How long is the max a human body can be dead before being revived through CPR, etc?

Jugernot

Diamond Member
Oct 12, 1999
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I know each case is different (stroke, heart attack, etc.) but assuming the body is still capable and your heart has stopped, how long can a body be dead before it can no longer be revived through CPR, shock, etc? This is of course barring the body being frozen under a lake or something else that can prolong your chances.

Anyone?

btw, I tried looking on Google, but am getting to many mixed results on unrelated topics.
 

Yossarian

Lifer
Dec 26, 2000
18,010
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81
If you include useful brain function upon recovery, I think it's only like 10 minutes tops.
 

rudder

Lifer
Nov 9, 2000
19,441
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The amount of time depends on whether you want the person revived to live as a vegetable the rest of their life. I think at normal temperature, after just a few minutes there is some brain damage.
 

StageLeft

No Lifer
Sep 29, 2000
70,150
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It's at least 10 and I think it may be as much as 20, but I don't know for sure. I do know that the longer they go obviously the chances of them being revived diminish quickly and the longer they go even if they are revived the chances of severe brain damage increase quickly. There is an official cutoff, AFAIK, after which point you're not even supposed to try and revive them because there is no hope, and if you're lucky and do revive them, they'll be a veggie anyway.
 

rahvin

Elite Member
Oct 10, 1999
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As I understand it, it's about 5 minutes for brain death to begin unless the temperatures are very low. For example if your drown in a frozen lake they may have up to 20min before there is brain damage.
 

fonzinator

Senior member
Nov 5, 2002
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I seem to remember from my 5 years of life guarding, that at 3 minutes without oxygen, there is an high chance of some brain damage. At 6 minutes, severe brain damage will be imminent. Anything much longer, and the brain will be damaged beyond repair.
 

GasX

Lifer
Feb 8, 2001
29,033
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Time since breathing ceased:
0-1 minutes - mild cardiac disturbances (not permanent)
1-4 minutes - no brain damage likely
4-6 minutes - brain damage possible
6-10 minutes - brain damage likely
10+ minutes - permanent brain damage

source: PADI Recue Diver Manual

The timeline can be greatly extended if the victim is VERY cold. i.e. drowned in 35 degree water
 

dullard

Elite Member
May 21, 2001
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Of course they were never really dead - but just were missing some of the critical functions that will eventually lead to death.
 

GasX

Lifer
Feb 8, 2001
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Originally posted by: dullard
Of course they were never really dead - but just were missing some of the critical functions that will eventually lead to death.
that depends on your definition of dead... ;)

 

dullard

Elite Member
May 21, 2001
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Originally posted by: Mwilding
Originally posted by: dullard
Of course they were never really dead - but just were missing some of the critical functions that will eventually lead to death.
that depends on your definition of dead... ;)
My definition of dead is that you cannot be revived. Some people's definition of dead is no pulse and no breathing - but of course that simply means your heart and lungs aren't doing their job, it doesn't mean you are dead.

If your heart is stopped forever and cannot be revived, your heart is dead. But of course you can get an artificial heart or a heart transplant and your body is still alive. Same goes with the lungs. So PARTS can be dead with other PARTS alive.
 

GasX

Lifer
Feb 8, 2001
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Originally posted by: dullard
Originally posted by: Mwilding
Originally posted by: dullard
Of course they were never really dead - but just were missing some of the critical functions that will eventually lead to death.
that depends on your definition of dead... ;)
My definition of dead is that you cannot be revived. Some people's definition of dead is no pulse and no breathing - but of course that simply means your heart and lungs aren't doing their job, it doesn't mean you are dead.
A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...

 

dullard

Elite Member
May 21, 2001
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Originally posted by: Mwilding
A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...
I do not think that person is dead while under surgery. The brain still functions, the cells are still doing their duties, etc - thus the person is alive. That is why I disagree with the typical diagnosis of death.

 

Amused

Elite Member
Apr 14, 2001
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Originally posted by: Mwilding
Originally posted by: dullard
Originally posted by: Mwilding
Originally posted by: dullard
Of course they were never really dead - but just were missing some of the critical functions that will eventually lead to death.
that depends on your definition of dead... ;)
My definition of dead is that you cannot be revived. Some people's definition of dead is no pulse and no breathing - but of course that simply means your heart and lungs aren't doing their job, it doesn't mean you are dead.
A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...

No brain activity? I think not.

(Ain't I punny?)
 

