Which of the following is a sign of Immediate DOA according to the policies?

Immediate Declaration of Death (DOA) is determined based on specific clinical signs that indicate life cannot be sustained. One of the key indicators of post-mortem changes is post mortem lividity, which appears as a pooling of blood in the lowest parts of the body after death. This phenomenon occurs as the heart ceases to pump blood, leading to discoloration of the skin, which becomes visible within a few hours following death.

In contrast, severe blood loss can be a life-threatening condition that may still be reversible if managed promptly, making it not an indicator of immediate DOA. High blood pressure is a physiological state that affects living individuals and has no bearing on declaring death. Fractured bones, while potentially serious, do not automatically indicate death, as many individuals survive significant injuries, depending on the overall condition and nature of the trauma sustained. Thus, post mortem lividity stands out as a definitive sign consistent with the policies for declaring someone as immediately deceased.