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You’re in the prime of your life and you love to throw those crazy parties, the kind guests rave about for months afterward. They love that your backyard is a giant Slip-n-Slide hosed down by a fountain of beer. That you hire the best DJs with stage names like “DJ Hot Wing” and “DJ Jak Reach Her” shows your coolness level is off the charts. Alcohol flows from the taps in your kitchen and bath. Speakers the size of minivans pump out the jams at levels that drown out the sounds of the police helicopters hovering overhead. Neighbors have 911 on supersonic speed dial.

Yeah, those kinds of parties.

Your career as a top bestselling author is over the moon successful, the factor that funds your extravagent lifestyle. So successful, actually, that each of the 200 books you published last year are selling at the rate 450 per second. Lifetime and Netflix have purchased the rights to your entire backlist. Your latest book, Dark and Stormy Night, It Was, was just made into a blockbuster hit movie starring Jodie Foster and PeeWee Herman.

Reviewers say you’re destined to be remembered along with the greats of the thriller genre, such as Hitchcock and Edgar Allan Doe.

Edgar Allan Doe

Unfortunately, for you and your fans, four unwelcome party-crashers showed up at your latest shindig. Together, those four compadres who arrived one at a time—-the Mortis triplets and their cousin Demise—transformed your body into a cold and soulless and stiff chunk of instantly decomposing meat.

The process started back when you opted for a combination of liquor, cigarettes,and practically no sleep, over a healthy diet and exercise. You chose partying over the “right things” in life. Your excessive boozing and lack of responsibility, in fact, drove the family away from you and your circus-like lifestyle. And the moment they left, taking with them the last remaining bit of sanity in the household, was the point in time when the four party-crashers began eyeballing you as the perfect candidate for their plan. That was also the time when you started your dealings with the guy whose Uncle Vinnie operated a business out the a rear office in the Pleasure Palace strip club.

As your luck went, you’d decided to sleep with Vinnie’s wife and then Vinnie found out and he sent Demise to your party. Demise asked his cousins to tag along.

The Party-Crashers

Demise is the first of the crashers to the party. In fact, he always shows up before the others, but they’re never far behind.

Hi, my name is Demise

It’s Demise’s job to stop your heart and halt your breathing. He starts the changes to your body.

For example, the second Demise strikes, the skin begins to pale (pallor) and the muscles immediately begin to relax—all of them, which can produce some pretty unpleasant effects around the south end of the body, if you know what I mean. Then Demise steps aside to allow the Mortis triplets to do their thing.

The Mortis Triplets

The Mortis brothers, —Livor, Algor, and Rigor show up to the party separately, one at a time, and when they arrive … well, let’s just say the host is the center of their attention. And boy do they ever “spoil” him.

Algor mortis is simply the cooling down of the body after death. It’s the quest to reach room temperature.

One method of determining the time of death is to take the rectal temperature of the deceased. Next, subtract that number from 98.6 (average, normal human body temp), and then divide the remaining number by 1.5 (the average cooling rate of a body per hour under average conditions). The result is the approximate number of hours that passed after the victim kicked the bucket.

Livor Mortis, or lividity, is the pooling of blood in the lowest portions of the body. Lividity is caused by gravity and begins immediately after death. The telltale signs of livor mortis, the purplish discoloration of the skin, begins the moment the heart stops pumping. This process continues for approximately 6-12 hours, depending upon surrounding conditions, until it becomes fixed, permanently staining the tissue in the lowest parts of the body. When large areas become engorged with lividity, the capillaries in those areas sometimes rupture causing what’s known as Tardieu spots. Tardieu spots present as round, brownish blacks spots.

Rigor Mortis, the contracting and stiffening of the muscles after death, takes a couple of hours to begin and completes in approximately 8-12 hours. The process starts in the smaller muscles of the head and face and moves downward to the larger muscles. When rigor is complete, the process reverses itself starting with the lower large muscles and ending with the smaller face and head muscles. The entire process can last for approximately 48 hours. The body will quickly decompose after rigor is complete.

A person’s body goes stiff in the position they were in at the time of death.

