DR KLEPP
It did not cause instant death, as is borne out by my findings of inhalation of blood in paragraph 13 on page 3 of my report, and also the large sub-endocardial haemorrhage in the left ventricle of the heart.  One finds those in conditions of shock or low blood pressure.  If one dies immediately one does not usually find those, whereas if one has sustained a severe injury where the blood pressure had dropped and that blood pressure is maintained at a low pressure for a period of time, that's when that haemorrhage occurs.