Difficulty to diagnose the cause of death in emergency room

摘要: We evaluated the diagnoses noted on medical records of 275 patients admitted to Saga Medical College Hospital during six-year period 1990-1995: 245 with cardiopulmonary arrest arrival (CPAOA) and 30 occurring in emergency room (CPAER). The most frequent cause CPAOA was heart disease, next respiratory disease. In CPAER patients, while acute aortic dissection. There were discrepancies respective causes cardiac between which probably due difficulty diagnosis room. room, resuscitation is first treatment be performed for CPAOA, examination followed after beating. However, can not diagnosed without successful resuscitation, because examinations beating Therefore, it concluded that there exists a need improve training finding out abnormal death inspection medico-legal autopsy. It may suggested system forensic medicine ideal clinical physician who study decision diseases ranging from toxicosis both medicine.