It is curious, that while many books and pamphlets relating to this important subject have been issued in France and Germany, no adequate and comprehensive treatise has appeared from the English press for more than sixty years past, nor writings in any form, with the exception of a paper by Sir Benjamin Ward Richardson in No. 21 of the _Asclepiad_, published in 1889, on the “Absolute Signs of Death,” sundry articles in the medical journals from time to time, and a London edition of Dr. Hartmann’s volume in January, 1896. The section upon “Real and Apparent Death” in the 1868 edition of the late Professor Guy’s _Forensic Medicine_ begins with the words, “This subject has never attracted much attention in England, and no medical author of repute has treated it at any length”--a remark not less true after the lapse of a generation. The following chapters have been prepared with the view, not so much of supplying this omission, as of guiding the public to the dangers of our present mode of treating the apparent dead, in the hope that reforms and preventive measures may be instituted without delay in order to put an end to such unnecessary domestic tragedies. In introducing the subject the author is aware that the great majority of the medical profession in this country are either sceptical or apathetic as to the alleged danger of living burial. Many do not believe in the existence of death-trance or death-counterfeits, and the majority of those who do believe in them declare that cases are very rare, and that if consciousness is ever restored in the grave it can only last a second or two, and that those who live in fear of such an occurrence should provide for a _post-mortem_ or for the severance of the jugular vein. Many persons, on the other hand, after much careful inquiry, are of opinion that cases of premature burial are of frequent occurrence; and that the great majority of the human race (outside of a few places in Germany, where waiting mortuaries are established, or where the police regulations, such as those described in this volume as existing in Würtemburg, are efficiently and systematically carried out) are liable to this catastrophe. Important as the subject is allowed to be, and numerous as are the reported cases, no effective steps, either public or private, appear to have been taken, outside of Germany and Austria, to remedy the evil. At present a majority of the people appear content to trust to the judgment of their relations and to the ordinary certificates of death to safeguard them from so terrible a disaster. That death-certificates and death-verifications are often of a most perfunctory description, both as to the fact of death and the cause of death, has been proved by overwhelming evidence before the recent House of Commons Committee on Death-Certification. Such certificates, when obtained, may be misleading and untrustworthy; while in many cases burials take place without the doctor having either attended