Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
In conformity with the plan upon which we have arranged the objects of
inquiry into the causes of sudden sickness and death—that of beginning
with the most simple and plain, and passing in regular gradation to the
more complicated and obscure problems, the present case, in which the
patient is dead, but the attendants are able to furnish some history,
however imperfect, very naturally constitutes the connecting link
between that in which the patient is living, and that in which the great
avenues of information are entirely closed upon us by the death of the
individual, and the total absence of all direct testimony. The plan,
therefore, upon which the investigation of this case is to be conducted,
is in a great measure to be derived from the application of those
precepts which are contained in the other cases; that relating to the
examination of the attendants being collected from the first, and all
that concerns the death, from the third.
There is, however, one object of inquiry which may be mentioned in this
place with peculiar propriety, as the obscure and often erroneous
evidence which is given in cases of sudden death, during an affray,
renders it highly important to learn, _whether the deceased had died
during a paroxysm of passion_. We have little doubt but that many
persons have been convicted of murder, where the death of the individual
in question, was the sole effect of the high state of irritation in
which he had been placed. That life may be suddenly extinguished by the
violent impulse of passion we have already shewn under the consideration
of Syncope (p. 26), and we are farther prepared to assert that
Apoplexy[5], and other fatal diseases may also, in certain states of
predisposition, result from the same powerful cause; violent transports
of the mind may likewise occasion the return of any particular disease
to which the patient had been formerly subject, as epilepsy, and other
spasmodic diseases; they may likewise bring a chronic disease at once to
a fatal crisis, as we have seen in the case related at page 29 of the 2d
volume; the fact has been also well illustrated by _Dr. Gordon Smith_,
in the case which occurred to a surgeon of his acquaintance in one of
the midland counties, of which the following is an outline. “In the
course of an altercation between a man and his wife, the woman died, and
a clamour was raised that the husband had murdered her: an inquest being
held, a verdict was returned against him, and he stood his trial at the
following assizes; he was, however, acquitted, for it appeared in
evidence that he had not even touched his wife during the quarrel. The
deceased was a person of an extremely violent temper, and on opening her
body, it was found that she had been labouring under suppuration of the
liver, and that an abscess had burst into the cavity of the abdomen, in
consequence of the agitation into which she had been thrown.” _Baron
Larey_ describes the case of a person who had been violently wounded in
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