Confirmation of Death - Simulation

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  • Опубліковано 4 лют 2025
  • Verifying death is a necessary part of being a junior doctor. This often occurs out of hours whilst on-call.
    There is limited training on how to actually verify a death.
    This video is based on procedures in the Oxford Handbook for the Foundation Programme and takes a guided step-by-step approach to verifying a death.
    This is a guide and hospital procedure and policies should always be checked.

КОМЕНТАРІ • 61

  • @finknoodles
    @finknoodles 6 років тому +202

    To the FBI agent in my computer, I swear I did nothing wrong.

  • @prooter
    @prooter 7 років тому +54

    Thanks so much. I'm an R.P.N. working in Ontario, Canada. I was doing a home visit (palliative patient) and was told that I was to pronounce. Thanks to your video, I was prepared. God bless :)

    • @trentsim
      @trentsim  7 років тому +5

      Your welcome hope it was some use, please let us know if there are any other types of videos that would be of use. Please subscribe and follow us on twitter. @trentsimulation

    • @harman4417
      @harman4417 3 роки тому +1

      R u still working as a rpn ??

    • @stephenbennett310
      @stephenbennett310 3 роки тому

      Was he dead?

  • @petercdowney
    @petercdowney 4 роки тому +20

    The last step is to cover the deceased with a white sheet.

  • @matpauen7650
    @matpauen7650 4 роки тому +29

    The fakkk im watching this alone at night...

  • @hardkoregamer1981
    @hardkoregamer1981 Рік тому

    Thank you very much this video was most educational and informative.

  • @eddiej9270
    @eddiej9270 2 роки тому +1

    This is something I learned that I hope I won’t have to do it

  • @srinivasaswamy7843
    @srinivasaswamy7843 3 роки тому

    Thank you to learn about death declaration & points to note about pulse heartbeat & respiration& dilated& fixed pupils

  • @jigskhan381
    @jigskhan381 3 роки тому +6

    recently i had the same situation, all signs that u saw were present but patient's body was warm. I was really confused abt the declaration but i finally declared as a dead. I though if the body is warm then there must be some sort of life. pls Guide.

    • @miacorona1140
      @miacorona1140 3 роки тому +8

      the body begins to cool down after death, it is a process called algor mortis. The temp decreases by around 2 degrees upon death and then around 1 degree every hour. Obviously some factors will affect this such as the ambient room temp and body size.

    • @vminmotivationalcurve88yea64
      @vminmotivationalcurve88yea64 2 роки тому

      I had the same experience .. His body was still warm but no pulse..
      Unfortunately it's my dad.
      Now I'm here wondering what i could have done. Like maybe if i kept doing cpr or if i had them use the defibrillator

    • @Minerva578
      @Minerva578 2 роки тому

      @@vminmotivationalcurve88yea64 Yes bro. That was traumatic i had to watch my dad's passing... still hurts.

  • @DoctorsHub
    @DoctorsHub 8 років тому +21

    It was my early professional life and I used to become afraid of declaring a death. Then, I completely sthdied the topic "how doctors confirm a dead patient?". I collected all the points and made an article which ranks on first five in Google search. Also, I have a video on the same tpoic on my UA-cam channel. Now, it is okay for me to declare a dead patient. What do you check in a dead patient are absent pulses, BP, heart sounds, repiratory sounds, pupillary reflex, corneal reflex and oculocephalic reflex (doll's eye movements). There are also no response to painful stimulus and straight-lined ECG.

    • @DoctorsHub
      @DoctorsHub 8 років тому +1

      Thanks! You are more thank welcome!

    • @madamhenry
      @madamhenry 6 років тому +2

      Most of these aren't required when declaring death in the UK. However, they are very much used when establishing brain death (corneal reflex and occulocephalic reflex) in ventilated patients.

  • @alin628
    @alin628 3 роки тому +7

    I have no idea why I’m watching this... I’m a UK Primary School Teacher 😂

  • @ardalanazez1298
    @ardalanazez1298 3 роки тому +1

    Why you did not inject the cold water in ear canal? is not required in UK?

