Neighbors called the police to check on the home of a 55-year-old male who had not been seen taking in his mail or his morning walk for a week. The officers arrived and when no one answered the doorbell, they looked inside the garage from the side window and saw what appeared to be a person in the driver’s seat of the car. The vehicle had a vintage car license plate being a restored 34-year-old Ford. The hood was up and tools were placed on a portable workbench next to the car. After gaining entry, they found the body of the homeowner, called 911 but the paramedics find no sign of life in a cadaver that showed the usual signs of decomposition that appear several days after death. The key was in the ignition and turned in the “on” position.

a. A subsequent inquiry with autopsy showed that the man did not die due to natural causes. While it appeared that the victim was working on his car when he died, what are two clues that the death was intentional?

b. What constitutes the appearance of livor mortis in this case?

c. If instead the man had been found to be alive but unconscious, what is the minimum carbon monoxide blood saturation percentage that would be found on testing?

d. What does it mean when we state that the formation of carbaminohemoglobin induces hypoxia in a victim of carbon monoxide poisoning?

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