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Thread: Brain activity during death or near/death

  1. #26
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    Brain activity during death or near/death

    Quote Originally Posted by old goat View Post
    That's why I let the little people do it.

    .
    Isnt the preferred term migits?
    Last edited by mcski; 04-03-2024 at 10:20 PM.

  2. #27
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    Semi off topic but anyone seen the hypothesis that consciousness is quantum? Crazy, would make sense though.

    https://www.scirp.org/journal/paperi...m%20phenomenon.


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  3. #28
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    Quote Originally Posted by neufox47 View Post
    Semi off topic but anyone seen the hypothesis that consciousness is quantum? Crazy, would make sense though.

    https://www.scirp.org/journal/paperi...m%20phenomenon.


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    Since no one understands either one, it makes sense.

  4. #29
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    Quote Originally Posted by mcski View Post
    Isnt the preferred term migits?
    That’s offensive.

    It’s spelled “midgets”.


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  5. #30
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    Quote Originally Posted by Meadow Skipper View Post
    Giving CPR is exhausting.
    That’s why the Lucas device was invented. And with how good they are, there are CPR induced consciousness sedation protocols floating around. I’ve worked codes where the patient is gripping handrails with compressions and stop on rhythm checks. Pupils darting around etc. It def raises the stakes from a couple rounds and calling it to doing everything possible.

  6. #31
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    Some paddling buds were up near whistler where one of the party ( don't know that guy ) got caught in an underwater cave on a drop for they figure 8 minutes before he popped out, they got him on shore where one of the group an ER MD started working on him, they got him lined out by chopper and into an oxygen tent over night and he survived

    they figure cuz of the cold water
    Lee Lau - xxx-er is the laziest Asian canuck I know

  7. #32
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    Quote Originally Posted by AK47bp View Post
    That’s offensive.

    It’s spelled “midgets”.


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    That spelling is offensive

  8. #33
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    Quote Originally Posted by old goat View Post
    That's why I let the little people do it
    OT but since you mentioned ecmo, what’s your take on ecpr? Pretty fuckjn resource intensive but crazy potential

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  10. #35
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    Quote Originally Posted by snapt View Post
    That’s why the Lucas device was invented. And with how good they are, there are CPR induced consciousness sedation protocols floating around. I’ve worked codes where the patient is gripping handrails with compressions and stop on rhythm checks. Pupils darting around etc. It def raises the stakes from a couple rounds and calling it to doing everything possible.
    Thank you for giving me another reason to be DNR


    Quote Originally Posted by XXX-er View Post
    Some paddling buds were up near whistler where one of the party ( don't know that guy ) got caught in an underwater cave on a drop for they figure 8 minutes before he popped out, they got him on shore where one of the group an ER MD started working on him, they got him lined out by chopper and into an oxygen tent over night and he survived

    they figure cuz of the cold water
    When I was a med student we had a two year old victim of cold water near drowning--backyard pool in Michigan in November. She was pronounced dead after prolonged cpr in the ER but then started breathing on her own, heart started on its own. She went home in 2 weeks. She was the index patient in a now classic paper on cold water drowning. The axiom is--you're not dead until you're warm and dead.
    https://www.nytimes.com/1977/08/07/a...flex-plus.html

    Quote Originally Posted by Squirreljam View Post
    OT but since you mentioned ecmo, what’s your take on ecpr? Pretty fuckjn resource intensive but crazy potential
    Yeah, ecpr is basically ecmo out of the hospital (or in the hospital). We were talking about it in the medical care cost thread. I think it's a great thing for the people benefitted but in a world where we can't spend unlimited money and manpower on medical care the effort would be better spent on preventative care--better to keep 100 middle aged people from having heart attacks than to save the life of one who has one.

  11. #36
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    Brain activity during death or near/death

    Advocating limited intervention and DNR by my mother for my father when he experienced severe brain bleeding this winter was both the most challenging and the most straight forward decision she had to make regarding his care.

    You hear about people in their death bed “waiting” for their loved one to arrive and then very quickly fading. It always makes me wonder what’s actually going on and how that happens.

    I used to work in a brainwave lab with a fairly well known neuroscientist. A lot of her research focused on early cognition. It’d be fascinating to know how that changes in those last stages.