    • @noe22nee
      @noe22nee 3 роки тому

      what is it for?

    • @ardalanazez1298
      @ardalanazez1298 3 роки тому

      @@noe22nee it is one of the procedures to see any reflection.

    • @mikesmith8313
      @mikesmith8313 Рік тому

      If you fart and they laugh there's sign of life.

  • @justaguy4real
    @justaguy4real 4 роки тому +7

    1:30 could a person still alive have a fixed pupil not stimulated by light?
    and wouldnt the deceased urinate on themselves.

    • @Asylum_seeker
      @Asylum_seeker 4 роки тому +5

      A brain dead patient would not respond to light stimulation.

    • @Rissy617
      @Rissy617 3 роки тому +2

      Yes, the pupil could be fixed and someone be alive, but that's why we check for different signs of life too

    • @noe22nee
      @noe22nee 3 роки тому +1

      sometimes yeah, their bladders/ sphincters relax and they might defecate or urinate

    • @goodstar9553
      @goodstar9553 3 місяці тому

      Bilateral dilated, poorly or a non-reacting pupil is not the sign of brain dead in envenoming

  • @Bladerunner-2047
    @Bladerunner-2047 3 роки тому +1

    This will be useful in post apocalyptic life..

  • @JesusValdez-mg7xp
    @JesusValdez-mg7xp Рік тому

    That's a external exam don't they do internal exam? in body to confirm the person is actually dead cause I would think that external exam alone isn't sufficient enough to say they are really dead

    • @zc7872
      @zc7872 3 місяці тому

      Ecg straight line

  • @mohammedSGhith
    @mohammedSGhith 4 роки тому +1

    What is the benefit to know that pace maker plabable or not??

    • @holliec2341
      @holliec2341 3 роки тому +5

      When a person dies, if the family want to have them cremated but the patient has a pacemaker, it has to be removed beforehand because it can explode in the cremation machine and cause expensive damage to the machine, premises and potentially seriously hurt staff working at the crematorium. If this happens and you haven't checked for a pacemaker you could get into a lot of trouble.

  • @dr.towfiqelahikhan3485
    @dr.towfiqelahikhan3485 3 роки тому +1

    ECG?

  • @mikesmith8313
    @mikesmith8313 Рік тому

    What happens if I come to life to scare the life out of you?

  • @charlenelayhew4811
    @charlenelayhew4811 2 роки тому

    Shouldn't you go to the bedside with the knowledge of whether the patient is a DNR or not?

    • @rmoalxa
      @rmoalxa Рік тому

      Yeh that’s kind of important lol

  • @aryaayodhya3883
    @aryaayodhya3883 3 роки тому

    Can death be confirmed by a registered mbbs doctor without and ECG?

  • @skrayraja
    @skrayraja Рік тому

    Are you not supposed to check for brain activities

  • @mohammedSGhith
    @mohammedSGhith 4 роки тому

    @00:02:00
    GIT sounds after death ??!

