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Palm Beach County Medical Examiner Office 3126 Gun Club Road West Palm Beach, Florida 33406-3005 (561) 688-4575

2015 END OF AND YEAR STATISTRICS

ACCIDENT: YTD TRANSPORTATION RELATED……………………………………………………………...... …207 Driver/Operator………………………………………………………………………..…...106 Occupant………………………………………………………...... 7 Passenger………………………………………………………………………………..…...28 Pedalcyclist……………………………………………………………………………..…....21 Pedestrian………………………………………………………………………………..…...45 NON TRANSPORTATION RELATED………………………………………………...... 704 Drug Intoxication…………………………………………………………………….…...... 331 Fall……………………………………………………………………………………...…..270 Other…………………………………………………………………………...... ….103 TOTAL ACCIDENTS……………..….…………………….…...... …...………...... 911

HOMICIDE………………………………………………………………………………………….……….…………111

NATURAL………………………………………………………………………………………………….………...…412

NONCLASSIFIED…………………………………………………………………………………….……..………..…..9

SUICIDE…………………………………………………………………………………………………...... 238

UNDETERMINED…………………………………………………………………………….……….………….……..40

CREMATION APPROVALS…………………………………………………………………….…….…...... 7,312 NON MEDICAL EXAMINER CASES INVESTIGATED………………………...………….….…….……...…..... 806 TOTAL CASES REFERRED TO THE MEDICAL EXAMINER OFFICE…………...... 9,839

AUTOPSIES…………………………………………………………………………………….………………....….1,057 INSPECTIONS (VISUAL EXAMINATIONS)…………………………………………………….…………….…….415 NO BODY CASES………………………………………………………………………………………………….... 249 TOTAL CASES INVESTIGATED……………………………………………………………….…..………..……..1,721

INVESTIGATOR SCENES………………………………………………………………………………………...…...347 DOCTOR SCENES…………………………………………………………………………….………..……….………...4 AFTER HOUR SCENES…………………………………………………………………………………………...…...177

AFTER HOURS CASES REFERRED TO MEDICAL EXAMINER OFFICE……….………………………….….1,034 AFTER HOURS CASES INVESTIGATED……..…………………………………………….….……………...….…881

MICROSCOPIC STUDIES PERFORMED……………………………………………………………………..….…...709 TOXICOLOGY STUDIES PERFORMED……………………………………………………………………………1,205

Page 1 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NUMBER OF CASES TRANSPORTED TO MEDICAL EXAMINER OFFICE………………………….………..1,472

ORGAN AND TISSUE DONATIONS…………………………………………………………………………………160 ORGAN AND TISSUE……………………………………………………………………………….69 EYES ONLY……………………………………………………………………………………….….91

2015 UNIDENTIFIED BODIES……………………………………………………………………….……(15-1043)…..1

TOTAL UNIDENTIFIED BODIES (1973 – 2015)………..…………………………………………….……………….63

UNCLAIMED BODIES:…………………………………………………………………………………...... 87 Boxes with no case number……………………………………………………………..……..5 Unknown Year: 19-383, 19-708, J-67, L-18, L-25453, ME-0147…………..……………….6 1976: 76-J51………………………………………………………………………………...1 1978: 78L-6, 78-1135……………………………………………………………………….2 1979: 79-7, 79-22780, 79-32021, 79-74332………………………………………………..4 1981: 81-142………………………………………………………………………………...1 1982: P-10, P-203, P-204……………………………………………………………………3 1983: 83-0116, 83-0301, 83-0721, 83-0727………………………………………………..4 1984: 84-0134, 84-1046…………………………………………………………………….2 1985: 85-0058, 85-1000…………………………………………………………………….2 1986: 86-0584, 86-1261…………………………………………………………………….2 1987: 87-0356, 87-0983, 87-1015, 87-1184………………………………………………..4 1988: 88-0108, 88-0373, 88-0698, 88-1001………………………………………………..4 1990: 90-0716, 90-0717, 90-1045, 90-1054…………………………………………….….4 1991: 91-0415, 91-0456, 91-0510, 91-0563, 91-0717………………………………….….5 1992: 92-0701…………………………………………………………………………….…1 1993: 93-0337, 93-0710, 93-0736, 93-0867, 93-1035………………………………….….5 1994: 94-0863, 94-0885, 94-1044………………………………………………………….3 1995: 95-0763, 95-0830, 95-0878………………………………………………………….3 1996: 96-0010, 96-0550, 96-554, 96-1006………………………………………………...4 1997: 97-0781, 97-43445…………………………………………………………………..2 1999: 99-0282, 99-0427, 99-0579, 99-0997……………………………………………….4 2000: 00-0551………………………………………………………………………………1 2001: 01-0436………………………………………………………………………………1 2002: 02-0710, 02-1054……………………………………………………………………2 2004: 04-0183, 04-0644…………………………………………………………………....2 2006: 06-0018………………………………………………………………………………1 2010: 10-0853, 10-1279…………………………………………………………………….2 2012: 12-0635, 12-0962…………………………………………………………………….2 2013: 13-0153, 13-0217, 13-1389………………………………………………………….3 2014: 14-0051…………………………………………………………………………..…..1 2015: 15-1043………………………………………………………………………………1

