Determination Of Death Flashcards
When is the process of confirming asystole?
Check 2 leads
Run a 6 second strip
How long to check for carotid to confirm no pulse
10 sec
Where does rigor start?
Begins in jaw and ends in feet
When does rigor start?
When is rigor at is max?
Start - 1-6 hours
Max at 6-24 hours
When does lividity begin to develop?
When dot it reach its max?
1/2-2 hrs
8-12 hrs
6 Conditions that require minimal examination to confirm Death.
1) Decapitation
2) Incineration
3) Decomposition
4) Separation of brain or heart from body
5) Rigor Mortis - physical exam of jaw and one limb.
6) Submersion greater than 6 hours
How to confirm Liver Mortis -Lividity
Physical Exam of body (obvious no pulse/resp)
Confirm in 2 leads - 6 sec strip
What 2 factors are needed to confirm death in a traumatic injury?
1) Absence of all pulses
2) Asystole in 2 leads or PEA < or equal to 40
You have a traumatic injury pt. No REsp/pulse. Hook up the monitor and find that the pt has a PEA rate. What now?
Determine the rate? < or equal to 40 ok to discontinue. Make sure this is PEA and not a brady rhythm.
When can you consider to terminate a code? (running ALS)
1) 3mg of EPI
2) 20 min of ALS