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	<title>Comments on: Boo!</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2009/02/boo/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2009/02/boo/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Mirjam</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-17184</link>
		<dc:creator>Mirjam</dc:creator>
		<pubDate>Thu, 18 Feb 2010 21:44:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-17184</guid>
		<description>Coming back on &#039;Can someone be scared to death?&#039; I&#039;d like to share what my family believed happened to my uncle.

He was killed in a car accident and from what I&#039;ve heard (you never know what&#039;s true and what&#039;s not...) he was scared to death. Apparently he died before the impact of the accident because he got so scared that his aorta gave out. 

Again, not sure whether this is true...but just wondering if it is possible that you can actually die from getting so scared that you&#039;re body can&#039;t take it.</description>
		<content:encoded><![CDATA[<p>Coming back on &#8216;Can someone be scared to death?&#8217; I&#8217;d like to share what my family believed happened to my uncle.</p>
<p>He was killed in a car accident and from what I&#8217;ve heard (you never know what&#8217;s true and what&#8217;s not&#8230;) he was scared to death. Apparently he died before the impact of the accident because he got so scared that his aorta gave out. </p>
<p>Again, not sure whether this is true&#8230;but just wondering if it is possible that you can actually die from getting so scared that you&#8217;re body can&#8217;t take it.</p>
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		<title>By: Strong One</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6717</link>
		<dc:creator>Strong One</dc:creator>
		<pubDate>Sun, 08 Feb 2009 17:27:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6717</guid>
		<description>&quot;They passed the stimulus package?&quot; ~
Dropped on the floor dead.</description>
		<content:encoded><![CDATA[<p>&#8220;They passed the stimulus package?&#8221; ~<br />
Dropped on the floor dead.</p>
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		<title>By: Murder By Heart Attack &#171; William The Coroner&#8217;s Forensic Files</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6676</link>
		<dc:creator>Murder By Heart Attack &#171; William The Coroner&#8217;s Forensic Files</dc:creator>
		<pubDate>Thu, 05 Feb 2009 22:23:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6676</guid>
		<description>[...] under: Forensics, Uncategorized &#8212; williamthecoroner @ 17:47   White Coat asks the question &#8220;Can you be scared to death?&#8221;. It was triggered by this article. The problem that I noticed first was that the Scientific [...]</description>
		<content:encoded><![CDATA[<p>[...] under: Forensics, Uncategorized &#8212; williamthecoroner @ 17:47   White Coat asks the question &#8220;Can you be scared to death?&#8221;. It was triggered by this article. The problem that I noticed first was that the Scientific [...]</p>
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	<item>
		<title>By: William the Coroner</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6674</link>
		<dc:creator>William the Coroner</dc:creator>
		<pubDate>Thu, 05 Feb 2009 21:11:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6674</guid>
		<description>Malice aforethought is an aggravating specification, but it is not required for homicide.  I&#039;ll do a couple of posts on this on my blog, one specifically and one on homicide.  Thanks for the inspiration.</description>
		<content:encoded><![CDATA[<p>Malice aforethought is an aggravating specification, but it is not required for homicide.  I&#8217;ll do a couple of posts on this on my blog, one specifically and one on homicide.  Thanks for the inspiration.</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6670</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Thu, 05 Feb 2009 20:54:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6670</guid>
		<description>Wow. 
What happened to murder requiring &quot;malice aforethought&quot;? 
I got the impression from the article that the bank robber just broke into the old lady&#039;s house and was hiding in the basement or something similar. If he was attacking or threatening the lady or was preventing her from calling police, then I agree - you take them as you get them. 
Thanks for the cite - updated it with a link to the abstract.</description>
		<content:encoded><![CDATA[<p>Wow.<br />
What happened to murder requiring &#8220;malice aforethought&#8221;?<br />
I got the impression from the article that the bank robber just broke into the old lady&#8217;s house and was hiding in the basement or something similar. If he was attacking or threatening the lady or was preventing her from calling police, then I agree &#8211; you take them as you get them.<br />
Thanks for the cite &#8211; updated it with a link to the abstract.</p>
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		<title>By: ERDoc</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6651</link>
		<dc:creator>ERDoc</dc:creator>
		<pubDate>Thu, 05 Feb 2009 10:06:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6651</guid>
		<description>Adrenaline rush------&gt;increased HR and myocardial oxygen demand, and perhaps this was her &quot;stress test&quot; and she failed.  You don&#039;t have to step on a treadmill to take a stress test and &quot;CNS stimulation&quot; doesn&#039;t happen in a vacuum.

Can&#039;t say I feel sorry for the intruder.</description>
		<content:encoded><![CDATA[<p>Adrenaline rush&#8212;&#8212;&gt;increased HR and myocardial oxygen demand, and perhaps this was her &#8220;stress test&#8221; and she failed.  You don&#8217;t have to step on a treadmill to take a stress test and &#8220;CNS stimulation&#8221; doesn&#8217;t happen in a vacuum.</p>
<p>Can&#8217;t say I feel sorry for the intruder.</p>
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		<title>By: William the Coroner</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6646</link>
		<dc:creator>William the Coroner</dc:creator>
		<pubDate>Wed, 04 Feb 2009 22:52:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6646</guid>
		<description>Here&#039;s another reference, by Chuckie Hirsch: Hum Pathol. 1980 Mar;11(2):123-32.  I think this is the original paper</description>
		<content:encoded><![CDATA[<p>Here&#8217;s another reference, by Chuckie Hirsch: Hum Pathol. 1980 Mar;11(2):123-32.  I think this is the original paper</p>
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		<title>By: Mottsapplesauce</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6644</link>
		<dc:creator>Mottsapplesauce</dc:creator>
		<pubDate>Wed, 04 Feb 2009 22:45:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6644</guid>
		<description>We discussed scenarios like this in my ethics class while in college. I imagine there was no intent to kill, nevertheless, if her death resulted of being frightened by the burglar I&#039;d say involuntary manslaughter might stick.</description>
		<content:encoded><![CDATA[<p>We discussed scenarios like this in my ethics class while in college. I imagine there was no intent to kill, nevertheless, if her death resulted of being frightened by the burglar I&#8217;d say involuntary manslaughter might stick.</p>
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		<title>By: William the Coroner</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6643</link>
		<dc:creator>William the Coroner</dc:creator>
		<pubDate>Wed, 04 Feb 2009 22:43:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6643</guid>
		<description>Murder by heart attack is a well-known, well respected forensic diagnosis.  LOL with known CAD finds a burglar in her home, and collapses.  That&#039;s a slam-dunk homicide conviction in this state.  Fact is, most coroners her in Ohio would certify that the assault/fear was the proximate cause up until about 12 hours after the event.

