Livor mortis
Encyclopedia
Livor mortis postmortem lividity (Latin: postmortem—"after death", lividity—"black and blue"), or hypostasis (Greek
Greek language
Greek is an independent branch of the Indo-European family of languages. Native to the southern Balkans, it has the longest documented history of any Indo-European language, spanning 34 centuries of written records. Its writing system has been the Greek alphabet for the majority of its history;...

: hupo, meaning "under, beneath"; stasis, meaning "a standing") is one of the signs of death
Death
Death is the permanent termination of the biological functions that sustain a living organism. Phenomena which commonly bring about death include old age, predation, malnutrition, disease, and accidents or trauma resulting in terminal injury....

. Livor mortis is a settling of the blood
Blood
Blood is a specialized bodily fluid in animals that delivers necessary substances such as nutrients and oxygen to the cells and transports metabolic waste products away from those same cells....

 in the lower (dependent) portion of the body, causing a purplish red discoloration of the skin: when the heart is no longer agitating the blood, heavy red blood cells sink through the serum
Blood plasma
Blood plasma is the straw-colored liquid component of blood in which the blood cells in whole blood are normally suspended. It makes up about 55% of the total blood volume. It is the intravascular fluid part of extracellular fluid...

 by action of gravity.Intensity of color depends upon the amount of reduced hemoglobin in the blood. This discoloration does not occur in the areas of the body that are in contact with the ground or another object, as the capillaries
Capillary
Capillaries are the smallest of a body's blood vessels and are parts of the microcirculation. They are only 1 cell thick. These microvessels, measuring 5-10 μm in diameter, connect arterioles and venules, and enable the exchange of water, oxygen, carbon dioxide, and many other nutrient and waste...

 are compressed.
As the vessel wall become permeable due to decomposition,blood leaks through them and stains the tissue. This is the reason for fixation of hypostasis.

Coroner
Coroner
A coroner is a government official who* Investigates human deaths* Determines cause of death* Issues death certificates* Maintains death records* Responds to deaths in mass disasters* Identifies unknown dead* Other functions depending on local laws...

s can use the presence or absence of livor mortis as a means of determining an approximate time of death. The presence of livor mortis is an indication of when it would be futile to begin CPR
Cardiopulmonary resuscitation
Cardiopulmonary resuscitation is an emergency procedure which is performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest. It is indicated in those who are unresponsive...

, or when it is ineffective to continue if it is in progress. It can also be used by forensic investigators to determine whether or not a body has been moved (for instance, if the body is found lying face down but the pooling is present on the deceased's back, investigators can determine that the body was originally positioned face up).

Livor mortis starts twenty minutes to three hours after death and is congealed in the capillaries in four to five hours. Maximum lividity occurs within 6-12 hours. The blood pools into the interstitial tissues of the body.
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