Page 2 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

ACCIDENT…………………………………………………………………….…………………911

TRANSPORTATION RELATED………………………………………….…..…207 Driver/Operator……………………………….…..……………….106 Airplane, crash…………………………………….….1 Auto, ejected……………………………………….…2 Auto vs. Auto…………………………………………8 Auto vs. Autos………………………………………..1 Auto vs. Auto and Unknown Motor Vehicle………...1 Auto vs. Building…………………………………….1 Auto vs. Canal………………………………………..4 Auto vs. Dumpster……………………………………1 Auto vs. Guardrail……………………………….…...1 Auto vs. Pond…………………………………………1 Auto vs. Pickup truck………….……………………..5 Auto vs. Sport Utility Vehicle ……………………….4 Auto vs. Sport Utility Vehicle and Auto……………...1 Auto vs. Tow Truck…………………………………..1 Auto vs. Tractor Semi Trailers……………………….1 Auto vs. Tree………………………………………….8 Auto vs. Trees………………………………………...3 Auto vs. Unknown Motor Vehicle……………………1 Auto vs. Utility Pole……………………………….….2 Auto vs. Wall …………..……………………………..2 Golf Cart, roll over……………………………………1 Motorcycle, ejected……………………………….…..5 Motorcycle vs. Auto ………..……………………….11 Motorcycle vs. Auto and Sport Utility Vehicle……….1 Motorcycle vs. Fence………………………………….1 Motorcycle vs. Guardrail……………………………...1 Motorcycle vs. Pickup Truck………………………….2 Motorcycle vs. Sport Utility Vehicle………………….2 Motorcycle vs. Tractor Semitrailer……………………1 Motorcycle vs. Tree…………………………………..1 Motorcycle vs. Utility Trailer…………………………1 Motor Scooter, ejected………………………………..1 Motor Scooter vs. Auto………………………….……1 Motor Scooter vs. Sport Utility Vehicle………….…..5 Motor Scooter vs. Sport Utility Vehicles……………..1 Pickup Truck, ejected…………………………………2

Page 3 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

TRANSPORATED RELATED, cont. Driver/Operator, cont. Pickup Truck vs. Guardrail…………………………...1 Pickup Truck vs. Sport Utility Vehicle……………….1 Pickup Truck vs. Tractor Semitrailer…………………1 Pickup Truck vs. Tree………………………………...3 Pickup Truck vs. Utility Pole…………………………1 Sport Utility Vehicle, ejected………………………....2 Sport Utility Vehicle vs. Automobile………………...2 Sport Utility Vehicle vs. Canal……………………….1 Sport Utility Vehicle vs. Sport Utility Vehicle……….2 Sport Utility Vehicle vs. Railroad Train……………...1 Sport Utility Vehicle vs. Tractor Semitrailer………....1 Sport Utility Vehicle vs. Tree………………………....1 Sport Utility Vehicle vs. Utility Pole………………....1 Unknown Motor Vehicle vs. Unknown Motor Vehicle……………………..2 Occupant…………………………………………………….………..7 Airplane, crash……………………………………….2 Auto vs. Canal………………………………………...3 Sport Utility Vehicle vs. Auto………………………..1 Tractor Semi Trailer, ejected…………………………1 Passenger…………………………………………………….……...28 Airplane, crash………………………………………..1 Auto vs. Auto…………………………………………4 Auto vs. Auto and Unknown Motor Vehicle…………1 Auto vs. Auto and Utility Pole………………….…….1 Auto vs. Autos ………………………………………..5 Auto vs. Building……………………………………..1 Auto vs. Canal………………………………………...1 Auto vs. Metal Handrail………………………………1 Auto vs. Pickup Truck………………………………..1 Auto vs. Tractor Semitrailers…………………………3 Auto vs. Tree………………………………………….3 Auto vs. Utility Pole………………………………….1 Motorcycle vs. Auto………………………………….2 Sport Utility Vehicle, ejected…………………………2 Sport Utility Vehicle vs. Auto………………………...1 Pedalcyclist……………………………….………………………....21 Bicycle vs. Auto …………………………………….14

Page 4 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

TRANSPORATED RELATED, cont. Pedalcyclist, cont. Bicycle vs. Pickup Truck……………………………..1 Bicycle vs. Railroad train…………………………….1 Bicycle vs. Sport Utility Vehicle……………………..3 Bicycle vs. Tow Truck………………………………..1 Bicycle vs. Unknown Motor Vehicle………………...1 Pedestrian…………………………………………………….……..45 vs. Auto……………………………………………..17 vs. Autos……………………………………………...1 vs. Auto and Multiple Unknown Vehicles…………...1 vs. Cargo Van………………………………………...2 vs. Passenger Van………………………………….....1 vs. Pickup Truck…………………………………...... 3 vs. Pickup Truck and Utility Pole…………………….1 vs. Railroad Train………………………………….....5 vs. Straw Blower……………………………………..1 vs. Sport Utility Vehicle……………………………...4 vs. Sport Utility Wagon………………………………1 vs. Tractor Semitrailer………………………………..1 vs. Unknown Motor Vehicle………………………....5 vs. Unknown Motor Vehicles………………………...1 vs. Van………………………………………………..1

NON TRANSPORTATED RELATED………………………………...…..……..704 Drug Intoxication……………………………………………….…331 1,1-Difluoroethane Toxicity………………………….1 Alcohol Intoxication…………………………..1 Acute Alpha PVP Toxicity…………………………...1 Acute and Chronic ………………………1 Acute and Chronic Ethanolism…..……………….….2 Acute and Chronic Ethanol Abuse…………………...1 Acute and Chronic Ethanol Toxicity…………………1 Acute Cocaine and Ethanol Toxicity…………………1 Acute Cocaine and Heroin Intoxication……………...1 Acute Cocaine Toxicity…………………………...... 5 Acute Combined Cocaine and Fentanyl Intoxication...1 Acute Combine Drug Intoxication………………….13 Acute Combined Drug Toxicity……………………...1 Acute Combined Heroin and Fentanyl Intoxication….1

