Certain issues and needs arise and certain problems are encountered when writing cause of death statements or determining the manner of some types of deaths involving the following: 

• Infants 
• The Elderly 
• Multiple Conditions 
• Arrhythmias 
• Pneumonia 
• Cerebrovascular Deaths
• Syndromes 
• Neoplasia 
• Periprocedural Deaths
• Drug Reactions and Toxicity 
• Alcohol-Related Deaths 
• Medical Complications of External Conditions (injury or poisoning) 

Special consideration must be given to deaths due to these factors when writing the cause of death statement. These factors will be covered in this section.