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  1. #31
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    Oct 2008
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    *courtesy of nursebeeme
    Brain death diagnosis and apnea test safety

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824942/

  2. #32
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    *courtesy nursebeeme
    How Does a Ventilator Work?
    http://www.nhlbi.nih.gov/health/heal...t/howdoes.html

  3. #33
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    The Midwest
    Posts
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    Jahi McMath: Doctor Releases Statement Following Meeting with Family

    http://news.kron4.com/news/jahi-mcma...g-with-family/
    Look twice - Save a Life! Motorcycles are everywhere!



  4. #34
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  5. #35
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    Brain dead individuals with prolonged ventilation: what happens inside the skull and brain
    (also colloquially called "respirator brain", but the respirator does not cause the autolysis)

    http://en.wikipedia.org/wiki/Autolysis_(biology)

    http://www.vqronline.org/articles/20...n-dead-enough/

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2480568/

    http://link.springer.com/article/10.1007/BF00689517

    http://www.med.nagoya-u.ac.jp/medlib...6n14p89_99.pdf

  6. #36
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  7. #37
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    Example of hospital policy and procedure for Organ and Tissue Donation, care of the donor, etc.
    http://www.bannerhealth.com/NR/rdonl...ueDonation.pdf

    Ventilator withdrawal guidelines for non-organ donor

    http://www.aacn.org/WD/Palliative/Docs/mgh8.pdf

    http://www.aacn.org/WD/Palliative/Co...?menu=Practice

    Determination of death- example of hospital policy and procedure

    http://www.utmb.edu/policies_and_pro...of%20Death.pdf

  8. #38
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    Up North
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    (Just moving these over here for convenience.)

    Dr. Paul Fisher, Chief of Neurology, Stanford examination of Jahi McMath (brain death exam). Exam by order of court.

    http://media.nbcbayarea.com/document...cted+Rpt_1.pdf

    Dr. Paul Fisher professional information:

    http://neurology.stanford.edu/childn...y/ourteam.html

    http://med.stanford.edu/profiles/Paul_Fisher/

    http://www.lpch.org/findADoctor/search/doc.pl?doc=3278

    Dr. Heidi Flori, CHO Chief of PICU, report to the court:

    http://media.nbcbayarea.com/documents/HeidiFlori.pdf

    Dr. Heidi Flori professional information

    http://www.childrenshospitaloakland....-flori-md.aspx

  9. #39
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    Mar 2009
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    19,247
    http://www.insidebayarea.com/breakin...idebayarea.com

    Oakland girl, 13, declared brain-dead after tonsil surgery
    By David DeBolt and Rick Hurd
    Oakland Tribune
    Posted: 12/16/2013 06:06:13 AM PST

    Jahi arrived at the hospital Monday and was supposed to be released Tuesday, the family said.

    Monday night, Chatman, a veteran nurse at Kaiser Permanente in Oakland, noticed her granddaughter was bleeding from her mouth and nose. She later went into cardiac arrest.

    Jahi spent Tuesday on a ventilator. By 2 a.m. Wednesday, doctors said she had swelling in her brain, and Thursday, she was declared legally brain-dead, family members said.
    http://edition.cnn.com/2013/12/17/he...ead/index.html

    Family wants to keep life support for girl brain dead after tonsil surgery
    By Tom Watkins and Mayra Cuevas, CNN
    December 18, 2013 -- Updated 2132 GMT (0532 HKT)


    "I don't want her off life support because I really feel like she can wake up," Nailah Winkfield told CNN's Piers Morgan. "I feel like it's just been a rough week for her and, if they just give her some more time, then she'll be able to wake up."

    Jahi's family has presented Children's Hospital & Research Center in Oakland, California, with a cease-and-desist letter aimed at preventing the hospital from taking her off a ventilator, attorney Christopher B. Dolan said Tuesday.

    Family of Oakland girl on ventilator furious after meeting with hospital officials
    By Kristin J. Bender, David DeBolt and Katie Nelson Oakland Tribune
    Posted: 12/20/2013 05:51:07 AM PST
    Updated: 12/20/2013 06:43:39 AM PST

    http://www.insidebayarea.com/news/ci...-year-old-girl

    "They said, 'What don't you understand?' She is dead, dead, dead,'" said Omari Sealey, the uncle of Jahi McMath, the Oakland teen who has been kept alive by machines since complications from a tonsil surgery last week in a case that has brought national attention and prayers from social media users around the world. "They just kept referring to her as 'a body.'"
    http://www.sfgate.com/bayarea/articl...of-5080441.php

    Attorney Christopher Dolan said the family would maintain a vigil at Jahi's bedside.

    "They're going to have that body surrounded so that nobody can touch Jahi," Dolan said. "They're afraid. Could the hospital go in and try to do something? I think it would absolutely be foolish. But in their eyes she's no longer a person. She's dead. So they're not looking at her like it was your daughter or my daughter, they're looking at her like they've got to get her out of there quickly."

