Resuscitation Initiation and Termination
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Early Post-Mortem Changes and Stages of Decomposition in Exposed Cadavers
Exp Appl Acarol (2009) 49:21–36 DOI 10.1007/s10493-009-9284-9 Early post-mortem changes and stages of decomposition in exposed cadavers M. Lee Goff Received: 1 June 2009 / Accepted: 4 June 2009 / Published online: 25 June 2009 Ó Springer Science+Business Media B.V. 2009 Abstract Decomposition of an exposed cadaver is a continuous process, beginning at the moment of death and ending when the body is reduced to a dried skeleton. Traditional estimates of the period of time since death or post-mortem interval have been based on a series of grossly observable changes to the body, including livor mortis, algor mortis, rigor mortis and similar phenomena. These changes will be described briefly and their relative significance discussed. More recently, insects, mites and other arthropods have been increasingly used by law enforcement to provide an estimate of the post-mortem interval. Although the process of decomposition is continuous, it is useful to divide this into a series of five stages: Fresh, Bloated, Decay, Postdecay and Skeletal. Here these stages are characterized by physical parameters and related assemblages of arthropods, to provide a framework for consideration of the decomposition process and acarine relationships to the body. Keywords Decomposition Á Forensic Á Acari Á Post-mortem changes Á Succession Introduction There are typically two known points at the beginning of the task of estimating a period of time since death: the last time the individual was reliably known to be alive and the time at which the body was discovered. The death occurred between these two points and the aim is to estimate when it most probably took place. -
Oregon Report of Death Instructions
Center for Health Statistics Center for Public Health Practice Public Health Division Oregon Health Authority h t Report of Death Instructions These instructions are organized in the same order as the paper version Dea of the death certificate and may be duplicated and distributed to anyone requesting them. You can download the most recent version of these instructions from the Center for Health Statistics website at: https://public.health.oregon.gov/BirthDeathCertificates/RegisterVitalR of ecords/Pages/InstructionsDeath.aspx Mailing Address Oregon Vital Records ort P.O. Box 14050 Portland, OR 97293-0050 p Judy Shioshi (Vital Records Field Liaison) at (971) 673-1166 e Karen Rangan (State Registration Manager) at (971) 673-1160 R Effective January 1, 2014 Revised July 2, 2018 Document Change Activity The following is a record of the changes that have occurred on this document from the time of its original approval. Version# Change Description Author Date 1.0 Instructions modified for new standard certificate effective Niemeyer 1/1/2006 January 1, 2006 1.1 Instructions modified for additional veterans’ questions Jackson 11/29/2011 1.2 Instructions modified to update with changes in ORS Jackson/Shioshi 10/17/2014 1.3 Instructions modified to update sex designations Zapata 03/6/2018 1.4 Updated contact information Welter 7/2/2018 OREGON REGISTRATION OF REPORTS OF DEATH GENERAL INFORMATION The Oregon Revised Statutes are cited only for your reference and are not quoted in their entirety. ORS 432.005 Definitions. (9) “Dead body” means a human body or such parts of such human body from the condition of which it reasonably may be concluded that death occurred. -
The Script – UCF College of Medicine Student Literary Magazine