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2015 End of Year Statistics

NON TRANSPORTATED RELATED, cont. Drug Intoxication, cont. Acute Ethanol Intoxication…………………………...1 Acute Ethanol Intoxication and Hyperthermia……….1 Acute Ethanol Toxicity……………………………….2 Acute Fentanyl and Heroin Toxicity…………………1 Acute Fentanyl and Venlafaxine Intoxication………..1 Acute Heroin and Cocaine Intoxication……………...1 Acute Heroin, Cocaine and Ethanol Intoxication…….1 Acute Heroin Intoxication……………………………5 Acute Heroin Toxicity……………………………..…5 Acute Methamphetamine Toxicity…………………...1 Acute Morphine Intoxication…………………………1 Acute Morphine Toxicity…………………………….1 Acute Myocardial Infarct……………………………..1 Acute Oxycodone Toxicity…………………………...1 Alcohol and Heroin Intoxication……………………..1 Alpha-PVP Toxicity…………………………………..1 Alprazolam and Heroin Intoxication………………….1 Anoxic Encephalopathy…………………………...... 3 Anoxic Encephalopathy d/t Heroin Toxicity…………2 Anoxic Encephalopathy d/t multiple Drug Intoxication..1 Anoxic Ischemic Encephalopathy…………………….1 Anoxic Ischemic Encephalopathy d/t Heroin & Alprazolam Intoxication………..1 Anoxic Ischemic Encephalopathy…………………….4 Anoxic-Ischemic Encephalopathy d/t Multiple Drug Intoxication………………..1 Atherosclerotic ……………..2 Bicuspid ………………….1 Bronchopneumonia…………………………………...2 Bronchopneumonia d/t Combined Drug Toxicity….....1 Cerebral Anoxia………………………...... 1 Cerebral Anoxia d/t Multiple Drug Intoxication……...1 Citalopram and Morphine Toxicity…………………...1 Chloroform Toxicity…………………………………..1 Cocaine and Chloroethane Intoxication………………1 Cocaine and Fentanyl Intoxication……………………2 Cocaine and Heroin Intoxication……………………...2

Page 6 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NON TRANSPORTATED RELATED, cont. Drug Intoxication, cont. Cocaine and Heroin Toxicity………………………...1 Cocaine and Morphine Toxicity……………………..1 Cocaine and Oxycodone Intoxication……………….1 Cocaine Overdose……………………………………1 Cocaine Intoxication…………………………………2 Cocaine Toxicity…………………………………….4 Combined Amphetamine, Heroin and Ethanol Toxicity..1 Combined Cocaine and Heroin Toxicity……………4 Combined Drug and Ethanol Toxicity………………1 Combined Drug Intoxication………………………..2 Combined Drug Toxicity…………………………..74 Combined Ethanol and Alprazolam…………………2 Combined Ethanol and Cocaine Toxicity…………...1 Combined Ethanol and Drug Toxicity ……………...5 Combined Ethanol and Fentanyl Toxicity…………..2 Combined Ethanol and Morphine Toxicity………....2 Combined Ethanol and Multiple Drugs Toxicity…...1 Combined Ethanol and Oxymorphone Toxicity…….2 Combined Fentanyl and Cocaine Toxicity………….2 Combined Fentanyl and Oxycodone Toxicity……....1 Combined Heroin and Ethanol Toxicity…………….1 Combined Heroin & Fentanyl Toxicity……………..2 Complications following Gabapentin & Trazodone Intoxication………1 Complications of Acute Heroin and Fentanyl Intoxication……………………1 Complications of Benzodiazepine, Cocaine and Opiate Intoxication……………………...1 Complications of Combined Toxic Effects of Oxymorphone, Clonazepam and Sertraline....1 Complications of Snorting Flakka…………………..1 Complications d/t Acute Cocaine Use……………………….1 Concentric Left …………...1 Delayed Complications of Acute Drug Overdose…...1 Delayed Complications of Acute Ethanol Toxicity…1 Delayed Complications of Drug Overdose………….1

Page 7 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NON TRANSPORTATED RELATED, cont. Drug Intoxication, cont. Delayed Complications of Heroin Overdose…………1 Difluoroethane Intoxication…………………………..1 Digoxin Toxicity……………………………………...1 Drowning……………………………………………...1 Canal………………………………….1 Drowning and Difluoroethane Toxicity………………1 Drowning c/c Alpha-PVP Intoxication……………….1 Drowning d/t Acute Cocaine Intoxication……………1 Ethanol and Heroin Intoxication……………………...1 Ethanol and Heroin Toxicity………………………….1 Ethanol and Oxycodone Toxicity……………………..1 Ethanol and Alpha-PVP (Flakka) Toxicity…………...1 Fentanyl and Alpha-PVP (Flakka) Intoxication…………………………...1 Fentanyl and Buprenorphine Toxicity………………..1 Fentanyl and Morphine Toxicity……………………..2 Fentanyl Intoxication …………………………...... 11 Fibrofibrinous ……………………………1 Heroin and Alcohol Intoxication……………………...3 Heroin and Alprazolam Toxicity……………………..2 Heroin and Cocaine Intoxication……………………..4 Heroin and Cocaine Toxicity…………………………3 Heroin and Ethanol Intoxication……………………...2 Heroin and Fentanyl Intoxication…………………….2 Heroin and Fentanyl Toxicity………………………...1 Heroin Intoxication……………………………….....21 Heroin Overdose……………………………………...1 Heroin Toxicity ………………………………………8 Hydrocodone and Alprazolam Intoxication………….1 Hydrocodone, Hydromorphone and Acetaminophen Intoxication…………....1 Hypertensive and Arteriosclerotic Cardiovascular Disease……………….1 Methadone and Alprazolam Intoxication………….....1 Methadone and Morphine Intoxication………………1 Methadone Intoxication………………………………2 Methamphetamine Intoxication………………………1 Mixed Drug (Ethanol, Cocaine and Oxycodone) Toxicity…………………….1 Page 8 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NON TRANSPORTATED RELATED, cont. Drug Intoxication, cont. Morphine and Amitriptyline Toxicity………………..1 Morphine and Ethanol Intoxication…………………..1 Morphine Intoxication………………………………..1 Morphine, Methadone and Benzodiazepine Toxicity...1 Multiple Drug Intoxication …………………………..6 Multiple Drugs Intoxication………………………….1 Multiple Drug Overdose……………………………...1 Multiple Drug Toxicity …………………………...... 4 Occlusive Coronary Atherosclerosis………………....1 Opiate Toxicity……………………………………….1 Oxycodone Intoxication…………………………….12 Polydrug Toxicity…………………………………….5 Positional Asphyxiation……………………………...2 Sertraline and Ethanol Intoxication…………………..1 Temazepam and Alcohol Intoxication……………….1 Tramadol Intoxication………………………………..1 Fall……………………………………………………………..….270 Acute and Chronic Subdural …………….1 ` Acute Myocardial Infarction………………………….1 ALS…………………………………………………...1 Alzheimer’s Disease………………………………….4 Anoxic Encephalopathy………………………………1 Arteriosclerotic, Hypertensive and Amyloid Heart Disease…………………..1 Arteriosclerotic and Hypertensive Cardiovascular Disease……..…3 Aspiration Pneumonia………………………………..4 Atherosclerotic and Hypertensive Cardiovascular Disease………..4 Bilateral Subdural Hematomas……………………….1 Blunt Force Chest Injuries……………………………2 Blunt Force Head Injuries………………………...... 6 Blunt Force ………………………….....46 Blunt Force Head Trauma……………………………2 Blunt Force Injuries ………………………………….8 Blunt Force Injuries of Head…………………………1 Blunt Force Neck Injury……………………………...1 Blunt Force Trauma of Head…………………………1

