Time of death is determined by medical professionals with the help of physiological, clinical, and forensic indicators. When a death is questioned, the coroner or medical examiner must legally determine the time of death. This is done through the use of two methods: the postmortem interval and medical estimation.
Postmortem Interval
The postmortem interval (PMI) is the time that passes between the death of a person and the time they are found. It can be estimated by carefully examining the body and determining the stage of decomposition. A medical examiner or coroner can look for signs of rigor mortis, livor mortis, and algor mortis to help determine the PMI.
Rigor Mortis is the stiffening of the body due to the breakdown of muscle proteins. It begins approximately three to four hours after death and can last up to 72 hours.
Livor Mortis is the pooling of blood in the lower parts of the body due to gravity. This can occur as soon as 15 minutes after death and can last up to 12 hours.
Algor Mortis is the cooling of the body due to the loss of body heat. It begins almost immediately after death and can be used to determine the approximate time of death.
Medical Estimation
Medical estimation is used to determine the time of death when the PMI is unknown. This is done by looking at the medical history of the deceased person, the state of the body, and the presence of any drugs or toxins in the body. Medical professionals may also consider other factors such as the environment and the activity of the deceased person before death.
The exact time of death is difficult to determine and is often an estimate. However, medical professionals are able to determine a range of time of death with a degree of accuracy. This information can be used to help determine the cause of death and any legal implications.