The document discusses different degrees of death, from soon-to-be dead to irreversibly dead. It explores categories such as reversibly dead, irreversibly dead, and almost dead. Examples are given of people who were considered dead but later revived, such as cases of extreme hypothermia, hyperkalemia, acidosis, and hypercapnia. The document suggests that not everything that appears dead is irreversibly dead, and questions are posed about determining degrees of death.

1. Patricia Gerritsen @pchgerritsen
Anesthesiologist-Intensivist
HEMS Physician
ERASMUS MC
“I’M NOT DEAD”

2. image: Tombstone Generator
NO CONFLICTS
OF INTEREST

3. HOW TO
DIAGNOSE
DEATH
PART TWO:

6. “I’M NOT DEAD”
MONTY PYTHON: THE HOLY GRAIL

7. DEGREE’S OF DEATH
SOON
TO BE DEAD
REVERSIBLY
DEAD
REVERSIBLY
IRREVERSIBLY
DEAD
IRREVERSIBLY
DEAD

8. SOON TO BE DEAD

9. REVERSIBLY DEAD

11. IRREVERSIBLY DEAD

12. PALLOR MORTIS
ALGOR MORTIS
RIGOR MORTIS
LIVOR MORTIS
DECOMPOSITION
IR / REVERSIBLY DEAD

13. IRREVERSIBLY DEAD

14. SUBCATEGORY: ALMOST DEAD

15. REVERSIBLY
IRREVERSIBLY
DEAD

17. ROSC
SROC

18. PUBLISHED
UNPUBLISHED

19. SURVIVAL OF EXTREMES

27. COMING TO AN ICU NEAR YOU SOON….
THE PREVIOUSLY DEAD

28. DEAD SNAKE…

29. NOT ALL THAT LOOKS DEAD,
IS DEAD

31. EASY QUESTIONS ONLY

33. YOU DECIDE…..
SOON
TO BE DEAD
REVERSIBLY
DEAD
REVERSIBLY
IRREVERSIBLY
DEAD
IRREVERSIBLY
DEAD

34. “I’M NOT DEAD” REFERENCES
Adhiyaman V, Adhiyaman S, Sundaram R (2007) The Lazarus phenomenon. Journal of the Royal
Society of Medicine 100:552-557
Ben David et al (2001) Survival After Failed Intraoperative resuscitation: A Case of “Lazarus
Syndrome” Anesth Analg 92(3):690-692
Bolte RG et al (1988) The Use of Extracorporeal Rewarming in a child submerged for 66 minutes.
Journal of the American Medical Association 260(3):377-379
Gilbert M et al (2000) Resuscitation from accidental hypothermia of 13.7oC with circulatory
arrest. The Lancet 355:375-376
Tran H.A. (2005) Extreme hyperkalemia. Southern Medical Journal 98(7): 729-732
Opdahl H (1997) Survival put to the acid test: Extreme arterial blood acidosis (pH 6.33) after near
drowning. Crit Care Med 25(8): 1431-1436
Potkin RT et al (1992) Resuscitation from Severe Acute Hypercapnia. Chest 102:1742 - 45