Page 9 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NON TRANSPORTATED RELATED, cont. Fall, cont. Blunt Head and Neck Trauma………………………..1 Blunt Head Injury…………………………………….1 Blunt Head Trauma ……………………………...... 7 Blunt Impact Head Trauma……………………...... 8 Blunt Impact Injuries of Head………………………..3 Blunt Impact Injuries of Torso……………………….1 Blunt Impact Injury of Head…………………………5 Blunt Impact Injury of Head and Neck……………….1 Blunt Impact Injury of Head and Upper Extremity…..1 Blunt Impact Injury (fracture) of Left Hip……………1 Blunt Impact Trauma…………………………………1 Blunt Impact Trauma of Head………………………..1 Blunt Injuries of Head………………………………..2 Blunt Injury of Cervical Spine……………………….1 Blunt Impact Injury of Head…………………………1 of Pelvis………………………………1 Blunt Trauma of Right Hip…………………………..1 Bronchopneumonia………………………………...... 1 Cervical Spine Fracture with Subluxation…………...1 Chronic Obstructive Pulmonary Disease…………….1 Chronic Obstructive Pulmonary Disease and Bronchopneumonia……………………...1 Complications of Blunt Force Injuries……………….1 Complications of Blunt Force Injuries of Head…….15 Complications of Blunt Head Trauma…..…………...3 Complications of Blunt Impact Chest Trauma………1 Complications of Blunt Impact Injury of Cervical Spine and Head………………….1 Complications of Blunt Impact Injuries of Head and Pelvis…………………..1 Complications of Blunt Impact Injury (splenic laceration) of Abdomen……………..1 Complications of Blunt Impact Injury of Right Hip....1 Complications of Blunt Impact Injury of Thoracic Spine……………………..1 Complications of Blunt Trauma……………………...1 Complications of Fracture, Left Hip………………....1 Complications of Hip Fracture ……………………....5

Page 10 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NON TRANSPORTATED RELATED, cont. Fall, cont. Complications of Intertrochanteric Fracture of Left Femur……………………….1 Complications of Left Hip Fracture………………….1 Complications of Blunt Head Trauma……………….1 Complications of Femur Fracture……………………1 Complications of Hip Surgery………………………..1 Complications of Hypovolemic Shock……………….1 Complications of Left Femoral Neck Fracture……….1 Complications of Left Hip Fracture………………….1 Complications of Leg Trauma………………………..1 Complication of Neck Injury…………………………1 Complications of Periprosthetic Fracture of Left Femur………………………..1 Complications of Periprosthetic Fracture of Right Femur………………………1 Complications of Right Hip and Humerus Fracture Complications of Right Hip Fracture……………...... 1 Complications of Subdural ……………….2 Complications of Subdural Hematomas ……………...1 Complications of Treatment of Hip Fracture…………1 Congestive ……………………………...2 Critical Coronary Disease……………………..1 Degenerative Disease…………………………..1 Delayed Complications of Blunt Head Trauma………1 Delayed Complications of Blunt Impact Injuries……..2 Delayed Complications of Blunt Impact Head Trauma...... 3 Delayed Complications of Blunt Impact Trauma….…1 Delayed Complications of Hip Fracture……………...2 Delayed Complications of Rib Fractures…………….1 Delayed Complications of Right Hip Fracture……….1 Delayed Complications of Subdural Hemorrhage……1 Delayed Complications of …..1 E. Coli Urosepsis d/t Paralysis d/t C-2 Fracture……...1 Embolic ………………………………………1 Encephalopathy……………………………………....1 End-Stage …………………...1 Exsanguination……………………………………….1

Page 11 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NON TRANSPORTATED RELATED, cont. Fall, cont. Fracture of Cervical Spine……………………………1 Hematoma of Left Thigh and Left Buttock…………..1 Hypertensive and Arteriosclerotic Cardiovascular Disease……...2 Hypertensive and Atherosclerotic Cardiovascular Disease…...... 1 Hypertensive and Atherosclerotic Heart Disease……..3 Hypertensive Cardiovascular Disease………………...4 Gastrointestinal Hemorrhage and Hepatorenal……….1 Incised Wound of Right Arm…………………………1 Left Femur Fracture…………………………………..1 Left Femoral Neck Fracture…………………………..2 Left Hip Fracture ……………………………………..8 Lewy Body …………………………………1 Louis Body Dementia and Parkinson's Disease………1 Metastatic Lung Cancer……………………………….1 MRSA Right Hip ……………………………1 Multiorgan Failure and Sepsis………………………...1 Myocardial Infarction…………………………………1 Pneumonia…………………………………………….2 Pneumonia d/t Blunt Chest Trauma d/t Fall…………..1 Pneumonia d/t Immobility d/t Right Hip Fracture……1 Pneumonia d/t Left Arm and Hip Fractures…………..1 Post-Op Infection d/t Right Hip Fracture……………..1 Pulmonary Thromboemboli…………………………..1 Renal and Respiratory Failure…………..…………….1 Respiratory Failure d/t C-2 Cervical Fracture d/t Fall..1 Rhabdomyolysis………………………………………1 Right Femoral Artery Hemorrhage…………………...1 Right Hip and Vertebral Fracture…………………….1 Right Hip Fracture…………………………………....7 Right Hip Fracture Complications……………………1 Right Hip and Shoulder Fractures……………………1 Sepsis ………………………………………………...2 Severe Facial Injuries…………………………………1 Staphylococcus Aureus Sepsis………………………..1 Subdural and ……………….1 Subdural and Intraparenchymal Hemorrhage………...1