    In a statement Thursday, David Durand, the hospital's chief of pediatrics, said, "Our hearts go out to family and friends of Jahi McMath. This is a tragic situation. We implore the family to allow the hospital to openly discuss what has occurred and to give us the legal permission - which it has been withholding - that would bring clarity, and we believe, some measure of closure and deeper understanding of this medical case."
    http://abclocal.go.com/kgo/story?sec...bay&id=9366922
    Oakland family: Children's Hospital calls girl 'dead'
    Jahi's story has even caught the attention of California Attorney General Kamala Harris.

    "It's tragic, that little girl and what her family must be experiencing, feeling. We are monitoring it to see if and whether there is any role that we would play appropriately. So we are following it and I'm paying attention to it," said Harris
    http://www.sfgate.com/bayarea/articl...on-5083153.php
    Oakland hospital must keep brain-dead girl on ventilator
    Henry K. Lee
    Updated 5:59 am, Saturday, December 21, 2013
    An Oakland girl declared dead by Children's Hospital Oakland must be kept on a ventilator until an independent neurologist can examine her to determine if her brain is showing signs of activity, an Alameda County judge ruled Friday in a case stemming from a tonsillectomy that ended in tragedy.
    Friday, December 20, 2013

    http://www.wptv.com/dpp/news/nationa...#ixzz2o5DdI353

    Posted: 12/17/2013
    By: CNN Wire
    "After the surgery, she (Jahi) was fine. She went into the recovery room. She was alert and talking, and she was asking for a Popsicle because she said her throat hurt. As part of the procedure, she was meant to spend the night in ICU," Sealey said. "When she got moved to ICU, there was a 30-minute wait until any family member could go see her. Upon entry, they saw that there was way too much blood."

    "She lost four pints of blood. She had to have four blood transfusions. She had two liters of blood pumped out of her lungs, not including what was in her stomach," Sealey said. "There was an enormous amount of blood, and we kept asking, 'Is this normal?' Some nurses said I don't know and some said yes. There was a lot of uncertainty and a lack of urgency."
    Read more: http://www.wptv.com/dpp/news/nationa...#ixzz2qgEAV4QJ

  10. #40
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  11. #41
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    Oct 2008
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    Honor beliefs in end-of-life decisions

    In California, Indiana and almost all states, the absence of brain function signifies death, even though the person’s heartbeat sometimes can be maintained by medical care. New Jersey, however, takes a different approach. That state permits people to reject “brain death” on the basis of their religious beliefs and insist that death be declared only upon the loss of all cardiac function.
    http://www.indystar.com/story/opinio...sions/4520157/

  12. #42
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    Neurologist Dr. Jonathan Fellus and neuroscientist Dr. Phil DeFina of International Brain Research Foundation discuss Jahi McMath case:

    http://www.coasttocoastam.com/show/2...ine+%26+Health

  13. #43
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    *courtesy of K_Z

    Regulation of Body Temperature
    Rodbard[36] suggested that the neural mechanisms governing homeostatic temperature control developed in the hypothalamus from circulatory control neurons in the course of evolution from reptile to mammal. Body temperature is regulated when changes in blood temperature stimulate heat-sensitive receptors in the hypothalamus. Nerve impulses from cold receptors in the skin can also activate heat-producing neurons. The most important heat producers are the skeletal muscles, brain, liver, and heart. The greatest heat radiator is the skin, especially that on the hands. Local electrical stimulation of the heat-producing center induces shivering and constriction of blood vessels in the skin, activating vasomotor nerves and decreasing blood flow. Warming of the heat-loss center suppresses vasomotor nerve activity and in this way increases blood flow through the skin.

    In brain death, the neural connection between the temperature-regulating center and peripheral body tissues is lost, and the patient becomes poikilothermic. When criteria from the National Institute of Neurological Diseases and Stroke (NINDS) were applied to establish brain death, such patients showed only a “tendency for the temperatures to be subnormal.”[17] In contrast, when brain death was established using the criterion of cessation of all brainstem functions, “poikilothermia was found in all patients later than 24 hours after brain death.”[37] Even if infection occurs, fever should not develop in cases of brain death, because the temperature-regulating centers no longer function. After brain death, body temperature tends to be hypothermic, even with vigorous application of external heat.
    http://www.mdconsult.com/books/page....=435397950-743

  14. #44
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    Oct 2008
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    *courtesy donjeta

    January 14, 2014
    Jahi McMath is a living person

    By Paul A. Byrne, M.D.

    Jahi is a living person and has been a living person on earth since her conception within her mother. Jahi's heart is beating 100,000 times a day, a rate similar to most persons on earth. Her heart beat is initiated in her heart just like yours and mine. Your heart beat does not begin in your brain either. Jahi's pulse and blood pressure are normal and strong. Jahi digests her food, puts out urine and has bowel movements just like the rest of us. Jahi's temperature is 98 with only a blanket to help keep her warm. Her body metabolism keeps her temperature warm just like yours. Her natural thermostat to control her temperature is in her hypothalamus, which is part of her brain. You have such a thermostat in your brain also.
    http://www.renewamerica.com/columns/byrne/140114

  15. #45
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    Oct 2008
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    *courtesy donjeta

    Palliative medicine and the power of letting go: Guest opinion



    http://www.oregonlive.com/opinion/in...nd_the_po.html

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