Chapter 2507 【2507】All-Round Prevention of Omissions

Medicine needs to carry out rational scientific analysis to demonstrate this. After many medical scientists' research, a consensus has been reached in the medical circle. The part of the patients whose spontaneous breathing and heartbeat cannot be restored after the machine is removed is because the most important part of the brain stem of the human brain is dead and cannot be reversed by medical means, so it is called brain death.

Medical scientists have discovered that ischemia and hypoxia can lead to brain death. If the brain is rescued in time, it is possible for the brain to receive blood reperfusion nutrition within a certain period of time to restore its function and avoid brain death.

To sum up, there is a time lag in brain death. It is right to use the machine to rescue brain cells during rescue. If the machine has been running for a long time but the patient has been unable to recover spontaneous breathing and heartbeat, the brain is dead, and the person is always dead.

The debate about brain death then returns to how long this time difference is. The length of this time gap is the reason for the great collision of various opinions in society. If you have no scientific way to determine the length of the time difference for a specific individual, you may misjudge the patient's death.

Some big data in statistics cannot be classified into individuals. Some people have a longer time difference, while others have a shorter time difference. Don't underestimate the time difference of one minute and one second, which may really kill a person.

In order for brain death to have a sufficient factual argument, we must go back to the original point. The doctor needs to find evidence to prove that the patient's brain is dead, instead of just looking at the time to talk.

In the past, neurologists had expertise in this area, and they were the ones who were most qualified to find evidence to determine whether a patient was brain-dead. The problem is, clinical understaffing is all too common. In order to make up for the lack of manpower and inconvenience, the international practice is to set standards for judging brain death, no specialists are needed, only clinicians, who can be competent after short-term training and passing the qualification examination.

In this regard, 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, which is the same as the process of determining patients with cardiac death. In the criteria for judging brain death, there is a rule: the cause of the patient must be clarified, and it is clear that the brain death is caused by irreversible brain damage.

This level requires the deep participation of neurosurgeons and cannot be ruled out.

Speaking of this, we can understand why Cao Yong insisted on sending the child to a specialized hospital like Fang Ze. Obviously, it is to prevent omissions from happening in all directions. With the most professional team of neurologists to study and judge, we can try our best to avoid the misjudgment of the child's condition caused by medical impreciseness.

This answered part of Cao Zhao's doubts, and at the same time, he heard an answer that he wanted but didn't really want from his younger brother's words: "Do you think that the child may have brain death at that time?"

"I was at the scene at the time. What else could I have besides a flashlight and cotton swabs?" Cao Yong felt amused.

Didn't he say it at the beginning? Making a medical diagnosis is a very, very rigorous matter. Although he is a doctor, he doesn't have clairvoyant eyes, so how can he see what the child's brain injury is like.

"To do CT, and to do more than one CT." Cao Yong reiterated the key points he had said.

Don't take their brother-in-law's revelation on the phone that the CT initially showed that the child had injured his brainstem as the final result.