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The Curious Clinicians
[Archive] The Last Breath
Aug 24, 2023
The Curious Clinicians discuss the history of death exams, scandals and ethical considerations. They explore inaccurate death diagnoses and the fear of premature burials in the 19th century. The podcast also dives into controversial methods for determining death, the role of death exams in organ transplantation, and debates about the definition of death.
35:09
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Quick takeaways
- The controversy surrounding the definition of irreversibility in death criteria has significant implications for organ transplantation and the success of heart donors.
- The Lazarus phenomenon, where patients regain spontaneous circulation after unsuccessful CPR, challenges the certainty of death determination and raises ethical concerns about the accuracy of declaring death.
Deep dives
Controversy 1: Are patients who meet permanent criteria actually dead?
One of the controversies discussed in the podcast episode revolves around whether patients who meet permanent criteria of circulatory death are actually dead, particularly in the case of heart donors. The debate focuses on the definition of irreversibility and whether the absence of circulatory and respiratory functions, even with no chance of return after CPR, truly represents irreversible loss. This controversy becomes especially significant in the context of organ transplantation, where using the permanent criteria allows for shorter warm ischemia periods, increasing the chance of successful transplants.
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