UCF Arts in Medicine’s Literary Art Magazine Forward from Dean German Letter from the Editors Rx: Death Rx: Reflection On Perspective Angela DelPrete S Dead on Arrival Aryan Sarparast Watercolor piece by – Aryan Sarparast From Here Lauren Richter The Cattle are Lowing Michael Chambers Pathways of Life Michael Metzner Digital photography by – Xinwei Liu Acrylic piece by – Annabel Pino Toward Daylight Robert Humberstone Reflection in Blue Natasha Fortune Digital photography by – Xinwei Liu Heart and Eye Romela Petrosyan Color pencil piece by – Shimoni Kacheria Fragments Angela DelPrete Modern Reality Puxiao Cen, MD Digital photography by – Lourdez Ramirez Working with Death Farah Dosani Epiphany Pedro Vianna Reproduction of Red Romela Petrosyan Vineyard in Arles Acrylic piece by – Farah Dosani Looking Beyond the Body Chelsey McKinnon Rx: Humanity Uniting the Gap - The Heart Michael Metzner This Book Aryan Sarparast The Resurrection of Death Romela Petrosyna Night Malgorzata Krzyszczak Desert Landscape Maha Bano Vulnerability in an Michael Metzner “Invulnerable” Field Sculpture by – Amber Hoang Rx: Time A Mumbai Alley, Monsoon Ashton Lee Season Life is a Song Michael Metzner Digital photography by – Paul D. Schumacher, MD My First Month in Richa Vijayvargiya A Traveler Kyle Kemmerling Medical School Digital photography by – Paul D. Schumacher, MD Perception in Yellow Natasha Fortune What Time Takes Ashton Lee Digital photography by – Lourdez Ramirez Emotions Malgorzata Krzyszczak Digital photography by – Lourdez Ramirez CONTENT Still Here Diane Brackett Uniting the Gap - The Brain Michael Metzner A Message from UCF Webs of Earth Pedro Vianna Arts in Medicine Flow Pedro Vianna Acrylic piece by – Annabel Pino 234 Shaun Ajinkya Cover art by Simon Ho Digital Painting Foreword by the Dean Letter from the editors rt is a fundamental part of life that we all ex- perience. -
A Profile of Out-Of-Hospital Cardiac Arrests in Northern Emirates, United Arab Emirates
A profile of out-of-hospital cardiac arrests in Northern Emirates, United Arab Emirates Alan M. Batt, MSc(c), Ahmed S. Al-Hajeri, BHSc EMHCA, Fergal H. Cummins, MB, MSc (DM). ABSTRACT Results: A total of 384 patients were enrolled in this study. Male victims of out-of-hospital cardiac arrest represented 76% of the participants. The mean age اﻷهداف: دراسة خصائص ضحايا السكتات القلبية خارج of the study population was 50.9 years. An over-all املستشفى واملخرجات في إمارات الشارقة ورأس اخليمة وأم prehospital return of spontaneous circulation rate القيوين والفجيرة وعجمان. of 3.1% was documented, as well as a 30% rate of bystander cardiopulmonary resuscitation being performed. Public access defibrillators were applied in الطريقة:هذه دراسة وصفية استباقية ملجموعة من حاﻻت of cases. Data is presented according to Utstein %0.5 سكتات القلب خارج املستشفى والتي نقلها طواقم اﻹسعاف .reporting criteria الوطني في الفترة من فبراير 2014 حتى مارس 2015. Conclusion: Baseline data for out-of-hospital النتائج: تناولت الدراسة 384 حالة.شكلت %76 من احلاﻻت cardiac arrest was established for the first time in the Northern Emirates of the United Arab Emirates. A ذكور اصيبوا بسكتات قلبية. متوسط العمر ملجموعة البحث هو low survival rate for out-of-hospital cardiac arrest, low 50.9 سنة. نسبة استعادة الدورة الدموية التلقائية التي ُوثقت rates of bystander cardiopulmonary resuscitation, and كانت %3.1 إلى جانب توثيق نسبة %30 من اﻹنعاش القلبي .low public access defibrillator use were discovered الرئوي الذي قام به حاضرون في مكان احلدث. ُاستعني بأجهزة Although low by comparison to established western إزالة الرجفان البطيني اخلارجية املتاحة للجمهور في %0.5 من systems results are similar to other systems in the احلاﻻت وعرضت البيانات وفق مقاييس أوتستاين للتقارير. -
AVMA Guidelines for the Euthanasia of Animals: 2020 Edition*
AVMA Guidelines for the Euthanasia of Animals: 2020 Edition* Members of the Panel on Euthanasia Steven Leary, DVM, DACLAM (Chair); Fidelis Pharmaceuticals, High Ridge, Missouri Wendy Underwood, DVM (Vice Chair); Indianapolis, Indiana Raymond Anthony, PhD (Ethicist); University of Alaska Anchorage, Anchorage, Alaska Samuel Cartner, DVM, MPH, PhD, DACLAM (Lead, Laboratory Animals Working Group); University of Alabama at Birmingham, Birmingham, Alabama Temple Grandin, PhD (Lead, Physical Methods Working Group); Colorado State University, Fort Collins, Colorado Cheryl Greenacre, DVM, DABVP (Lead, Avian Working Group); University of Tennessee, Knoxville, Tennessee Sharon Gwaltney-Brant, DVM, PhD, DABVT, DABT (Lead, Noninhaled Agents Working Group); Veterinary Information Network, Mahomet, Illinois Mary Ann McCrackin, DVM, PhD, DACVS, DACLAM (Lead, Companion Animals Working Group); University of Georgia, Athens, Georgia Robert Meyer, DVM, DACVAA (Lead, Inhaled Agents Working Group); Mississippi State University, Mississippi State, Mississippi David Miller, DVM, PhD, DACZM, DACAW (Lead, Reptiles, Zoo and Wildlife Working Group); Loveland, Colorado Jan Shearer, DVM, MS, DACAW (Lead, Animals Farmed for Food and Fiber Working Group); Iowa State University, Ames, Iowa Tracy Turner, DVM, MS, DACVS, DACVSMR (Lead, Equine Working Group); Turner Equine Sports Medicine and Surgery, Stillwater, Minnesota Roy Yanong, VMD (Lead, Aquatics Working Group); University of Florida, Ruskin, Florida AVMA Staff Consultants Cia L. Johnson, DVM, MS, MSc; Director, -
