The Medical Examiner is mandated by the Commonwealth of Pennsylvania to investigate and determine the manner and cause of death in cases of homicide, suicide, and accidental deaths as well as all natural deaths that are sudden, unexpected, or medically unattended. Accordingly, the manner and cause of death are determined by an extensive investigation and postmortem examination (autopsy).
Additional testing is required in most cases and may include, but is not limited to, microbiology, toxicology, and neuropathology. The time frame for completion varies depending on the extent of testing. When all testing and investigative measures are complete, a final cause and manner of death is issued in order to certify a death certificate which is generated in accordance with the medical findings.
The postmortem examination, which may consist of a complete exam or an external exam, is vital in the determination of a definitive manner and cause of death. The decision to perform an autopsy is made by the Forensic Pathologist. Objections from the next of kin to having an autopsy are considered only after a waiver is signed. Please be advised that the autopsy waiver itself does not preclude the autopsy. Without this critical and often necessary procedure, it is more difficult or may be impossible for the Office of the Medical Examiner to accurately determine a manner and cause of death.
Cause and Manner of death investigation information is kept confidential and not released publicly unless for purposes of criminal investigation, legal requirement, state legislative mandate, or data sharing cooperation.