Therefore, if a person died while lying on his back with one arm held straight up and the other straight out to the side, and the police discovered that same body in a bathtub, they’d probably conclude that someone moved the victim after death had occurred. After all, no one sits in a bathtub with their arms in those types of positions … do they? By the way, cops should not automatically rule out things simply because they’re different. Still, in the bathtub with one hand aimed skyward and the other pointing to a tube of Preparation H, a clump of tangled bobby pins, and a tin of ear wax remover. Yeah, somebody moved this one.

– Rigor mortis can cause contraction of the muscles in the epidermis, which also causes goose bumps to appear.

– Hair and fingernails do not continue to grow after someone dies. The skin around them begins to recede after death, which gives the appearance that they’re still growing.

– Age, illness, ambient temperature, fat distribution, and physical exertion just prior to death can all affect the rate of rigor mortis

When the triplets complete their tasks, well, the party’s over.

Sweet dreams …

In some locations, typically rural, a medical examiner does not always go to the scene of a homicide. Instead, as is the case of many areas within in the Commonwealth of Virginia, EMS or a funeral home is responsible for transporting the body to a local hospital where a doctor or local M.E. examines the victim. If an autopsy is to be performed, though, it is not the local medical examiner who’d conduct it. Instead, the body is transported to a state morgue which could be hours away.

In Virginia, there are only four state morgue locations/district offices (Manassas, Norfolk, Richmond, and Roanoke) where autopsies are conducted. Each of the district offices is staffed by forensic pathologists, investigators, and various morgue personnel.

Breaking Bread with Kay Scarpetta

The Office of the Chief Medical Examiner (OCME) is located in Richmond (the office where Patricia Cornwell’s fictional M.E., Kay Scarpetta, worked). This is also the M.E.’s office that conducted the autopsies on the homicide cases I investigated. The real-life Kay Scarpetta was our M.E.

She, in fact, and one of her assistants, joined Denene and me at dinner at the Commonwealth Club in Richmond the night Denene received her PhD in pathology from Virginia Commonwealth University. Ironically, it was this very assistant to the real-life Kay Scarpetta who months later performed the autopsy on a bank robber who engaged me in a shootout. And it was she who, in explicit detail, informed me that four of the five rounds I’d fired were fatal rounds. The fifth, she told me, entered the skull at an angle that would not have resulted in death.

There are several local M.E.’s in Virginia (somewhere around 160, or so) but they do not conduct autopsies. Their job is to assist the state M.E. by conducting field investigations, if they see fit to do so, but many do not. Mostly, they have a look at the bodies brought to  hospitals by EMS, sign death certificates, and determine whether or not the case should be referred to the state M.E.’s office for autopsy. They definitely do not go to all death scenes. Again, some do, but not all.

An example (one of many) was a drug-related execution where I was called on by a nearby county sheriff to assist his department in the investigation. Following the evidence, I and his detectives located the killers. After interrogating one of the suspects he led me to the crime scene where we located the deceased victim. The suspects carried and dragged the body several yards, deep into a wooded area. The local medical examiner did not attend. Instead, he requested that the body be delivered to a local hospital.

Me standing on the left at a murder scene where a drug dealer was executed by rival gang members who then hid the body in a wooded area. I was asked to assist a sheriff’s office with the investigation. The medical examiner was called but elected to not go to the scene. The body and sheet used by the suspects to drag the victim were placed into a body bag and then transported to the morgue via EMS ambulance.

Pursuant to § 32.1-283 of the Code of Virginia, all of the following deaths are investigated by the OCME:

  • any death from trauma, injury, violence, or poisoning attributable to accident, suicide or homicide;
  • sudden deaths to persons in apparent good health or deaths unattended by a physician;
  • deaths of persons in jail, prison, or another correctional institution, or in police custody (this includes deaths from legal intervention);
  • deaths of persons receiving services in a state hospital or training center operated by the Department of Behavioral Health and Developmental Services;
  • the sudden death of any infant; and
  • any other suspicious, unusual, or unnatural death.

* Remember, “investigated” does not mean they have to go to the actual crime scene.

Again, me on the left as a sheriff’s office crime scene investigator points out the location of spent bullet casings, drag marks, and a blood trail. Pictured in the center are a county sheriff and prosecutor. The M.E. elected to not travel to the scene. As good luck would have it, we had the killers in custody at the conclusion of a nonstop, no sleep, 36-hour investigation.

