coding
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This post did not contain any content.wrote on last edited by [email protected]
CPR doesn't bring a decompensated body back to life. You gotta figure out the problem in order to do that and fix it. That's what the algorithms we use in a code is for (as opposed to the algorithms you guys code). That's the real esoteric necromancy. Epi, bicarb, epi.
https://hospitalhandbook.ucsf.edu/04-comprehensive-acls-algorithm/04-comprehensive-acls-algorithm
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CPR doesn't bring a decompensated body back to life. You gotta figure out the problem in order to do that and fix it. That's what the algorithms we use in a code is for (as opposed to the algorithms you guys code). That's the real esoteric necromancy. Epi, bicarb, epi.
https://hospitalhandbook.ucsf.edu/04-comprehensive-acls-algorithm/04-comprehensive-acls-algorithm
But they are literally dead
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But they are literally dead
And they'll stay dead if all you do is CPR. CPR alone is closer to necrophilia than necromancy.
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But they are literally dead
wrote on last edited by [email protected]Not having a heartbeat and not breathing doesn't mean you're dead. Intensive care departments are literally full of people with medically paralysed breathing muscles (i.e. not breathing) on ventilation machines. People go onto heart/lung bypass machines everyday to have heart surgery and their heart is stopped. You just need to keep oxygenated blood going around, keeping those tissues alive till you get the heart and breathing back online (this is what CPR is trying to do).
When the brain stem is dead tissue, then you're truly dead (but even then you can be kept "alive" artificially if you're already on a ventilation machine in a suitable intensive care).
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Not having a heartbeat and not breathing doesn't mean you're dead. Intensive care departments are literally full of people with medically paralysed breathing muscles (i.e. not breathing) on ventilation machines. People go onto heart/lung bypass machines everyday to have heart surgery and their heart is stopped. You just need to keep oxygenated blood going around, keeping those tissues alive till you get the heart and breathing back online (this is what CPR is trying to do).
When the brain stem is dead tissue, then you're truly dead (but even then you can be kept "alive" artificially if you're already on a ventilation machine in a suitable intensive care).
When your heart stops, you are considered dead no matter how viable your brain tissue is.
Source: I have pronounced many persons dead.
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When your heart stops, you are considered dead no matter how viable your brain tissue is.
Source: I have pronounced many persons dead.
wrote on last edited by [email protected]The medical community has long since moved on from the cardiovascular definition of death.
UpToDate.com is about the only source I can be bothered mustering up for an internet disagreement at this time of night:
Death is an irreversible, biologic event that consists of permanent cessation of the critical functions of the organism as a whole [1]. This concept allows for survival of tissues in isolation, but it requires the loss of integrated function of various organ systems. Death of the brain therefore qualifies as death, as the brain is essential for integrating critical functions of the body. The equivalence of brain death with death is largely, although not universally, accepted [2,3]. Brain death implies the permanent absence of cerebral and brainstem functions.
Also this video seems to explain what I'm trying to say, although I'm not going to watch the whole thing at this hour and I only skimmed through it: https://m.youtube.com/watch?v=5IhxRSaJ74E
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Yeah the poster talking about "coding" is talking a bit of nonsense. "Coding" here is slang for "code blue" which is an American medical euphemism for cardiac arrest or medical emergency. Code blue is partially used to not cause alarm with patients (for example if tanoyed or if people overheard staff) and medical staff are familiar with it because its common in the US system. "Coding" is just a slang that medical staff say to each other and is a quasi medical term; its not an official term and would not be written in peoples notes for example.
And it is not an universal term. In the UK we call a cardiac arrest a cardiac arrest and put out an "arrest call". It is unambiguous and doesnt fall into a trap of creating other "codes" that become confusing. Similarly we have Trauma Calls for trauma teams and so on.
Some US hospitals apparently use a range of codes like code purple, code white, code gray etc. To my knowledge its not even standardised in the US or often between nearby hospitals (although code blue wouldn't have other meanings). I wouldn't be surprised if some US hospitals also don't use code blue at all anymore because it is unnecessarily ambiguous.
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