Medical Examiners Release, Fatal Vehicle vs Pedestrians 7600 N. Division

SPOKANE COUNTY, August 28, 2017 – The Spokane County Medical Examiner’s Office has
confirmed the identity and the cause and manner of death of the woman who died at Sacred Heart Medical
Center on August 25, 2017 as the result of an incident at the 7600 block of N. Division St. in Spokane, WA
on August 16, 2017.

Name: Yelena A. Ivanov
Age: 45 years
Cause of Death: Hypoxic encephalopathy due to mechanical compression of the chest with rib fractures
Contributory Factors: Diffuse hemorrhage with hypotension, trauma caused ischemic colon
Manner: Vehicular Accident

The determination of manner of death (natural, homicide, suicide, accident, or undetermined) is for purposes
of the death certificate, only. The Medical Examiner criteria for manner of death is not the same as the
prosecutor’s legal determination. For example, most motor vehicle deaths are classified as “accident” by the
Medical Examiner. The prosecutor may pursue a legal charge of “vehicular homicide”, if the legal definition is
met. Medical Examiner manner of death certification is for generation of public health data. Any determination
by the Medical Examiner of suicide, accident or homicide in no way limits the ability of law enforcement to
investigate to whatever extent they deem appropriate or necessary.
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