How do forensics/autopsists determine exactly which trauma caused death?

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I was reading an article about a child body found frozen with multiple traumas and I was wondering if somone was left bleeding in freezing weather, how does the autopsy determine between the bleeding and the freezing as the exact cause of death? (It doesn’t have to be only these two competing causes. I am asking about any multiple traumas that could equally cause death.)

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Anonymous 0 Comments

That’s not a quick answer, because a lot of things can cause death. Medical examiners doing an autopsy look at the body in detail, from the outside in. First a careful visual inspection of the skin, noting all sorts of things such as state of decay, lividity, any damage or bruising, material under the nails, and so on is done. That alone can tell you a lot about what happened, for example if there’s a number of stab wounds, but only some show evidence of extensive bleeding, you can probably conclude that those stabs which bled very little occurred post-mortem.

You examine the organs, the contents of the stomach, test the fluid in the eye, bladder and blood for toxins and drugs. If someone shows signs of blunt force trauma, but what you see doesn’t appear to have been fatal, you’d look for what did kill them. With modern tech it’s surprisingly hard to evade a careful examination of a corpse.

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