SC-40-102 Animal Care Program Euthanasia Procedures
UC Davis Office of the Attending Veterinarian Standards of Care Policy: SC-40-102 Date: 10/31/20 Enabled by: The Guide, APHIS, AVMA, IACUC /AV Supersedes: IACUC Policy, ALL Previous versions Title: Euthanasia Procedures for the UC Davis Animal Care Program I. Purpose: The purpose of this policy is to establish minimum standards for euthanasia for species in the lab animal setting. II. Policy: All units providing animal care must meet or exceed these minimum requirements for euthanasia based on the Guide for the Care and Use of Laboratory Animals, the Ag Guide and the AVMA Guidelines for the Euthanasia of Animals. Research staff shall use the methods approved in their animal protocol. Veterinary Staff and Husbandry staff may use an AVMA approved method as described below, provided the appropriate training and certification have been completed. III. Procedure: Refer to the AVMA Guidelines on Euthanasia for approved euthanasia methods: http://www.avma.org/KB/policies/Documents/euthanasia.pdf The agents and methods of euthanasia appropriate for rodent species are available in the AVMA Guidelines for the Euthanasia of Animals: 2020 Edition or subsequent revisions of that document. Euthanasia is the procedure of killing an animal rapidly, painlessly, and without distress. Euthanasia must be carried out by trained personnel using acceptable techniques in accordance with applicable regulations and policies. The method used should not interfere with postmortem evaluations. Proper euthanasia involves skilled personnel to help ensure that the technique is performed humanely and effectively and to minimize risk of injury to people. Personnel who perform euthanasia must have training and experience with the techniques to be used. -
Critical Corpse Studies: Engaging with Corporeality and Mortality in Curriculum
Taboo: The Journal of Culture and Education Volume 19 Issue 3 The Affect of Waste and the Project of Article 10 Value: April 2020 Critical Corpse Studies: Engaging with Corporeality and Mortality in Curriculum Mark Helmsing George Mason University, [email protected] Cathryn van Kessel University of Alberta, [email protected] Follow this and additional works at: https://digitalscholarship.unlv.edu/taboo Recommended Citation Helmsing, M., & van Kessel, C. (2020). Critical Corpse Studies: Engaging with Corporeality and Mortality in Curriculum. Taboo: The Journal of Culture and Education, 19 (3). Retrieved from https://digitalscholarship.unlv.edu/taboo/vol19/iss3/10 This Article is protected by copyright and/or related rights. It has been brought to you by Digital Scholarship@UNLV with permission from the rights-holder(s). You are free to use this Article in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s) directly, unless additional rights are indicated by a Creative Commons license in the record and/ or on the work itself. This Article has been accepted for inclusion in Taboo: The Journal of Culture and Education by an authorized administrator of Digital Scholarship@UNLV. For more information, please contact [email protected]. 140 CriticalTaboo, Late Corpse Spring Studies 2020 Critical Corpse Studies Engaging with Corporeality and Mortality in Curriculum Mark Helmsing & Cathryn van Kessel Abstract This article focuses on the pedagogical questions we might consider when teaching with and about corpses. Whereas much recent posthumanist writing in educational research takes up the Deleuzian question “what can a body do?,” this article investigates what a dead body can do for students’ encounters with life and death across the curriculum. -
Do Not Resuscitate (Dnr), Physician Orders for Life-Sustaining Treatment (Polst), & End of Life Options (Aid-In-Dying Drug)