GasX

Lifer
Feb 8, 2001
29,033
6
81
Originally posted by: dullard
Originally posted by: Mwilding
A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...
I do not think that person is dead while under surgery. The brain still functions, the cells are still doing their duties, etc - thus the person is alive. That is why I disagree with the typical diagnosis of death.
open heart requires killing the patient. Zero Heart rate (as evidenced by the fact that it is partially separated from its plumbing), Zero Respiration, Zero brain activity. Granted the patient is perfused with chilled blood and cooled WAY down, but they are dead for the duration of the surgery....

 

StageLeft

No Lifer
Sep 29, 2000
70,150
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Let's put it this way. If you're washed in an acid bath and reduced down to a colorful stew I think you're dead.
 

prvteye2003

Diamond Member
Jun 19, 2003
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Originally posted by: Mwilding
Time since breathing ceased:
0-1 minutes - mild cardiac disturbances (not permanent)
1-4 minutes - no brain damage likely
4-6 minutes - brain damage possible
6-10 minutes - brain damage likely
10+ minutes - permanent brain damage

source: PADI Recue Diver Manual

The timeline can be greatly extended if the victim is VERY cold. i.e. drowned in 35 degree water

This is very accurate. Being a paramedic and having performed CPR over 200+ times, it is very difficult and next to impossible to save anyone once the heart has stopped. There are so many different levels and reasons why ones heart has stopped. Also, depending on what the heart is doing at the time this happens, the treatments are different.(defibrillation, cardiac drugs, etc.) I've been right there with patients that arrested and had all the equipment and drugs with me and still could not save them. From what I was taught, after 4 minutes, the brain begins to die from lack of oxygenated blood. CPR helps in that blood is pumped to the heart and brain but only if performed correctly. One other thing is that when you do the rescue breathing part of CPR, you are only blowing in 16% O2 when you normally inhale 21% O2. That's one factor the person has against them. Another is that CPR, even if performed correctly and perfectly, is not even close to being as efficient as the human heart. Although I've seen people revived and have revived people myself, most people that have an infarct to the extent that they go unconscious because of a damaged heart, are pretty much fvcked. Consider yourself lucky or your loved ones if theyve lived through such an ordeal.
 

prvteye2003

Diamond Member
Jun 19, 2003
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Sorry it's so long


Originally posted by: dullard
Originally posted by: Mwilding
A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...
I do not think that person is dead while under surgery. The brain still functions, the cells are still doing their duties, etc - thus the person is alive. That is why I disagree with the typical diagnosis of death.

There are 2 definitions of being dead:

Comment: if somebody pointed that out, they were wrong. The
definition of "clinical death" stays the same, while it is the
definition of LEGAL death which keeps changing. "Clinical"
comes from a Greek word meaning bed, and refers in the practice
of medicine to work done at the bedside with ordinary physician's
tools (as opposed to work done in the lab, or with fancy mac-
hines). Thus, "clinical death" is diagnosed with a stethoscope
and a penlight. EEG machines and angiography play no part in it,
though they may (or may not) play a role in the definition of
legal death in some places and under some circumstances.

Please note that the Venn diagram of "legal death" and
"clinical death" is one of two partly intersecting circles. Some
people are clinically dead but not legally dead (i.e., all those
who haven't been pronounced, and even a few who are going to be
yet resuscitated); some people are legally dead but not clin-
ically dead (i.e., brain dead people on ventilators who've been
pronounced); and finally some people are BOTH legally dead and
clinically dead. Cryonics in practice requires legal death (the
last time cryonicists began the procedure with a patient who was
clinically dead but not yet legally dead, a lot of people got
into a lot of trouble). So far, all cryonics patients have been
clinically dead at the start of the procedure as well, but there
is no reason to think that this may always be the case.

As terms, legal death and clinical death each have problems,
and which one you use depends on the job you want to do. Legal
death, of course, does not describe an objective state-- it
merely represents some kind of formal social stamp of approval.
Thus a person is REALLY legally dead only in the sense that he is
REALLY married, or REALLY a doctor. Clinical death, on the other
hand, describes a more objective phenomenon: circulatory cessa-
tion, implying (at higher temperatures) rapid ischemic damage.
It does not imply or require permanent loss of the person, but on
the other hand, no one can say just when (objectively) such a
thing occurs. Without doubt, in fact, it occurs gradually in
most cases as a sort of slow fading. In one sense, all the
people that Alcor cares for as patients are not dead, but dying.
When the cryonics process starts they were all dying quite fast,
but by the time they get to -196 Centigrade, they're dying quite
slowly.
 