  • @TT-yz7pz
    @TT-yz7pz 2 роки тому

    Hardest part of the job

  • @rickb8094
    @rickb8094 3 роки тому +5

    What Happen when a Person Die?
    In order to get the correct answer, let us consult the infallible word of God. And the safest way to start is to ask the question:
    Q. 1) How did God create or form man?
    A. Genesis 2:7; And God formed man from the dust of the ground, and breathed into his nostrils the breath of life, and man became a living soul.
    Note: In forming man, God used two substances namely:
    1. Dust of the ground
    2. Breath of life
    Note: Now that we know how God formed man, we can safely answer the above question by reversing the process in which God formed man.
    To illustrate:
    Ii
    At Creation: Dust of the ground plus breath of life = man or a living soul
    At Death: Living Soul minus breath = Dust
    Q. 2) What happen to these two substances when a person die?
    A. 1.) Ecclesiastes 12:7; Then the dust return to the earth as it was, and the spirit (or breath of life, Genesis 2:7) return to God who gave it.
    A. 2) Job 27:3; All the while my breath is in me, and the spirit of God is in my nostrils.
    A. 3) Genesis 3:17; In the sweat of thy face shalt thou eat thy bread, till thou return to the ground, for out of it was thou taken, for dust thou art, and unto dust shall thou return.
    Note: The three texts above clearly explained what happen to the two substances that God used in forming man at the time of death. At the same time, they also clearly answer the question. What happen when a person dies? The body return to dust of the ground where it was taken, and the spirit or breath return to God who gave it. ( Ecclesiastes 12:7)
    The belief that when a person dies, there is a soul (immortal) that leave the body, and depending on how the person lived when alive, will determine where the soul will spend eternity, either in hell, to be punished and tortured for all eternity, in purgatory, with the hope of being brought to heaven or direct to heaven as the case maybe. This belief is contradictory to Ezekiel 18:20; The soul that sinneth, it shall die.
    The truth is, this belief is based on the Greek Philosophy called “Dualism” (pls check dualism in the internet) which teaches that the body and the mind are two separate entity, In that the body is physical while the mind is spiritual and immortal. Here lies this very dangerous belief. Why? Because if the soul is immortal, of course it is not subject to death. That is why, when a sinner die, based on this belief, the soul will go to hell to be tortured and burned forever and ever without end. What kind of punishment is this? Endless. Don’t make sense. It is because the soul is not subject to death, immortal. This is unbiblical.
    To dispel this erroneous belief, simple questions need to be asked.
    1. Would our gracious, loving, merciful and longsuffering God, allow eternal torture and eternal life to co-exist? Of course not.
    2. What kind of sin does anyone do, to deserve this kind of endless torture?
    It does’nt make sense at all. According to Galatians 6:7; Whatsoever a man soweth, that he also reap.
    The truth is, God did not create anything or anyone immortal. For had he done this, then sin would be immortalized. The Bible said, that God alone is immortal. 1 Timothy 6:15,16. The reason is obvious, God knows the end from the beginning, Isaiah 46:9,10. Thus, he knew that Adam and Eve would commit sin, Genesis 3:6. and Romans 5:12; For by one man sin enter the world, and death by sin, in the death passed to all men, for all have sinned. The wages of sin is death. (Romans 6:23)
    Q. When will the person that died and who return to the dust, be made alive again?
    A. 1. John 5:28,29; Marvel not at this, for the hour is coming in the which, all that are in the graves shall hear his voice. And shall come forth, they that have done good, unto the resurrection of life, and they that have done evil, unto the resurrection of damnation.
    2. Daniel 12:2; And many of them that sleep in the dust of the earth shall awake, some to everlasting life, and some to shame and everlasting contempt.
    Note: The two texts, clearly explained that the dead sleep in the dust and will come to life, when the voice of the Lord is heard.
    Q. What event does the Bible say, would take place, when the dead which came forth from the graves/dust, and who have done good?
    A. 1 Thessalonians 4:16,17; For the Lord himself, shall descend from heaven with a shout, with the voice of the Archangel, and with the trump of God, and the dead in Christ shall rise first. Then we which are alive and remain shall be caught up together with them in the clouds, to meet the Lord in the air, and so shall we ever be with the Lord.
    Note: The event described in the above text, is referring to the second coming of Christ. (John 14:1-3.)
    Q. How about those that have done evil, when will they come to life?
    A. Revelation 20:5; But the rest of the dead lived not again until the thousand years were finished.
    Note: In conclusion, with this text, the resurrection of all that died and in their graves, (John 5:28,29) from Adam and Eve at the beginning, up to the last person who will die just before Christ second coming, is hereby completed. The reward of them that hath done good, is described in 1 Thessalonians 4:16,17, and in Revelation 20:6; Blessed and holy is he who hath part in the first resurrection, for the second death hath no power. In contrast, the punishment of them that hath done evil is described in Revelation 22:8, and is called the second death.
    .

  • @ashleymarie7452
    @ashleymarie7452 Рік тому

    That dummy looks like Dilbert's pointy-haired Boss!