Monroe County Medical Examiner

Medical Examiner Office on Grassy Key

In 1970, the State of Florida enacted Florida Statute 406, which establishes a statewide Medical Examiner System of death investigation. The state is divided into 25 "Districts.” The Governor appoints a medical examiner to each district for three-year terms. A commission of gubernatorial appointees provides oversight.

By statute, the medical examiner determines cause and manner of death of a human being under the following circumstances: criminal violence; accident; suicide; a person in good health dies suddenly; unattended by a practicing physician or other recognized practitioner; in a prison or penal institution; in police custody; suspicious or unusual circumstance; criminal abortion; poison; disease that threatens public health; and employment-related disease, injury or toxic agent.

The medical examiner also determines cause and manner of death when a dead body is brought into the state without proper medical certification; when the body is to be cremated, dissected or buried at sea; and when requested by the District Attorney.

To do so, the medical examiner’s primary tool is the autopsy, which is a post mortem examination. During an autopsy, the body is examined externally and internally in a systematic way. All organs are examined and biopsied. Fluids and tissues are obtained for laboratory testing. Everything is documented in a "case file,” with photographs taken at all stages of the process. When an investigation is complete, a death certificate listing the cause and manner of death is filed with the Department of Vital Records for the State of Florida.

In 2008, Monroe County built a state-of-the-art Medical Examiners facility on Grassy Key. The facility consists of two buildings separated by a breezeway. One building functions as office space and the other as the laboratory. In the administration building, we store records and conduct the daily business of the medical examiner. In the laboratory building, we store bodies and perform examinations and testing.

In 2017, the Medical Examiners’ Office investigated 17 storm-related deaths due to Hurricane Irma.

One of the challenges of Hurricane Irma, as well as the day-to-day operations of the Medical Examiners’ Office, is the identification of decedents. Through cooperation with multiple law enforcement agencies, the Medical Examiner was able to identify all but one of the storm-related decedents.