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2015 End of Year Statistics

NON TRANSORTATED RELATED, cont. Fall, cont. Subdural and ……………1 Subdural Hematoma ………………………….……14 Subdural Hematomas………………………………...1 Subdural Hemorrhage…………………………….….3 Systemic and Pulmonary Hypertension with Congestive Heart Failure……………….1 Traumatic Asphyxiation……………………………..1 Traumatic Subarachnoid Hemorrhage……………….1 Urosepsis…………………………………………….1 Other…………………………………………………………….…103 Acute and Chronic Alcoholism……………………...1 Anorexia……………………………………………..1 Anoxic Encephalopathy…………………………...... 3 Anoxic Encephalopathy d/t Drowning………………1 Anoxic Encephalopathy d/t Near Drowning………...1 Anoxic Ischemic Encephalopathy………………...... 4 Asphyxia……………………………………………..2 Asphyxia d/t Aspiration of Food Bolus …………...... 1 Atherosclerotic and Hypertensive Cardiovascular Disease……………………....1 Blunt Force Head Injuries …………………….……..2 Blunt Head Trauma…………………………………..1 Blunt Head Trauma of Head and Torso……………...1 Blunt Impact Injuries of Head………………………..3 Blunt Impact Injury of Torso…………………………1 Chronic Obstructive Pulmonary Disease…………….1 Community Acquired Pneumonia……………………1 Complications of Blunt Injuries of Head…………….1 Complications of Food Asphyxia…………………....1 Complications of Paraplegia…………………………1 Complications of Static Encephalopathy d/t Near Drowning…………………………...1 Concentric Left Ventricular Hypertrophy…………...2 Delay Complications of Asphyxia…………………...1 Drowning…………………………………………...35 Atlantic Intracoastal Waterway……...7 Atlantic Ocean…………………….....7 Bathtub……………………………….1

Page 13 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NON TRANSORTATED RELATED, cont. Other, cont. Drowning, cont. Canal…………………………………5 Hot Tub………………………………1 Irrigation Ditch………………………1 Pond………………………………….2 Swimming Pool…………………….10 Wastewater Pipe……………………..1 Electrocution………………………………………....1 End-Stage Ischemic and Valvular …1 Environmental Exposure……………………………..2 Exsanguination……………………………………….3 Fluoride Intoxication…………………………………1 Food Asphyxia……………………………………….3 Grand Mal ……………………………………1 Hypertensive Cardiovascular Disease………………..1 Infected Decubitus Ulcers………….………………...1 Inhalational Products of Combustion………………...1 Meningo Encephalitis………………………………...1 Multiorgan Failure……………………………………1 Positional Asphyxia……………………………….….6 Positional Asphyxiation………………………………1 Seizure Disorder………………………………………1 Seizure Disorder d/t Remote Head Injuries d/t Chronic Alcoholism……………………….1 Sepsis d/t Necrotizing Fasciitis……………………….1 Smoke and Soot Inhalation…………………………...1 Smoke Inhalation……………………………………..2 Smoke Inhalation and Thermal Injuries………………3 Streptococcal Anginosus Sepsis………………………1 Sudden Death following Lumbosacral Marcaine Injections…………….1 Suffocation by Blanket………………………………..1

HOMICIDE………………………………………………………………………………………..111

Anasarca………………………………………………………………..…………….1 Asphyxia………………………………………………………………..………….....5 Blunt Force Head Trauma………………………………………………..…………..1

Page 14 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

HOMICIDE, cont. Blunt Force Injuries…………………………………………………………………..1 Blunt Head Trauma…………………………………………………………………...2 Bronchopneumonia d/t Blunt Head Trauma………………………………………….1 ………………………………………………………………...1 Crush Force Chest Injuries…………………………………………………………...1 Delayed Complications of Gunshot Wounds………………………………………...1 Delayed Complications of Gunshot Wound of Abdomen……………………………1 Delayed Complications of Gunshot Wound of Neck………………………………...1 Delayed Complications of Stab Wound to Chest…………………………………….1 Failure to Thrive……………………………………………………………………...1 Gunshot Wound of Abdomen………………………………………………………...1 Gunshot Wound of Abdomen and Left Leg………………………………………….1 Gunshot Wound of Back……………………………………………………………..5 Gunshot Wound of Chest…………………………………………………………...14 Gunshot Wound of Chest and Abdomen……………………………………………..3 Gunshot Wound of Face……………………………………………………………...1 Gunshot Wound of Head……………………………………………………………17 Gunshot Wound of Head and Neck…………………………………………………..1 Gunshot Wound of Neck……………………………………………………………..2 Gunshot Wound of Right Arm and Chest……………………………………………1 Gunshot Wound of Trunk……………………………………………………………1 Gunshot Wounds……………………………………………………………………..3 Gunshot Wounds of Abdomen……………………………………………………….1 Gunshot Wounds of Chest and Left Thigh…………………………………………..1 Gunshot Wounds of Head……………………………………………………………4 Gunshot Wounds of Head and Back…………………………………………………1 Hypovolemic Shock………………………………………………………………….1 Left Subdural Hematoma…………………………………………………………….1 Multiple Chop Wounds………………………………………………………………1 Multiple Gunshot Wounds …………………………………………………………24 Multiple Sharp Force Injuries………………………………………………………..2 Multiple Sharp Force Injuries and Gunshot Wound of Left Eye…………………….1 Multiple Stab Wounds………………………………………………………………..2 Peritonitis…………………………………………………………………………….1 Rifle Wound of Chest………………………………………………………………...1 Sepsis…………………………………………………………………………………1 Sequela of Blunt Force Injury to the Head…………………………………………...1 Stab Wound of Abdomen…………………………………………………………….1

