The moments just prior to death may consist of what is called "the death rattle". This process is typified by loud bursts, gasps, convulsions and/or heaving. Some lucky patients have overcome this sorry state to die another day. The agonal phase and its aftermath is the subject of intense debate in the medical community. The debate concerns the actual time of death and the appropriate strategies to maintain life until the cellular structures in the body cease to operate at any level to sustain life.
The curious case of an aspiring orthopedic surgeon (Dr. Bagenholm) is described in Dr. Gupta's book. There is some debate about whether or not this case has ever been presented for a peer review. There was a snow accident followed by a deep freeze of the body and resuscitation on a heart-lung machine to rewarm the blood. The attachment of an ECMO artificial lung got the heart to beat producing blood pressure and kidney function. The objective was to keep the patient dry and warm with limited drugs. There is much debate about the actual point of death. A rule of thumb allows at least a 6 hour period after which the process is said to be irreversible.
A strength of the work is that the author explains the sources of the stories together with a host of professional journals to help support the science described in the book. Typical citations are from the following:
o the Annals of Surgery o Circulation o Proceedings of the National Academy of Sciences
The volume is reasonably priced for the extremely valuable information content presented.
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Dr Joseph S Maresca (JSMaresca)
Dr. Joseph S. Maresca CPA, CISA Amazon / KDP Books: SEARCH- America's Comparative Advantage by Dr Joseph S Maresca SEARCH- The Solar Energy Potential … more
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