Yolo County Emergency Medical Services Agency Policy Revised Date: September 1, 2018 DO NOT RESUSCITATE (DNR), PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT (POLST), & END OF LIFE OPTIONS (AID-IN-DYING DRUG) PURPOSE To provide a mechanism to allow patients to refuse unwanted resuscitation attempts and ensure that patient's rights to control their own medical treatment are honored. AUTHORITY Health & Safety Code, Division 2.5, Chapter 4, Article 1, § 1797.220 Health & Safety Code, Division 2.5, Chapter 5, §§ 1798, 1798.2 California Code of Regulations, Title 22, Division 9 Guidelines for EMS Personnel Regarding Do Not Resuscitate (DNR) Directives, (EMSA # 111), California Emergency Medical Services Authority DEFINITIONS Advanced Health Care Directive (AHCD): A written document that allows an individual to provide healthcare instructions and/or appoint an agent to make healthcare decisions on their behalf if they are unable or if they prefer to have someone speak for them. AHCD is the legal form for healthcare proxy or durable power of attorney for healthcare and living will. Aid-in-Dying Drug: A drug (or combination of drugs) prescribed by a Physician for a qualified individual, which the qualified individual may choose to self-administer to bring about his or her death due to a terminal illness. The prescribed drug(s) may take effect within minutes to several days after self-administration. Basic Life Support (BLS) Measures: The provision of treatment designed to maintain adequate circulation and ventilation for a patient in cardiac arrest without the use of drugs or special equipment. Examples include: I. Assisted ventilation via bag-valve mask (BVM) device II. -
March 2002 VES NSW Newsletter Page 3 the Slippery Slope
VOLUNTARY EUTHANASIA SOCIETY OF NEW SOUTH WALES (INC.) ACN 002 545 235 Patron: Prof Peter Baume AO FRACP FRACGP NEWSLETTER ISSN 0813-5614 Number 96 March 2002 The Netherlands Legalises Euthanasia Contents Source: BBC, 1 January 2002 The Netherlands Lethal injection will end suffering for the terminally-ill. The Legalises Euthanasia 1 Netherlands has become the first country in the world to legalise euthanasia, giving terminally-ill patients the right to end their Dutch Poll 2 lives.* The new law means that doctors no longer face prosecution for carrying out mercy killings if they are performed with due care. Belgians follow Dutch 2 Strict conditions apply, with regional review committees made Letters 3 up of legal, medical, and ethical experts carefully judging each patient’s request. A second medical opinion will be needed, and For your diary 3 the suffering of the patient must be deemed to be unbearable. Only where there is doubt will the case be referred to the public A-Prof Helga Kuhse: prosecutor. The upper house of the Dutch parliament approved the legislation last April and it came into force on 1 January 2002. The Slippery Slope 4 Euthanasia has been tolerated for decades in the Netherlands. Dead, Death, Dying - The BBC’s reporter in The Hague, says the case inflamed By Any Other Name 9 public debate over whether a person who is not physically ill should have the right to die. Many feel the guidelines for Lords Dismiss Die Appeal 10 euthanasia are too strict and that some patients are denied a humane death when their requests for assisted suicide are turned Pain-Killers ‘Hasten’ down. -
PCM3 End of Life Session 1
PCM3 End of Life Session 1 Today’s Agenda 9:45-10:30 The Dying Process Theresa Kristopaitis, MD 10:30-11 Organ Donation: Basics for Physicians Eric Price D.M., M.Div., BCC; Gift of Hope 11:10- 12:10 End of Life Ethics/Ethical Myths Katherine Wasson, PhD 12:10-12:45 “Comfort Care” Theresa Kristopaitis, MD ____________________________________________________ 12:45-12:50 Hand Hygiene Jorge Parada, MD 12:50-1:00 Information on the Topics in Clinical Medicine 3 (TCM3) Exam EOL Session 2 – April 2017 Giving Bad News Discussing Code Status Hospice and Palliative Care Faculty Panel Discussion– How We Cope • A 57-year old man is diagnosed with widely metastatic pancreatic adenocarcinoma • A 33-year old woman suffers multiple severe life-threatening injuries, including severe head injury, in an MVA. • An 81 year old man with systolic heart failure (LVEF 45%), severe aortic stenosis, COPD, diabetes mellitus type 2, and mild dementia falls and sustains a complex pelvic fracture; the medical and orthopedics teams are discussing nonoperative vs operative management with the patient and his family • An 11-year old with metastatic rhabdomyosarcoma has disease progression while on treatment • A 27-year old man is declared brain dead after a skiing accident • A 56-year old woman with advanced heart failure and multiple other medical problems is being evaluated for destination LVAD • An 85-year old woman with severe dementia is hospitalized with aspiration pneumonia • A 14-year old is shot while walking into his home and is moribound when paramedics arrive at the scene • A 66-year old man with metastatic lung cancer is visited in his home by the hospice chaplain • A 56-year old woman is hospitalized x 4 weeks with severe pancreatitis and has progressive ongoing multi- organ system failure • A 33- year old woman is diagnosed with glioblastoma multiforme • A 74-year old man has progressive ALS • A full-term infant is still-born For the majority…. -
Dead on Arrival – Processing Cases 1. Guideline Ap
Effective Date: November 23, 2012 Revision Date: Ontario Veterinary College Health Sciences Centre September, 2017 Guideline Page 1 of 6 Subject Matter: Dead On Arrival – Processing Cases Statement – This Guideline outlines the process for handling dead on arrival cases, “DOA”, that arrive at the OVC Health Sciences Centre, “OVC HSC”, during regular business hours or during the after-hours period. 1. Guideline Applicability i. This Guideline applies to client owned animals that are admitted by the OVC HSC. ii. This Guideline does not apply to client owned animals donated to Pathobiology or Clinical Studies for educational purposes. Note: Owners, general public, wishing to donate their animal for educational use by OVC must contact the Department of Clinical Studies or Pathobiology, directly. 2. Scenarios i. Not an OVC HSC Client/Patient (includes animals brought in by good Samaritans) a. The OVC HSC does not have a relationship with the owner, agent or animal. b. The animal was not referred. c. The animal died en route or was pronounced dead at the OVC HSC. d. Disposal offered as a goodwill gesture with post mortem available, via the Animal Health Laboratory “AHL”, if the owner/agent wants to pay for it. ii. OVC HSC Client/Patient or New Referral Client/Patient a. The animal is an existing patient of the OVC HSC and died en route or upon arrival at the OVC HSC. b. The animal, not currently registered with OVC HSC as a patient, was referred to OVC HSC by their veterinarian but died en route or was pronounced dead at the OVC HSC. -
The Use of Anencephalic Infants As an Organ Source: an On-Going Question
\\jciprod01\productn\E\ELO\4-1\ELO103.txt unknown Seq: 1 14-MAY-12 17:13 NOTES THE USE OF ANENCEPHALIC INFANTS AS AN ORGAN SOURCE: AN ON-GOING QUESTION SAMANTHA J. GILMAN1 “In an absolute sense, no one can ever know what is ultimately the right choice: we simply cannot forecast the future.”2 INTRODUCTION “The condition of anencephaly has attracted considerable . at- tention in medical, legal, ethical, religious, and lay discussions”3 over the past two and a half decades, and as a result many have begun to study these infants and the numerous issues that arise from their exis- tence. One of those on-going issues is whether infants born with anencephaly could and/or should be used as an organ source for other infants. While anencephaly is a fairly well-documented and distinct condi- tion,4 few individuals in the public have ever heard of it, let alone ex- plain what it is. It has been defined by the Medical Task Force on Anencephaly as “a congenital absence of a major portion of the brain, 1 J.D., Elon University School of Law. Special thanks to Professor Helen Grant, who was a wonderful sounding board for my ideas, and who really helped me in the final stages of writing by taking the time to give exceptionally helpful suggestions and critiques. 2 Jennifer S. Bard, The Diagnosis is Anencephaly and the Parents Ask About Organ Dona- tion: Now What? A Guide for Hospital Counsel and Ethics Committees, 21 W. NEW ENG. L. REV. 49, 80-81 (1999).