Page 15 of 23 Palm Beach County Medical Examiner Office

2015 End of Year Statistics

NATURAL……………………………………………………………….………………….…....412

Acquired Immunodeficiency Syndrome…………………………………………...... 1 Acute Bronchopneumonia……………………………………………………………1 Acute Coronary Artery Thrombosis……………………………………………….....1 Acute Hemorrhagic Necrotizing Pancreatitis………………………………………...1 Acute Hemorrhagic Pancreatitis……………………………………………………...1 Acute Endocarditis……………………………………………………..1 Acute Myelogenous Leukemia…………………………………………………….....1 Acute Myeloid Leukemia………………………………………………………….....1 Acute Myocardial Infarct………………………………………………………...... 13 Acute Myocardial Infarction ……….………………………………………………..6 Acute d/t Probable Bacterial Infection……………………………….....1 Acute Necrotizing Bilateral Pneumonia……………………………………………...1 Acute Pancreatitis………………………………………………………………….....1 Alcoholic and Diabetic Ketoacidosis………………………………………………...1 ………………………………………….……………….3 Alcoholic Ketoacidosis……………………………………………………………....1 Anoxic Encephalopathy………………………………………………………………1 Anoxic Ischemic Encephalopathy……………………………………………………3 Aortic Dissection with …………………………………………...2 …………………………………………………………………….....1 Arteriosclerotic and Hypertensive Cardiovascular Disease………..……………….11 Arteriosclerotic Cardiovascular Disease……………………………………………14 Arteriosclerotic Heart Disease………………………………………………………..1 Asphyxiation……………………………………………………………..…………...1 Atherosclerotic and Hypertensive Cardiovascular Disease ……..………………….10 Atherosclerotic and Hypertensive Heart Disease……………………………………..1 Atherosclerotic Cardiovascular Disease ……………………………………………15 Atherosclerotic Heart and ………………………………….1 Atherosclerotic Heart Disease………………………………………………………...8 Bacterial Meningitis…………………………………………………………………..1 Bowel Infarction………………………………………………………………………1 Bowel Obstruction …………………………………………………………………...1 Bronchial Pneumonia ………………………………………………………………...3 Bronchopneumonia…………………………………………………………………...3 Bronchopneumonia and Pulmonary Emphysema…………………………………….1 Bronchopneumonia d/t Cerebrovascular Accident…………………………………...1 Calcific Stenosis of Bicuspid Aortic Valve…………………………………………..1 Cardiac and Hepatic Complications of Chronic Alcoholism………………………...1

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2015 End of Year Statistics

NATURAL, cont. Cardiac Complications of Adriamycin treatment d/t Breast Carcinoma……………...1 …………………………………………………………………………4 Cardiomegaly with Left Ventricular Hypertrophy……………………………………1 Cardiomyopathy………………………………………………………………………5 Carnitine Palmitoyltransferase II (CPT II) Deficiency……………………………….1 Cerebellar Abscess……………………………………………………………………1 Cerebral Vascular Accident…………………………………………………………...1 Cerebrovascular Disease……………………………………………………………...1 Cerebrovascular Infarct……………………………………………………………….2 Chronic Alcoholism…………………………………………………………………..3 Chronic Bronchial Asthma……………………………………………………………1 Chronic Ethanolism…………………………………………………………………...2 Chronic Ethanolism with Hepatic Steatosis…………………………………………..1 Chronic Obstructive Pulmonary Disease ……………………………………………..9 Cirrhosis…………………………………………………………………...... 1 Community Acquired Bronchopneumonia……………………………………………1 Community Acquired Pneumonia……………………………………………………4 Complications of Chronic Alcoholism……………………………………………….2 Complications of Chronic Ethanolism and Hepatitis C……………………………....1 Complications of Thyrotoxicosis……………………………………………………..1 Congenital Heart Disease d/t Down Syndrome ……………………………………....1 Congestive Heart Failure………………………………………………………….….6 Coronary Artery Atherosclerosis……………………………………………………..1 ………………………………………………………….....25 Coronary Artery Thrombosis…………………………………………………………2 Coronary Thrombosis………………………………………………………………...2 Critical Coronary Atherosclerosis……………………………………………………5 Critical Coronary Atherosclerosis with Concentric Left Ventricular Hypertrophy…..1 Dehydration…………………………………………………………………………..1 Diabetes Mellitus……………………………………………………………………..3 Diabetic Ketoacidosis………………………………………………………………...6 Dilated and Hypertrophic Cardiomyopathy ………………………………………….1 and Obesity…………………………………...... 1 Dilated Cardiomyopathy d/t Mitral Valve Regurgitation…………………………….1 Disseminated Cryptococcus d/t/ AIDS……………………………………………….1 End Stage Alzheimer’s Disease……………………………………………………...1 End Stage Neuroendocrine Tumor of Pancreas……………………………………..1 Epilepsy………………………………………………………………………………1 Esophageal Perforation……………………………………………………………….1

