Might mean (unverified): Extremely critical, potentially fatal situation.
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We found 2 dictionaries that define the word matter of life and death:

General (1 matching dictionary)
  1. matter of life and death: Wiktionary

Miscellaneous (1 matching dictionary)
  1. matter of life and death: Idioms

Definitions from Wiktionary (matter of life and death)

noun:  Something whose outcome could result in either someone's survival or their death
noun:  (idiomatic) An extremely urgent matter.

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