After a lengthy interrogation, two of the four confessed to the murder. Of course, they each pointed to someone else as the shooter, and he, the actual shooter, placed the blame on his partners. But all four admitted to being present when the murder occurred and all four served time for the killing.

In the areas far outside the immediate area of Virginia’s four district offices of the chief medical examiner, where officials rely on local, part-time medical examiners, it is typically police detectives/officers who determine when a body can be removed from the scene. EMS, after checking for signs of life, stand by until the police instruct them to transport the body.

If the local M.E. shows up, and they’re almost always called, he/she will have a say in when the body is to be removed, but it’s rare that they do anything other than gather information for their notes and discuss possibilities and evidence with the police investigators.

Take Two Bodies and Call Me in the Morning!

In many cases, the local M.E.’s will simply instruct the calling detective to have EMS transport the body to the hospital morgue and they’ll take a look when they have a chance. They’ll sometimes ask to speak to the EMS person in charge of their crew. This, the instruction to transport the body, is especially so when the call comes during the overnight hours.

The pay for local M.E’s in Virginia is a “whopping” $150 per case, if the case referred to the state is one that falls under their jurisdiction. The local M.E.s receive an extra $50 if they actually go to a crime scene. Again, many do not. Interestingly, funeral homes pay the local medical examiner $50 for each cremation he or she certifies.

The requirements to become a local M.E. in Virginia are:

  • A valid Virginia license as a doctor of medicine or osteopathy, Nurse Practitioner, or Physician Assistant
  • An appointment by Virginia’s chief medical examiner
  • A valid United States driver’s license

Once someone is appointed as a local medical examiner their term is for three years, beginning on October 1 of the year of appointment.

The four district offices employ full-time forensic pathologists who conduct all autopsies. Obviously, a physician’s assistant is not qualified to conduct an autopsy, nor are they trained as police/homicide investigators.

Keep in mind, things are never the same/uniform across the country. It’s always best, if you’re going for 100% realism, to check with someone in the area where your story is set. The rules and regulations on one side of the country may not be the same on the other. And the middle of the country may also be totally different from the other localities.

For example, in one Ohio county, a coroner there mandated that autopsies be performed for all deaths that occurred during vehicle crashes. This is not so in other areas of the country, or even in other locations in Ohio. By the way, at the time, his office received $1,500 per autopsy performed, with $750 of the sum going to the pathologist performing the exam.

While we’re alive our body temperatures are determined by metabolism. It’s a different ballgame, though, once the bucket is kicked.

After death, the body’s core temperature remains fairly constant for a couple of hours. Then it begins to cool by radiation, conduction, and convection, at a rate of 1.5 degrees per hour, until it reaches the ambient temperature—20-30 hours later.

6

However, investigators shouldn’t use the body temperature as the sole means of determining when a victim died. There are factors that could, and do, alter the natural cooling process.

When the “moment” arrives and the victim succumbs to wounds, illness, or natural death, there are elements that may affect the cooling rate of the body, such as:

  • Ventilation: A room that’s well-ventilated could actually speed up the rate of cooling by increasing the rate of evaporation.
  • Humidity: A body in a humid location cools at a slower rate than one in a hot, dry climate.
  • Insulation: A body that’s wrapped in something (including excess body fat) cools slower than one that’s left out in the open.
  • Surface temperature: A body lying on a hot surface will cool at a slower rate than one that’s found lying on a cold surface.

And, of course, a body in a hot environment cools much slower than one found lying in a in the snow, or a vat of ice cubes.

There are also factors that come into play that could alter the body temps even before death occurs, such as:

  • Consumption of drugs, extreme physical activity, and fever could all increase the body temperature.
  • Hypothermia could lower the body temperature.

These factors would change the length of time it takes a body to reach the surrounding air temperature.

10.4 Toe Tag

Finally, the rate of cooling also affects other “after death” processes, such as rigor mortis—heat speeds up rigor and cold slows it down.

By the way, other factors may also speed up rigor, such as extremely violent exertion prior to death, and alkaloid poisoning. Factors that could slow the rigor process are hemorrhaging by exsanguination, and arsenic poisoning, to name a couple.

And … a handy rule of thumb for decomposition:

One week in air = two weeks in water = eight weeks under ground.