HISTORY:
Found apparently dead by at
Death was , patient was
EXAM:
Unresponsive to pain
Pupils are fixed, dilated and unreactive to light
No corneal reflexes
No chest expansion or respiratory effort
No audible breath sounds after 1 min
No audible heart sounds after 1 min
No palpable pulse after after 1 min
No palpable cardiac pacemaker
Rigor mortis
External exam is
Death confirmed at on from natural cause
ASSESSMENT:
Cause of death:
PLAN:
- Family notified, questions answered
- Attending physician notified
- Coroner notified
- Death certificate filled
- Autopsy requested by family