This entity only happens in people with severe coronary artery disease/ischaemic cardiomyopathy, true.  But if there is little as 1/10th of 1% of a contribution by violence, even threatened, verbal violence or just exhibiting a weapon, this would &lt;i&gt;not&lt;/i&gt; be a natural death.  The forensic theory is &quot;you take your victim as you find them&quot; and any adverse consequences of your attacking/threatening them (and hiding in someone&#039;s house and surprising them is a threat, particularly if the victim is elderly or infirm).  Heck, surprising someone in your house is grounds for use of deadly force.

The published criteria for murder by heart attack diagnosis is when there is no physical contact between assailant and victim.  I found one reference for you on PubMed: &lt;a href=&quot;http://www.ncbi.nlm.nih.gov/pubmed/15171183&quot; rel=&quot;nofollow&quot;&gt;J Forensic Sci. 2004 May;49(3):598-600&lt;/a&gt;.

I&#039;ve certified these deaths myself, and I had one woman who was trying to commit suicide and had her MI when she test fired her gun into the wall.  Usually, this adds on an aggravating specification, (homicide in the context of another crime) which in Ohio could allow for a death-qualified jury.  

The point, also, is to discourage people from beating up on the elderly and infirm.</description>
		<content:encoded><![CDATA[<p>Murder by heart attack is a well-known, well respected forensic diagnosis.  LOL with known CAD finds a burglar in her home, and collapses.  That&#8217;s a slam-dunk homicide conviction in this state.  Fact is, most coroners her in Ohio would certify that the assault/fear was the proximate cause up until about 12 hours after the event.</p>
<p>This entity only happens in people with severe coronary artery disease/ischaemic cardiomyopathy, true.  But if there is little as 1/10th of 1% of a contribution by violence, even threatened, verbal violence or just exhibiting a weapon, this would <i>not</i> be a natural death.  The forensic theory is &#8220;you take your victim as you find them&#8221; and any adverse consequences of your attacking/threatening them (and hiding in someone&#8217;s house and surprising them is a threat, particularly if the victim is elderly or infirm).  Heck, surprising someone in your house is grounds for use of deadly force.</p>
<p>The published criteria for murder by heart attack diagnosis is when there is no physical contact between assailant and victim.  I found one reference for you on PubMed: <a href="http://www.ncbi.nlm.nih.gov/pubmed/15171183" rel="nofollow">J Forensic Sci. 2004 May;49(3):598-600</a>.</p>
<p>I&#8217;ve certified these deaths myself, and I had one woman who was trying to commit suicide and had her MI when she test fired her gun into the wall.  Usually, this adds on an aggravating specification, (homicide in the context of another crime) which in Ohio could allow for a death-qualified jury.  </p>
<p>The point, also, is to discourage people from beating up on the elderly and infirm.</p>
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		<title>By: Fordo</title>
		<link>http://www.epmonthly.com/whitecoat/2009/02/boo/#comment-6640</link>
		<dc:creator>Fordo</dc:creator>
		<pubDate>Wed, 04 Feb 2009 19:17:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=1979#comment-6640</guid>
		<description>B&amp;E is definitely a crime, at least in my state:

&quot;A person commits second degree burglary, if the person knowingly breaks an entrance into, enters unlawfully in, or remains unlawfully after a lawful or unlawful entry in a building or occupied structure with intent to commit therein a crime against another person or property.&quot;

Apparently this is considered a Class 3 felony in my state.

This particular crime would be considered first degree murder as follows:

&quot;Acting either alone or with one or more persons, he or she commits or attempts to commit arson, robbery, burglary . . . and, in the course of or in furtherance of the crime that he or she is committing or attempting to commit, or of immediate flight therefrom, the death of a person, other than one of the participants, is caused by anyone . . .&quot;

The problem, really, would be in proving that the elderly woman&#039;s death was caused by finding a stranger in her home.</description>
		<content:encoded><![CDATA[<p>B&amp;E is definitely a crime, at least in my state:</p>
<p>&#8220;A person commits second degree burglary, if the person knowingly breaks an entrance into, enters unlawfully in, or remains unlawfully after a lawful or unlawful entry in a building or occupied structure with intent to commit therein a crime against another person or property.&#8221;</p>
<p>Apparently this is considered a Class 3 felony in my state.</p>
<p>This particular crime would be considered first degree murder as follows:</p>
<p>&#8220;Acting either alone or with one or more persons, he or she commits or attempts to commit arson, robbery, burglary . . . and, in the course of or in furtherance of the crime that he or she is committing or attempting to commit, or of immediate flight therefrom, the death of a person, other than one of the participants, is caused by anyone . . .&#8221;</p>
<p>The problem, really, would be in proving that the elderly woman&#8217;s death was caused by finding a stranger in her home.</p>
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