C
CoffeeFanatic
Guest
I’ve pronounced time of death a few times. Usually, there is no doubt. The people I see aren’t coming back and are in terrible shape and will never recover. I’ve seen some fall asleep and linger for over a week. Their extremities turn blue and cold. Their breaths become few and far between. The ‘death rattle’ is real. When we take them off all supplemental oxygen- especially if they are oxygen dependent- they tend to pass pretty quickly after that. We tend to give ativan and morphine if they seem uncomfortable. These people are usually palliative.
If someone’s code status is ‘full code’ and they are non-responsive we ‘code’ them. At this stage, they can’t get less dead, so we perform CPR and try to get them back. Some can be saved, many can not. Some codes last close to an hour. Some people are brought back and then are coded again a few times after. It’s a brutal way to go- and if you survive the process- you’ll be in a precarious position and have to deal with broken ribs on top of whatever else was already wrong with you.
Once someone passes- we pronounce time of death (in the US a physician or two nurses can do it), have family sign to release the body to the funeral home or crematorium of their choosing, inform the Coroner, call the organ donation agency, inform all physicians that had been following the patient, remove all lines, drains, clean up the deceased, tag and place the deceased in a body bag, and then discharge the deceased to the hospital morgue.
In the US, embalming is not required unless the deceased is being transported over state lines. Situations such as the one you cite are extremely rare.
If someone’s code status is ‘full code’ and they are non-responsive we ‘code’ them. At this stage, they can’t get less dead, so we perform CPR and try to get them back. Some can be saved, many can not. Some codes last close to an hour. Some people are brought back and then are coded again a few times after. It’s a brutal way to go- and if you survive the process- you’ll be in a precarious position and have to deal with broken ribs on top of whatever else was already wrong with you.
Once someone passes- we pronounce time of death (in the US a physician or two nurses can do it), have family sign to release the body to the funeral home or crematorium of their choosing, inform the Coroner, call the organ donation agency, inform all physicians that had been following the patient, remove all lines, drains, clean up the deceased, tag and place the deceased in a body bag, and then discharge the deceased to the hospital morgue.
In the US, embalming is not required unless the deceased is being transported over state lines. Situations such as the one you cite are extremely rare.
Last edited: