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| Bodies not to be Moved In all cases where the coroner has jurisdiction to investigate the facts and circumstances of death, the body and its surroundings shall be left untouched until the coroner (or his appointed deputy(ies)) has had a view thereof or until he shall otherwise direct or authorize, except as may be otherwise provided by law, or as circumstances may require. Bodies upon a public thoroughfare or in other places may be removed so much as is necessary for precaution against traffic accidents or other serious consequences which might reasonably be anticipated if they were left intact. |
| Sudden Deaths Defined The coroner regards any death as sudden if it occurs without prior medical attendance by a person who may lawfully execute a certificate of death in the County, or if within 24 hours of death, the decedent was discharged from such medical attendance or a change of such medical attendance had occurred, or if any such medical attendance began with 24 hours of death and the medical attendant refuses or is unable to certify the cause of death. Medical attendance includes hospitalization. |
| Cooperation with District Attorney In the exercise of his duties, the coroner shall (so far as may be practicable), consult and advise with the district attorney. The district attorney shall act as counsel to the coroner in matters relating to inquests. |
| Power of Subpoena and Attachment The coroner has the power to issue subpoenas to obtain the attendance of any person who it may be necessary to examine as a witness at any inquest, and to compel attendance by attachment in like manner and to the same extent as any court of common pleas of this Commonwealth may or can do in cases pending before them, and also to compel in like manner the production of all papers and other things relative to such inquest. Such subpoena and attachment shall be served and executed by the sheriff or by the coroner himself or his deputy, as the case may require. |
| Justices of the Peace not Affected The provisions of subdivision shall not be construed to affect any provisions of law requiring or authorizing justices of the peace in certain cases to act in place of the coroner. |
| Release of Coroner's Jurisdiction Whenever the coroner assumes jurisdiction of a body pursuant to the provisions of this subdivision or of any other law, the body shall not be released or removed from his jurisdiction except upon his directions and consent, in accordance with law. |
| Certificate of Cause of Death The coroner issues a certificate of cause of death referred to him by the local registrar of vital statistics, pursuant to the provisions of the act known as the "Vital Statistics Law of 1953", and in all other cases of which he has jurisdiction, if no person duly authorized by the said act certifies cause of death. |
| Inquests and Juries The coroner may at his discretion summon a jury and six to be selected from the jury panels of the court of common pleas. -- The function of such jury shall be to determine the manner of death and whether any criminal act or neglect of persons known or unknown caused such death. Such a jury shall be paid as provided by law as if they were serving the court of common pleas. |
| NEED ADDITIONAL COPIES OF A DEATH CERTIFICATE? The coroner does not issue completed death certificates. Contact your funeral director or click the link below: Obtaining a Death Certificate ~~ Click the link to the most comprehensive resource for locating vital records on the Internet. Pennsylvania Birth Certificates, Death Records, Marriage Licenses and more..... |
| The Susquehanna County Coroner’s Office services Susquehanna County primarily and through mutual aid agreements responds to adjacent counties and statewide in the event of major disasters. |
Due to the increase and complexity of the investigations conducted by the Coroner's Office, it was necessary to establish a way to preserve scenes until the arrival of the Coroner and law enforcement. A logical place to start seemed to be with the emergency personnel from the fire departments and ambulance services since they are the first to arrive on scene. For the past 15 years, Anthony has been facilitating classes for fire departments, ambulance services, every 2 to 3 years. The idea is that if these personnel know what the Coroner and law enforcement agencies are looking for, they can better preserve these scenes prior to their arrival. The program begins with a description of the duties of the Coroner's Office and the various reporting procedures. A form created by the coroner to be completed by Ambulance service personnel while waiting the arrival of the coroner and law enforcement provides crucial information which may be lost during the response. A brief description of a case is given with emphasis placed on what the Coroner is looking for when processing the scene and what is done with the evidence that is collected. This has resulted in fewer scenes being disrupted and allowing for the Coroner and police to better process the scene. |
A natural death is any death which is the direct result of the progression of a natural, medically recognized disease process. Widespread cancer, acute myocardial infarction due to arteriosclerotic coronary artery disease (heart attack) or chronic obstructive pulmonary disease are all examples of progressive, medically recognized natural disease processes which may ultimately result in the death of the individual. The foreseeable and expected complications of these disease processes would also be classified as natural. A death falls into the unnatural category when there is an outside intervening influence or circumstance not recognized as a medical disease process which either initiates the lethal chain of events or contributes to the individuals demise. Acute renal failure due to hemolytic uremic syndrome would be classified as natural. Acute renal failure due to antifreeze ingestion would be classified as unnatural with the actual manner (homicide, suicide, or accident) pending additional investigation by the Coroner. Acute peritonitis due to a ruptured appendix would be classified as natural. Acute peritonitis due to stab wound of the abdomen would be classified as unnatural with the actual manner (homicide, suicide, or accident) pending additional investigation by the Coroner. Factors which may be contributory to a person's death can make that death unnatural as well. An individual with terminal cancer who is on pain medication may either intentionally, accidentally, or in certain cases be given excessive medication which would hasten their demise. An individual with moderate coronary artery disease who dies while using cocaine for recreational purposes, even though the drug levels are not in the lethal range, would still have cocaine ingestion listed as a contributory cause, thus making the cause of death arteriosclerotic coronary artery disease contributed to by cocaine ingestion. The manner of death would be accidental as a result of the contributory cause. In the same fashion, hip fractures in the elderly which exacerbate underlying natural disease processes would have as the cause of death the underlying natural disease process contributed to by the hip fracture. The manner of death would be accidental as a result of the contributory cause, in this case, the hip fracture. |
There are five manners of death: Homicide, Suicide, Accident, Natural, and Undetermined. The manner of death is the circumstances in which the cause of death came out. The cause of death (bronchopneumonia) can still be the same despite different manners. Bronchopneumonia is still bronchopneumonia and would not change as the cause of death if it resulted from homicidal gunshot wound of the chest, suicidal barbiturate overdose with subsequent coma and aspiration of secondary to blunt traumatic chest injuries in a motor vehicle accident. What would change would be the manner. Any death where there is even the remote possibility that the underlying cause of death is anything but natural must be reported to the Coroner's office, despite the length of time between the initial insult and death. For example, in May of 1991, and individual who in 1954 developed a well-documented seizure disorder as a result of homicidal gunshot wound to the head is witnessed to have a seizure while in the shower, falls and is scalded. In the hospital he develops bronchopneumonia and dies. The cause of death would be bronchopneumonia, due to thermal injury, due to seizure disorder, due to gunshot wound of the head. Despite the 36-year time interval between the head wound and the pneumonia, "but for" the gunshot wound he would not have had the seizure disorder which led to the dependant and related sequence of events ultimately responsible for his demise. Legally, the manner of death in this case was correctly certified as homicide. As the above case demonstrates, autopsy alone rarely determines the manner of death. The autopsy is only one facet of the entire investigative process involved in determining a manner of death. A complete medical history, police report, scene investigation and the terminal events must be taken into account if one is to correctly certify the manner of death. |
The cause of death is the etiologically specific disease or injury which initiates a dependent and related sequence of events ultimately responsible for the death of that individual. The cause of death is the "but for" without which the individual would not be dead. The time interval between the initial insult and death can be instantaneous, as in a massive intracranial hemorrhage due to hypertensive cardiovascular disease, or it can be days, weeks or months between the initial event and death. Bronchogenic carcinoma may be present for months before the tumor eventually erodes a major blood vessel resulting in exanguination or causes sufficient obstruction as to create a favorable environment for a lethal pneumonia. Sometimes there may be confusion regarding the actual cause of death, especially if a considerable time interval between the initial insult and death has passed and multiple disease processes have come into play. For example, an individual with massive abdominal injuries secondary to a motor vehicle accident develops acute pertonitis, becomes septic with seizures and subsequently expires a result of aspiration pneumonia; the blunt traumatic injuries to the abdomen are still the underlying cause of death. "But for" the abdominal injuries, none of the other disease processes would be likely to occur in and of themselves. Another consideration is that the sequence must be dependent and related. An independent supervening factor which would not be a reasonable and foreseeable consequence of the initial disease or injury would alter the cause and manner of death. For example, if our motor vehicle accident patient inadvertently receives a wrong or lethal dose of medication which eventually kills him, that would be an independent supervening factor which is certainly not a reasonable and foreseeable consequence of his initial injury and thus falls under the jurisdiction of the Coroner. |
| BY NOW YOU MUST REALIZE THERE IS MUCH MORE TO THE CORONER'S OFFICE THAN ONCE THOUGHT! IT TAKES MANY HOURS TO INVESTIGATE, AUTOPSY IF NEEDED, COMPLETE WRITTEN DOCUMENTATION, MAKE PROPER NOTIFICATIONS, INTERFACE WITH MANY AGENCIES AND MUCH MORE TO COMPLETE A THOROUGH AND TIMELY MEDICOLEGAL DEATH INVESTIGATION FOR THE FAMILIES WE SERVE. |