Ladies Man

Platinum Member
Oct 9, 1999
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Originally posted by: Mwilding
Originally posted by: dullard
Originally posted by: Mwilding
A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...
I do not think that person is dead while under surgery. The brain still functions, the cells are still doing their duties, etc - thus the person is alive. That is why I disagree with the typical diagnosis of death.
open heart requires killing the patient. Zero Heart rate (as evidenced by the fact that it is partially separated from its plumbing), Zero Respiration, Zero brain activity. Granted the patient is perfused with chilled blood and cooled WAY down, but they are dead for the duration of the surgery....

You sir are an idiot.

The person is put on a heart and lung machine and maintains brain activity the entire time. Yes they make the heart stop beating etc etc etc but the person still has blood flow, and still has brain activity.
 

Ryan

Lifer
Oct 31, 2000
27,519
2
81
Originally posted by: Ladies Man
Originally posted by: Mwilding
Originally posted by: dullard
Originally posted by: Mwilding A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...
I do not think that person is dead while under surgery. The brain still functions, the cells are still doing their duties, etc - thus the person is alive. That is why I disagree with the typical diagnosis of death.
open heart requires killing the patient. Zero Heart rate (as evidenced by the fact that it is partially separated from its plumbing), Zero Respiration, Zero brain activity. Granted the patient is perfused with chilled blood and cooled WAY down, but they are dead for the duration of the surgery....
You sir are an idiot. The person is put on a heart and lung machine and maintains brain activity the entire time. Yes they make the heart stop beating etc etc etc but the person still has blood flow, and still has brain activity.

Haven't you ever heard of Russian heart transplants? I read an article in National Geographic about it, where they pack ice all around the patient, then perform heart surgery without a heart-lung machine (their core temperature are dropped to VERY low temperatures). IIRC, they would be DEAD for up to 10 minutes.

http://www.pbs.org/wgbh/amex/partners/breakthroughs/b_history_02.html
 

prvteye2003

Diamond Member
Jun 19, 2003
3,876
1
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Originally posted by: rbloedow
Originally posted by: Ladies Man
Originally posted by: Mwilding
Originally posted by: dullard
Originally posted by: Mwilding A patient undergoing open heart surgery often spends up to an hour with their heart disconnected from their body, no respiration and no brain activity. Are they dead? I guess the answer is no, but you wonder why these guys think they are god...
I do not think that person is dead while under surgery. The brain still functions, the cells are still doing their duties, etc - thus the person is alive. That is why I disagree with the typical diagnosis of death.
open heart requires killing the patient. Zero Heart rate (as evidenced by the fact that it is partially separated from its plumbing), Zero Respiration, Zero brain activity. Granted the patient is perfused with chilled blood and cooled WAY down, but they are dead for the duration of the surgery....
You sir are an idiot. The person is put on a heart and lung machine and maintains brain activity the entire time. Yes they make the heart stop beating etc etc etc but the person still has blood flow, and still has brain activity.

Haven't you ever heard of Russian heart transplants? I read an article in National Geographic about it, where they pack ice all around the patient, then perform heart surgery without a heart-lung machine (their core temperature are dropped to VERY low temperatures). IIRC, they would be DEAD for up to 10 minutes.

<a href="http://www.pbs.org/wgbh/amex/partners/breakthroughs/b_history_02.html">[url]http://www.pbs.org/wgbh/amex/partners/breakthroughs/b_history_02.html</A>[/q[/url]

I would thing that would be awefully risky! I really doubt they did it without the heart/lung machines. It doesn't take a rocket scientist to know the noone can live without oxygen and bloodflow to the heart and brain.
 

Ryan

Lifer
Oct 31, 2000
27,519
2
81
Did you even read the link I posted? In 1950, before the heart lung machine was created:

"Dr. Bill Bigelow experiments with lowering the patient's body temperature, thus slowing down all the vital organs. This provides a way for surgeons to get into the heart without the patient bleeding to death. A surgeon may have as long as ten minutes to operate before the patient begins to suffer from oxygen deprivation, whereas previously, the surgeon would have been lucky to have four minutes."

This technique has further been improved, and it was used in Russia to perform operations when heart-lung machines were hard to come by - the time the surgeon has to work on the heart had also been prolonged due to certain drugs which would better help organs cope with oxygen deprivation.
 

glugglug

Diamond Member
Jun 9, 2002
5,340
1
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According to Seven of nine, dead drones can be revived up to 72 hours after what you would call "death".
Then there are the dead drones that were cryogenically frozen and found by the Enterprise crew and revived after hundreds of years.