MadSci Network: General Biology |
With as simple as your question sounds, it is a difficult one to answer. Without knowing how an individual died and a variety of health and biological information about the individual, it is difficult to say whether or not a person can be brought back or resuscitated. To start off, there are basically two accepted "deaths" an individual can be declared: natural and clinical. "Natural" death basically means an individual's body just can't function any more. It also means that medicine has done all it can and it can not bring a person back. With a natural death there are often several inter-relating diseases, illnesses, or problems that contribute to an individual's death. When an individual has more than one medical problem, it is often very difficult to overcome all the different problems in order to bring them back. This is one of the "that's just the way it is" type of situations - the body just can't go one no matter how hard we try. However, in the second case of an individual being declared "clinically" dead, it is possible to bring a person back. Technically, this means that an individual's heart and lungs have stopped and their pupils do not contract when light is shined into them. Some practitioners, however, believe an individual is not truly dead until all brain activity ceases - which of course then would cause the heart and the rest of the body to also stop. The most promising clinical death where an individual might be resuscitated is when the heart is stopped without much damage to the rest of the body. There have been many documented cases in which individuals are declared "clinically" dead and have been brought back. These include victims of drowning, heart attacks, electric shock, individuals trapped in icy conditions, etc. The following article describes how an individual was resuscitated after being trapped in an icy river for an hour and declared clinically dead: http://news.bbc.co.uk/hi/english/health/newsid_620000/620609.stm The question on whether or not an individual can be resuscitated after "dying" is basically a matter of the individual's overall health, current bodily functions, and bodily damage while the individual is considered "dead". When your heart and lungs stop working, your blood quits flowing. And when your blood quits flowing, oxygen is no longer being delivered to the many tissues and organs in your body and then they start to die. Your cells need to oxygen in order to function. This is why it is quite important to keep breathing and have a heart beat. Without a constant supply of oxygen, tissues and organs become damaged and may not recover, even if you were to get your heart and lungs started again. It is said that the brain has about 7 minutes after the heart stops before it starts to suffer damage due to the lack of oxygen. Once the body has reached a certain amount of damage, it is difficult to get the much needed bodily functions to perform as they should and quickly becomes one of "that's just the way it is" type of situations. However, one interesting phenomena that has helped individuals recover from extended periods of clinical death is the slowing of cell activity through hypothermia. As noted in the article mentioned above, hypothermia is when the body is chilled below the normal body temperature of 37 degrees Celcius (98.6 degrees Fahrenheit). This typically means a core body temperature of less than 35 degrees Celcius (95 degrees Fahrenheit) - which is considered the clinical state when the body is unable to generate sufficient heat to efficiently maintain functions. This scientific and medical find has allowed many more individuals to be resuscitated and help organ transplants occur more successfully. For use in organ transplants, the body is significantly chilled to slow all bodily functions, to the point of stopping the heart, the medical procedure occurs, and then the body is warmed back up with hopes of recovery. By chilling the body, the rate at which the body's cells die is reduced plus less blood is lost during the medical procedure. In fact this procedure is gaining use in various types of critical transplants, namely heart transplants. The Heart Center Online has several articles on how a heart transplant is performed which can be located at: http://www.heartcenteronline.com/myheartdr/home/index.cfm Organ and tissue transplants have come a long way in recent years. It is now quite common for them to occur. There are heart transplants, lung transplants, cornea transplants, liver and skin...... and the list could go on. The unfortunate thing is that the supply of donor organs and tissues is low and finding a match that the receiving individual's body will not reject is difficult. Therefore, even if an individual just needs a new heart or liver, it may not be compatible to the individual or one is just not available. So to basically answer your question, there are situations where an individual can literally be brought back from the dead. It's all a matter of oxygen supply to the body's cells and the overall health of the individual - whether or not there are other complications (illnesses, disease, etc) that keep the body from resuscitating or recovering. The fact that an individual is healthy but may have a bad organ may mean that they may be able to survive longer with a compatible new organ. But keep in mind, often times there are inter-related health problems that may not be identified until the last minute plus surgical and biological complications that still may cause an individual to die, despite all the medical and scientific help and assistance we can offer them. As medicine and science advance, there will always be new ways to help individuals recover; however, if the body is weak and sufficiently damaged, no medical advances can bring an individual back. Two additional references on the web about cell biology and organ transplants that may help answer your question are: http://vlib.org/Science/Cell_Biology/ http://www.transweb.org/default.htm And if there is more you would like to know, let us know.
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