On 28 October 2010 04:17, William H. Fite omniryx@gmail.com wrote:
In the United States, cessation of heart beat, for all its problems and
ambiguities, continues to be recognized as the legal definition of death,
cold water resuscitations and the like notwithstanding. The term "brain
dead" has no clear legal meaning, as evidenced in the conflicting and
ambiguous lawsuits involving Terri Schiavo here in Florida. In the end,
Schiavo was not adjudged by the court to be dead because her brain was
"dead" but rather beyond any reasonable expectation of improvement or
recovery. She did not legally become dead until her heartbeat stopped a
number of days after feeding and hydration were terminated.
In the case of organ harvesting, the patient is similarly not considered
dead because the EEG is isoelectric. Rather, the conclusion is drawn that
the individual is without hope of recovery. The organs are not harvested
until the heart stops because it is not until that (ambiguous) moment that
the person is dead.
I believe this form of death determination is now being adopted for
circumstances where the pump and bellows work but the brain is too
badly damaged that it is theoretically impossible to recover the
personality and memories of the person and is called
information-theoretic death.
"The exact timing of information-theoretic death is currently unknown.
It has been speculated to occur gradually after many hours of clinical
death at room temperature as the brain undergoes autolysis. It can
also occur more rapidly if there is no blood flow to the brain during
life support, leading to the decomposition stage of brain death, or
during the progression of degenerative brain diseases that cause
extensive loss of brain structure."
Further evidence to suggest that the exact timing of "real" death is
not easy to determine in many cases.
Steve
It is the cold water resuscitations and similar events that lead medical
professionals to be comfortable with the extremely vague concept I stated
earlier. The lawyers fairly often wrangle after the fact but that
discussion takes place over an embalmed or cremated body.
For the foreseeable future, this picture will not become any clearer. In
the meantime, adopt the posture of the 19th century melodramaticists and
have a bell installed in your coffin, just in case...
On Tue, Oct 26, 2010 at 6:40 PM, Magnus Danielson <
magnus@rubidium.dyndns.org> wrote:
On 10/25/2010 04:21 PM, William H. Fite wrote:
Mike is correct. Brain activity does not screech to a halt but peters out
over a period of minutes once the heart stops beating.
When we (I'm in the medical field and not, by any stretch of the
imagination
an engineer) speak of someone being "brain dead" or "flat line EEG," we
don't really mean that there is no electrical activity in the brain at
all,
only that there is no purposeful activity.
That is why, in most jurisdictions--not all--death is defined as cessation
of heartbeat. In the eyes of the law, that's a dichotomous variable; it
is
or it ain't. Which means, from a legal perspective, at least, that when
lay
people say that so-and-so was dead for a time and then brought back, they
are correct, cornball as it sounds.
Actually, heart beat doesn't cease like snapping a light switch but trails
off into meaningless blips and wiggles that can go on for a while.
Clinical death, to physicians and other health professionals is when the
machine has quit and it can't be fired up again. Vague, yes, but
perfectly
adequate.
For several reasons this definition is not usable for all cases anymore.
There are cases when the brain can be considered dead, but the rest of the
patient is relatively healthy. For the purpose of making organ
transplantation possible, brain death is clinically being used, with the
good old ticker and breath as a rough indication and subsequent failures of
restoring those has failed.
There is one case in which a Swedish medical student was out skiing in
Norway and went through the ice and was being held there by the strong
water. It took them 45 min just to get her out of the water. Her heart had
stopped. Her respiration had stopped. She have had no pulse or breath for
over an hour when they finally started working on her at the hospital. She
survived and is almost completely restored. She works at that very hospital.
Cooling patients down causes less brain-damage and is now an established
treatment for certain trauma cases. The heart-compressions being done helps
a lot to keep brain-damages down. We keep learning more and more about
reducing damages on heart attack patients.
So that definition has become less and less meaningful for that very
reason. Not all legal systems reflect this thought, but as I recall the
Swedish legal system did change this a few years back.
So.....I see no way in which one could determine with precision when life
ends. At least not with the precision that this group would consider even
minimally acceptable.
Agreed. We might agree on day. Maybe hour. Then it becomes kind of
difficult.
Cheers,
Magnus
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Steve Rooke - ZL3TUV & G8KVD
The only reason for time is so that everything doesn't happen at once.
Richard H McCorkle wrote:
Time-Nuts,
New members to the Time-Nuts list may wonder if the Time-Nut disease
has infected them just by joining the list. A clear indication that
someone has been infected with the Time-Nut disease is they own a
reference that provides accurate time to better than 1us and
frequency to better than 1e-9. This is a mild form of the disease,
but as the infection progresses multiple standards appear, each
having greater accuracy than the last...
P.S. This was written for enjoyment and should not be taken
seriously as an indication of a true medical condition.
I guess I'm a mild case. I bought a rubidium standard/clock "movement"
and I'm slowly building my own atomic clock. I have a WWVB wall clock
and a WWVB wristwatch. I first got the time bug discussing the Chicago
parking meter deal on a Chicago-specific blog. I bought the watch to use
as my car's "chronometer" for parking purposes. I was always vulnerable
to the time bug since childhood and New Year's Eve.
I got my Efratom Rb movement and a frequency divider chip on eBay, of
course. If I were to hit the Lottery, I'd love to get one of those
Agilent 5071A Cs movements!