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Chapter-36 Death

BOOK TITLE: Clinical Surgery: A Text and Atlas

Author
1. Gupta Amit
2. Chumber Sunil
3. Haldar Sajal
ISBN
9789351526797
DOI
10.5005/jp/books/12698_37
Edition
1/e
Publishing Year
2016
Pages
3
Author Affiliations
1. JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India, Center for Diabetes and Allied Sciences, Gurugram, Haryana, India, Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Center (JPNATC), All India Institute of Medical Sciences, New Delhi, India, Promhex Multispeciality Hospital, Greater Noida, Uttar Pradesh, India, Centre for Diabetes Care, Greater Noida, Uttar Pradesh, India, Divine Cosmetic Surgery, New Delhi, India, Medlink Healthcare, Patiala, Punjab, India, Greater Noida, Uttar Pradesh, India
3. Sir Ganga Ram Hospital, New Delhi, India, Moolchand Medicity, New Delhi, India
Chapter keywords
Brain death, biological death, perforation, peritonitis, fecal fistulae, polytrauma, congenital abnormalities, Cheyne-Stokes breathing, cyanosis, mottling, death rattles, incontinence, anorexia, autopsy, pupillary reflex, corneal reflex, vestibulo-ocular reflex

Abstract

This chapter aims at giving an introduction to the event of death which usually is neglected or overlooked in the medical curriculum. Most students qualify without reading a sentence on this. They first encounter it, usually in the internship or residency and, being not prepared to handle it, most often it is a shattering experience for them. When a definition of death is required, doctors usually turn to brain death or biological death to define a person as being clinically dead. The leading cause of death in developing countries is infectious disease, whereas in developed countries, atherosclerosis—heart disease and stroke, cancer, and other diseases related to obesity and ageing are common. The natural series of changes in a person close to death are briefly discussed. Autopsies are performed for legal or medical purposes. A clinical autopsy is performed to find the medical cause of death or for research purposes. Someone with a dead brainstem is said to have undergone brain death and is never known to have recovered.

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