    I continue to be fascinated with how Huxley intentionally dosed on his death bed. Seems like a good way to go.

  12. #37
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    Quote Originally Posted by Squirreljam View Post
    OT but since you mentioned ecmo, what’s your take on ecpr? Pretty fuckjn resource intensive but crazy potential
    We’re going to see developments in the future that allow EMTs to perform ECPR rather than requiring a team with a specialized physician. There are rumors that the military has at least a prototype. The bigger issue will be institutional protocols and patient selection because right now an ECMO patient uses an ICU bed while they are on the circuit.

    My wife is well published RE ECMO if you have any specific questions you want me to pass along. One of her research goals is to develop more internal feedback so that flow/mixing can be automated, which hypothetically would lower the human resource burden.

  13. #38
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    Had 2 NDE.
    The 2nd was significant in what could best be described as total peace. I have never felt such tranquility ever in my life or since. When I heard a voice tell me I had to go back I lost my shit. When I came to I was besides myself begging to go back.

    Since then I don't fear death but I often wonder if that was my brain coping with loss of consciences but that voice was loud and clear. I saw no beings nor anything but pure light. I guess I'll know when my number is up.

  14. #39
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    Quote Originally Posted by ghosthop View Post
    We’re going to see developments in the future that allow EMTs to perform ECPR rather than requiring a team with a specialized physician.
    My gut reaction is not in my lifetime, but then again finger thoracotomies and blood products are becoming a norm so who knows.

  15. #40
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    More than slightly OT but I believe time is flexible to the human mind. Those seconds between when your brain stops getting O2 and when Brain Death occurs "could" be an eternity.
    I have been in this State for 30 years and I am willing to admit that I am part of the problem.

    "Happiest years of my life were earning < $8.00 and hour, collecting unemployment every spring and fall, no car, no debt and no responsibilities. 1984-1990 Park City UT"

  16. #41
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    My best ski bud died of a heart attack 12 years ago.
    No pulse or respiration when he arrived at ER
    They shocked him back to life, did a stent on the widowmaker artery and he was back skiing three weeks later

    Said that there was nothing between the time he went down and when revived at hospital. No light, no tunnel, no voices, no nothing.

  17. #42
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    The Streets know the score!

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    Friday night TGR getting a bit nutty wtf! lol

    Edit guess I'll just add to the vibe by fucking up the day..

  20. #45
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    Quote Originally Posted by TBS View Post
    My best ski bud died of a heart attack 12 years ago.
    No pulse or respiration when he arrived at ER
    They shocked him back to life, did a stent on the widowmaker artery and he was back skiing three weeks later

    Said that there was nothing between the time he went down and when revived at hospital. No light, no tunnel, no voices, no nothing.
    Same, buddy arrested out of hospital, on ECMO x 3 days. Survived without neurological sequelae.

    He mentioned same as your buddy.

    Anoxia/hypoperfusion/no perfusion is probably like getting 100mg of propofol. 3…2….1…. You’re out.

  21. #46
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    Quote Originally Posted by Thaleia View Post
    Friday night TGR getting a bit nutty wtf! lol

    Edit guess I'll just add to the vibe by fucking up the day..
    It's Saturday dood.
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  22. #47
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    Quote Originally Posted by MakersTeleMark View Post
    It's Saturday dood.
    Shhhh. Go with it.

  23. #48
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    Quote Originally Posted by Trackhead View Post
    Same, buddy arrested out of hospital, on ECMO x 3 days. Survived without neurological sequelae.

    He mentioned same as your buddy.

    Anoxia/hypoperfusion/no perfusion is probably like getting 100mg of propofol. 3…2….1…. You’re out.
    Same report from a friend who survived an extended avi burial (pretty sure you know the incident). He's also pretty religious FWIW.

  24. #49
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    Quote Originally Posted by Trackhead View Post
    Same, buddy arrested out of hospital, on ECMO x 3 days. Survived without neurological sequelae.

    He mentioned same as your buddy.

    Anoxia/hypoperfusion/no perfusion is probably like getting 100mg of propofol. 3…2….1…. You’re out.
    Same report from a friend who survived an extended avi burial (pretty sure you know the incident). He's also pretty religious FWIW.

  25. #50
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    Well were they all dead or just mostly dead? There's a big difference.

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