SUDDEST DEATH 3. Cerebral and cerebellar apoplexy or haemcrrhage caused by the "bursting cf intracranial aneurysms even in children and young persons. This is generally associated with chronic arteriosclerosis and hypertension. Chronic alcoholism and syphilis largely predispose to this condition Abscess or tumour of the brain, spontaneous subarachncid haemorrhage, meningeal hseniorrhage, septic meningitis and acute encephalitis may cause sudden death. 4. Fright, dread, anger or any other emotional excitement may lead to such a degree of shock as to result at once in a fatal termination. This will be mere so in those persons who have an unstable nervous svstem cr who have some organic disease, especially of the heart or large blood vessels. A vroman, T.vho vas brushing her teeth, accidentally sT.valloT-ved a mouthful of harm- less mouth wash She cried cut that she had s\vallov.*ed poison and immediately died,-' A yciing woman \valking with her sweetheart along a country road received such a frisht from a horse pushing its white head through a hedge by her side that she collapsed in her companion's arm and died 4 5. Certain diseases of the respiratory organs producing asphyxia, such as acute cedema of the glottis, membranous deposit in the larynx or trachea, or tumour pressing on the trachea, spasm of the vocal cords, air embolism, pneumo-thorax, hsemo-thorax, pleuritic effusion, haemoptysis in the course cf pulmonary tuberculosis, cedema of the lungs, asthma, ambulatory lobar pneumonia, bronchcpneumonia and acute bronchitis in infants and children, 6. Rupture of chronic ulcers cf the stomach, duodenum, or other parts of the alimentary canal. I>arge draughts of cold liquids drunk when overheated. *" 7. Rupture of the impregnated uterus, extra-uterine gestation, uterine hasmatocele, or uterine appendages. 8. Rupture of the over-distended urinary or gall bladder or enlarged spleen. 9. Acute hsemorrhagic pancreatitis. 10. Certain diseases, such as Addison's disease, diahetes and epilepsy ; laryngfismus stridulus and status lymphaticus occurring hi young persons usually during the first stage of chloroform inhalation. Convulsions and acute infective gastro-enteritis in infants. 11. ^Trivial procedures may sometimes induce syncope and lead to death, e.g. vaginal examination, vaginal and uterine douching, or passing of a uterine sound. Vipert " reports the sudden death of a young woman, four months pregnant, while a small cannula was being inserted into the uterus to produce abortion. Even slight compression of the larynx has induced fatal inhibition. A little bov, noticing a very prominent pomum Adami in an old woman, gave it a gentle flick with his finger. The old woman died immediately .G 12. Catheterization of a distended bladder and sudden withdrawal of large quantities of fluid from the pleural, pericardial or peritoneal cavities may lead to death by rapidly lowering the blood pressure. 13. , Zymotic diseases, such as cholera, diphtheria and influenza. ^ SIGNS OF DEATH The signs of death areó j 1. Entire and continuous cessation of circulation and respiration. I 2. Changes in the eye. 3. A. Robertson, The Practitioner, Aug. 1923, pp. 115, 116. 4. Ibid. 5. Annales d' Hygienes publiques, 1890, xxiv, p. 541 ; Peterson, Haines and Webster, Leg. Med. and Toxic., Ed. II, Vol. I, p. 213. 6. A. Robertson, The Practitioner, Aug. 1923, p. 119.