Medicine needs to conduct rational and scientific analysis to demonstrate this. After research by many medical scientists, we have reached a consensus in the medical circle. For some patients whose spontaneous breathing and heartbeat cannot recover after the machine is removed, it turns out that the reason is that the human brain is the most important
Part of the brainstem is dead and cannot be reversed medically, so it is called brain death.
Medical scientists have discovered again that ischemia and hypoxia can lead to brain death. If rescued in time, the brain can be reperfused with blood and nutrients within a certain period of time, and it is possible to restore functions and avoid brain death.
To sum up, there is a time lag in brain death. During resuscitation, it is correct to put the machine on to save brain cells. If the machine has been on for a long time but the patient has been unable to resume spontaneous breathing and heartbeat, the brain is dead, and the person is still dead.
The debate about brain death then comes back to how long this time difference is. The length of this time difference is the reason why various opinions in society collide. If you have no scientific way to determine the length of this time difference for a specific individual, you may misjudge the patient's death.
In statistics, some big data cannot be specifically classified into individuals. For some people, the time difference is longer, and for some people, the time difference is shorter. Don't underestimate the time difference of this minute and second, which can really mean the difference between life and death.
In order to have sufficient factual evidence for brain death, we must go back to the starting point. Doctors must find evidence to prove that the patient's brain is dead, rather than just looking at time.
In the past, neurologists had expertise in this area and were the most qualified to find evidence to determine whether a patient was brain dead. The problem is that the problem of insufficient clinical manpower is too common. In order to make up for the inconvenience of insufficient manpower,
, the international common practice is to set the standard for judging brain death. There is no need for a specialist, only a clinician, who can be competent after passing a qualification examination after short-term training.
At this point, some people may doubt whether non-neurologists can judge brain death.
There is no need to be nervous about this issue. In fact, the determination of brain death is a process, and it is the same process as determining cardiac death. Among the criteria for determining brain death, there is a rule: the cause of the patient must be clear, and it must be clear that irreversible brain damage leads to brain death.
This level requires the in-depth involvement of neurosurgeons and cannot be excluded.
Having said this, we can understand why Cao Yong insisted on sending his child to a specialized hospital like Fangze. Obviously, he wanted to prevent omissions from happening in all aspects. With the research and judgment of the most professional team of neurologists, medical errors can be avoided to the greatest extent possible.
Lack of rigor led to misjudgment of the child's condition.
This answered part of Cao Zhao's doubts, and at the same time, he heard an answer from his brother's words that he thought but didn't quite want: "Do you think the child might have been brain dead at that time?"
"I was at the scene. Apart from a flashlight and cotton swabs, what other tools did I have on hand?" Cao Yong felt amused.
Didn't he say that at the beginning? Medical diagnosis is a very strict matter. Although he is a doctor, he does not have clairvoyance, so how can he see through what kind of brain injury this child has.
"We need to do a CT scan, and do it more than once." Cao Yong reiterated the key points he had said.
Don't take their brother-in-law's revelation on the phone that the CT scan initially showed that the child had injured his brain stem as the final result.
