MEDRADSC 3Y03 Lecture Notes - Lecture 9: Stethoscope, Glasgow Coma Scale, Rigor Mortis
9 Aug 2020
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Lecture 9 - defining death decision making for end of life. Somatic criteria; i. e. presence of decomposition and rigor mortis (oldest in. History of diagnosing death human history)-putrefaction: link between breath and life is equally as ancient. Need to diagnose death using neurological criteria that follows cessation of spontaneous respiration: advent of mechanical ventilation-1938, 1952 patients with polio, halted inevitable circulatory collapse, first time in human history- need neurological criteria. Indicator of medical futility depasse to perform first transplantation from a heart-beating donor. Whole brain: neocortical-a person is dead when higher brain functions have ceased, including, whole brain- includes cessation of higher brain and lower brain cessation consciousness and voluntary movement practitioner life support (spontaneous respiration, pupils and reflex. Manitoba the death of a person takes place at the time at which irreversible cessation of all that person"s brain function .
