide an autopsy is needed.
The Coroner or deputy may make the determination to release the body from the death scene directly to a funeral home or may decide to have the body transported to the Washington County Coroner's Office pending additional investigation. The investigation to determine cause and manner of death may include interviewing witnesses, friends, relatives, and health care providers. An examination of the death scene and the surroundings may also be included in the investigation to collect and preserve evidence. The investigation may also require a physical examination of the body or autopsy, and may require laboratory tests of tissue or bodily fluids. All of which may take just a few hours to many days and even months to determine the cause and manner of death.
Types of Deaths Investigated
Drowning
Electrocution
Explosion
Exposure
Falls
Gaseous Inhalation
Gunshot Wounds
Head Trauma
Homicide
Ingestion
Injury at Work
Lightning
Natural Causes
Neglect
Overdose
Police Custody Deaths
Stabbing
Strangulation
Sudden Unexpected Infant Deaths
Suicide
Thermal
Unexpected Deaths
Vehicle Related Deaths
Weather Related Deaths
Death Scenes
Each scene is different, but here is some of the activities that may occur:
Find out about the death
What, when, where, how, etc.
Confirm death and establish date and time of death
Conduct interviews and obtain information
Document past and present medical history
Hospitalizations, doctors, treatments, etc.
Determine identity of decedent
Find out the name, address
Document the next of kin and their relationship
If next of kin was notified, when and by whom, who will attempt notification, if follow-up is needed
Observe environment and examine the deceased
Environmental conditions (hot, cold, rainy, etc.) surrounding the body and the relationship of evidence and/or other articles or objects to the deceased (knife located next to the right hand of deceased), position of the body (lying on the back, side, etc.), location (yard, bedroom, etc.), condition of the person's body?
Determine if the person was moved before we came to the scene
Did anyone try to save this person's life, if yes, and then the person was moved (sometimes all the way to the hospital)
Make a preliminary examination of the deceased with particular reference to identification (tattoos) and external evidence of trauma (cuts, bruises, other marks), also determine if any injuries are a result of resuscitation effort (CPR, needle marks, etc.)
Conduct a complete examination to determine estimated time of death, such as body temperature, rigidity, lividity, decomposition, climate of the immediate environment, etc.
Collect and/or record evidence
Observe and note all physical evidence on the person's body
Insures that any medications or drugs, along with any printed/written material related to the cause of death are taken for additional examination and inventory
Photograph deceased before and after examination
Safeguarding of personal effects on or about the decedent
Search the area, if necessary, to obtain information about the decease's next of kin or any legal documents regarding funeral/burial instructions
Make a list of all personal effects (money, rings, watches, wallet, etc.) recovered from the body
In presence of police secure home/apartment and other belonging until next of kin can be located and notified of the death
Removal of deceased from the scene of death
By the Coroner or request families funeral home for removal of the deceased
Protect the deceased from bystander observation as possible
Supervise proper, respectful removal from the scene
Assure police and/or coroner accompanies the deceased to autopsy location
Request other experts to the scene if needed
After the Investigation
Each death investigation is different, but here are some of the activities that may occur:
Telephone conversation with the decedent's doctor(s)
Review and confirm decedents' medical history and possibly subpoena the records if necessary
Check prescriptions records and subpoena when necessary
Doctor to sign death certificate
Referral of the case to the primary care physician to complete the death certificate
Coroner to sign death certificate, possibly including:
Complete a Death Certificate
Authorize cremation when necessary
Order an autopsy
Schedule the autopsy
Call PSP R&I and criminal investigators when necessary as to the time and location of the autopsy
Complete Coroner's summary report for use at autopsy
State blood kit (if required), complete and mail within three days of autopsy
Complete and sign release of body form
Complete and sign autopsy authorization form
Print necessary photographs for use at autopsy
Start personal effects inventory form and complete at autopsy
Label body bag with decedent's name
Notify the funeral home as to the release of the body
Call the family after autopsy and explain the results of the autopsy and if further testing may be necessary
Complete a pending death certificate, if necessary
Approximately six to eight weeks following the autopsy call and check on results and final report
Approximately six to eight weeks call and check on toxicology studies results and final report
Call the criminal investigator/police with autopsy/toxicology results
Call the family as to cause and manner of death following final autopsy and toxicology reports
Complete Coroner's reports
Complete final death certificate
File reports with state police, if necessary
Complete reports requests from other agencies, insurance companies, attorneys, etc.
Note:
These are generic events and many other investigative procedures may be necessary to complete a thorough forensic death investigation. This may take weeks and sometime even months to complete.