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2015 End of Year Statistics

NATURAL, cont. Extra-Alveolar Air Syndrome………………………………………………………..1 Failure to Thrive……………………………………………………………………...1 Gastrointestinal Hemorrhage……………………………………………………….14 Gastrointestinal Hemorrhage d/t Chronic Alcoholism……………………………….2 Gastrointestinal Hemorrhage d/t Chronic Ethanolism……………………….……….1 Guillain-Barre………………………………………………………………………...1 Heat Failure…………………………………………………………………………..1 Hemopericardium…………………………………………………………………….2 Hemopericardium d/t Aortic Dissection……………………………………………...2 Hemopericardium d/t Ruptured Dissecting Aortic Hematoma………………………1 Hemorrhagic Cerebrovascular Infarct………………………………………………..2 Hepatic Failure with Cirrhosis and Ascites…………………………………………..1 Hepatic Failure with Gastrointestinal Hemorrhage…………………………………..1 Hepatocellular Carcinoma……………………………………………………………1 Human Coronavirus NL and Staphylococcus Aureus Pneumonia…………………...1 Human Immunodeficiency Virus Infection…………………………………………..1 Hypertension…………………………………………………………………………1 Hypertensive and Arteriosclerotic Cardiovascular Disease………………………….4 Hypertensive and Arteriosclerotic Heart Disease…………………………………….2 Hypertensive and Atherosclerotic Cardiovascular Disease ………………………….6 Hypertensive and Atherosclerotic Heart Disease …………………………………....4 Hypertensive and Dilated Cardiomyopathy………………………………………….1 Hypertensive Cardiomyopathy…………………………………………………….....1 Hypertensive Cardiovascular Disease ……………………………………………...24 Hypertensive Cardiovascular Disease and Arteriosclerotic Cardiovascular Disease..1 Hypertensive Cardiovascular Disease with Cardiomegaly…………………………..1 Hypertensive Heart Disease………………………………………………………….8 Hypertrophic Cardiomyopathy………………………………………………………2 ……………………………………………………………3 Intestinal Obstruction d/t Peritoneal and Pelvic Adhesions………………………….1 Insulin Dependent Diabetes Mellitus………………………………………………...1 Ischemic Cardiomegaly with Coronary Atherosclerosis……………………………..1 Ischemic Cardiomyopathy…………………………………………………………....3 Ischemic Cardiomyopathy with Cardiomegaly………………………………………1 Ischemic Heart Disease……………………………………………………………..10 Klebsiella Pneumoniae Sepsis d/t Chronic Biliary Stent Infection…………..….…...1 Liver Cirrhosis………………………………………………………………………..2 Liver Failure …………………………………………………………………………1 Lower Gastrointestinal Hemorrhage…………………………………………………1

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2015 End of Year Statistics

NATURAL, cont. Lung Cancer…………………………………………………………………………..1 Lymphoma……………………………………………………………………………1 Meningeal Carcinomatosis d/t Breast Cancer………………………………………...1 Metastatic Carcinoma of Lung………………………………………………………..1 Metastatic Lymphoblastic Lymphoma……………………………………………….1 Myocardial Infarction………………………………………………………………...3 Myocardial …………………………………………………………………..1 Necrotizing Pneumonia……………………………………………………………….1 Non-Traumatic Splenic Rupture……………………………………………………...1 Non Traumatic Subdural Hemorrhage ……………………………………….………2 Occlusive Coronary Atherosclerosis………………………………………………….1 Occlusive (critical) Coronary Atherosclerosis………………………………………..2 Occlusive (critical) Coronary Atherosclerosis and Myocardial Fibrosis………….….1 Occlusive Thrombosis of Right Coronary Artery……………..……….………….….1 Pancreatic Cancer……………………………………………………………………..1 Perforated Duodenal Ulcer with Peritonitis………………………………………...... 1 Peritonitis……………………………………………………………………………..3 Peritonitis d/t Ruptured Appendicitis………………………………………………....1 Primary Pulmonary Hypertension………………………………………………….…1 Probable Bowel Obstruction……………………………………………………….…1 Probable Cardiac Channelopathy………………………………………………….….1 Pulmonary Embolism………………………………………………………………....1 Pulmonary Emphysema…………………………………………………………….…3 Pulmonary Thromboemboli…………………………………………………………..1 Pulmonary Thromboembolism……………………………..………………………...6 Pulmonary Thromboembolism d/t Deep Venous Thrombosis of the Lower Extremities………………………....3 Purulent Myocarditis………………………………………………………………….1 Retroperitoneal Hemorrhage d/t Ruptured Aortic ………………………...1 Ruptured Abdominal Aortic Aneurysm………………………………………………3 Ruptured Basilar Artery Aneurysm…………………………………………………...1 Saddle Pulmonary Embolism………………………………………………………....1 Saddle Pulmonary Embolism d/t Right Leg Deep Venous Thrombosis……………...1 Seizure d/t Chronic Alcoholism………………………………………………………1 Seizure Disorder………………………………………………………………………3 Seizure Disorder d/t Lyme Disease……………………..…………………………….1 Sepsis………………………………………….……………………………………...2 Sepsis of Unknown Bacterial Source…………………………………………………1 Septic Shock d/t Pneumonia d/t Nontraumatic Subdural Hematoma…………………1

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2015 End of Year Statistics

NATURAL, cont. Subarachnoid Hemorrhage……………………………………………………………1 Sudden Cardiac Death………………………………………………………………...1 Sudden Cardiovascular Death………………………………………………………...1 Sudden Death associated with Cardiomegaly………………………………………...1 Sudden Death d/t Cardiac d/t Cardiomegaly…………………………….1 Sudden Infant Death Syndrome………………………………………………………3 Sudden Unexpected Death in Epilepsy……………………………………………….2 Sudden Unexplained death in Epilepsy………………….……………………………1 Thrombotic Thrombocytopenia Purpura……………………………………………...1 Uncontrolled Diabetes Mellitus……………………………………………………….1 Undetermined…………………………………………………………………………1 Upper Gastrointestinal Bleed…………………………………………………………3 Upper Gastrointestinal Hemorrhage………………………………………………….2 Waterhouse-Friderichsen Syndrome………………………………………………….1

NONCLASSIFIED………………………………………………………………………………..…9

Asphyxia………………………………………………………………………………1 Intrauterine Death d/t Placental Abruption…………………………………………....1 Nonhuman Bone………………………………………………………………………2 Nonhuman Bones…………………………………………………………………...... 3 Nonhuman Remains…………………………………………………………………..2

SUICIDE………………………………………………………………………………………..…238

Acute Carbon Monoxide Toxicity……………………………………………………1 Acute Combined Drug Toxicity………………………………………………………1 Acute Morphine Toxicity……………………………………………………………..1 Acute Verapamil Toxicity…………………………………………………………….1 Alprazolam and Sertraline Intoxication……………………………………………....1 Alprazolam Intoxication……………………………………………………………...1 Amitriptyline Intoxication…………………………………………………………....1 Anoxic Ischemic Encephalopathy…………………………………………………….1 Asphyxia……………………………………………………………………………...2 Asphyxia by Plastic Bag……………………………………………………………...1 Asphyxia d/t Belt Ligature Compression of Neck……………………………………1 Blunt Force Head and Neck Injuries (Driver Auto vs. Tractor Semi Trailer)………..1 Blunt Force Head Injuries…………………………………………………………….1 Blunt Force Injuries…………………………………………………………………..5

