Wednesday, February 26, 2014

ASK THE DIRECTOR - THURSDAY, FEBRUARY 21, 2013

Dear “Ask the Director”, 

Who decides if an autopsy has to be done on a person after their death? What's that decision based on? If the family is totally against having their loved one autopsied? Does a family have a choice in this matter? Thanks for taking my questions. 

John V.
Stamford, CT
Dear John, 

You're very welcome, and thank you for the excellent questions.
It is the Office of the Medical Examiner's (OCME) that ultimately makes that decision. Autopsies are performed on all homicide victims and gunshot victims.  They are also performed on the vast majority of pedestrian deaths, Sudden Infant Death Syndrome cases, overdoses, industrial accidents, sudden and otherwise unexplained deaths under the age of 45 and a variety of other types of cases may be subject to autopsy examination.
The OCME conducts autopsy examinations for a variety of reasons. The primary concern is to determine cause and manner of death. Did the death result from disease, an injury, a combination of both, or another cause altogether? When a death results from chemical agents, an autopsy permits the OCME to obtain biological samples for testing in the laboratory, and to evaluate the effects of the chemical agents on vital organs. When a death results from physical injuries, the autopsy frequently provides a means to reconstruct the fatal incident. If the OCME requires an autopsy, they are doing so in the best interests of the public, and of the family, by answering a multitude of pressing and important questions.
If the family or next of kin objects to having an autopsy performed, the OCME does have the authority and state law behind them. However, the OCME would make an effort to hear and honor family objections. If it's determined by the OCME that they cannot fulfill their legal and public responsibility without performing an autopsy, and the family raises viable religious objections to an autopsy (i.e. Judaism, Islam, Christian Science, Jehovah's Witness, or 7th Day Adventist), the family can hire an attorney to present their objection to a Judge who ultimately determines whether an autopsy will be performed. Ultimately, objections to an autopsy that are not based on religious beliefs have no standing in law. 

Best Regards,
Jerry
Gerald R. Bosak, Jr.