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2015 End of Year Statistics

SUICIDE, cont. Bupropion and Clonidine Intoxication………………………………………………..1 Carbon Monoxide Toxicity………………………………………………………..….1 Chlorpheniramine and Dextromethorphan Toxicity………………………………….1 Combined Drug Toxicity……………………………………………………………..9 Combined Ethanol and Diphenhydramine toxicity…………………………………...1 Combined Ethanol and Drug Toxicity………………………………………………..2 Combined Ethanol and Paroxetine Toxicity………………………………………….1 Combined Ethanol and Salicylate Intoxication……………………………………….1 Combined Morphine and Benzodiazepines Toxicity…………………………………1 Combined Sertraline and Quetiapine toxicity………………………………………...1 Complications of Stab Wounds……………………………………………………….1 Cyclobenzaprine Intoxication………………………………………………………...1 Decapitation…………………………………………………………………………..1 Delayed Complications of Acetaminophen Toxicity…………………………………1 Delayed Complications of Drug Overdose…………………………………………....1 Delayed Complications of Insulin Overdose………………………………………….1 Delayed Complications of Multiple Drug Intoxication……………………………….1 Delayed Hemoperitoneum d/t Stab Wound of Right Groin……….………………….1 Diphenhydramine Intoxication………………………………………………………..1 Doxepin Intoxication………………………………………………………………….1 Drowning………………………………………………………………………….…12 Atlantic Ocean………………………………………………………..1 Atlantic Intracoastal Waterway………………………………………1 Bathtub……………………………………………………………….2 Canal…………………………………………………………………3 Lake…………………………………………………………………..1 Pond…………………………………………………………………..2 Swimming Pool……………………………………………………....2 Ethanol and Quetiapine Toxicity……………………………………………………..1 Ethanol and Morphine Intoxication…………………………………………………..1 Fentanyl and Clonazepam Toxicity…………………………………………………..1 Gunshot Wound of Abdomen………………………………………………………...1 Gunshot Wound of Chest …………………………………………………………..12 Gunshot Wound of Head ………………………………………………………..….62 Gunshot Wound of the Head………………………………………………………....1 Gunshot Wounds of head………………………………………………………….....1 Hanging………………………..……………………………………………………47 Heroin Intoxication…………………………………………………………………..2 Hydrocodone, Hydromorphone & Acetaminophen Toxicity………………………...1

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2015 End of Year Statistics

SUICIDE, cont. Incised Wounds of Arms……………………………………………………………..1 Inhalation of Automobile Fumes……………………………………………………..1 Inhalation of Chlorodifluoromethane………………………………………………...1 Immolation of Nitrous Oxide through Plastic Bag tied around the Neck…………….1 Inhalation of Products of Combustion………………………………………………..1 Intraoral Gunshot Wound………………………………………………………….…3 Intraoral Gunshot Wound of Head…………………………………………………....2 Intraoral Shotgun Wound……………………………………………………………..2 Intraoral Shotgun Wound of Head……………………………………………………1 Metastatic Ovarian Carcinoma……………………………………………………….1 Methanol Intoxication………………………………………………………………...1 Metoprolol and Cocaine Toxicity…………………………………………………….1 Morphine Intoxication………………………………………………………………..1 Multiple Blunt Force Injuries………………………………………………………...2 Multiple Blunt Impact Injuries…………………………………………………….…2 Multiple Blunt Traumatic Injuries…………………………………………………....2 Multiple Drug Intoxication……………………………………………………….….6 Multiple Drugs Intoxication………………………………………………………….2 Oxycodone Toxicity………………………………………………………………….1 Phenobarbital Intoxication…………………………………………………………...1 Plastic Bag and Helium Asphyxia……………………………………………………1 Plastic Bag Asphyxia………………………………………………………………....2 Polydrug Abuse……………………………………………………………………….1 Polydrug Toxicity…………………………………………………………………….1 Quetiapine Intoxication……………………………………………………………....1 Quetiapine Toxicity…………………………………………………………………..1 Rifle Wound of Head ……………………………………………………………...... 1 Sharp Force Injuries of Thighs……………………………………………………….1 Shotgun Wound of Chest……………………………………………………………..1 Shotgun Wound of Head……………………………………………………………...1 Stab Wound of Chest…………………………………………………………………1 Submental Gunshot Wound of Head…………………………………………………1 Vicodin and Alcohol Intoxication……………………………………………………1 Zolpidem Intoxication………………………………………………………………..1

UNDETERMINED……………………………………………………………………...…….….40

Acute Morphine Toxicity…………………………………………………………….1 Anoxic Ischemic Encephalopathy……………………………………………………2

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2015 End of Year Statistics

UNDETERMINED, cont. Anoxic-Ischemic Encephalopathy due to Fentanyl Intoxication……………………..1 Blunt Impact Injuries of Neck and Torso…………………………………………….1 Bupropion Intoxication……………………………………………………………….1 Combined Ethanol and Drug toxicity …………………………...... 1 Drowning……………………………………………………………………………..8 Bathtub……………………………………………………………….1 Canal…………………………………………………………………3 Pond……………………………………………………………….…2 Swimming Pool……………………………………………………...2 Excited Delirium……………………………………………………………………...1 Heroin and Bupropion Intoxication…………………………………………………..1 Morphine and Paroxetine Intoxication………………………………………………..1 Multiple Blunt Traumatic Injuries…………………………………………………….1 Multiple Drug Intoxication……………………………………………………...... 4 Multiple Drugs Intoxication…………………………………………………………..1 Oxycodone and Acetaminophen Intoxication………………………………………...1 Right Hemothorax d/t Right Rib Fractures d/t Blunt Injury to Back…………………1 Starvation……………………………………………………………………………..1 Undetermined………………………………………………………………………..13

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