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Consciousness After Death: Strange Tales From the Frontiers of Resuscitation Medicine
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Brandon Keim | Wired
Sam Parnia practices resuscitation medine. In other words, he helps bring people back from the dead — and some return with stories. Their tales could help save lives, and even challenge traditional scientific ideas about the nature of consciousness.
“The evidence we have so far is that human consciousness does not become annihilated,” said Parnia, a doctor at Stony Brook University Hospital and director of the school’s resuscitation research program. “It continues for a few hours after death, albeit in a hibernated state we cannot see from the outside.”
Resuscitation medicine grew out of the mid-twentieth century discovery of CPR, the medical procedure by which hearts that have stopped beating are revived. Originally effective for a few minutes after cardiac arrest, advances in CPR have pushed that time to a half-hour or more.
New techniques promise to even further extend the boundary between life and death. At the same time, experiences reported by resuscitated people sometimes defy what’s thought to be possible. They claim to have seen and heard things, though activity in their brains appears to have stopped.
It sounds supernatural, and if their memories are accurate and their brains really have stopped, it’s neurologically inexplicable, at least with what’s now known. Parnia, leader of the Human Consciousness Project’s AWARE study, which documents after-death experiences in 25 hospitals across North America and Europe, is studying the phenomenon scientifically.
Parnia discusses his work in the new book Erasing Death: The Science That Is Rewriting the Boundaries Between Life and Death. Wired talked to Parnia about resuscitation and the nature of consciousness.
Wired: In the book you say that death is not a moment in time, but a process. What do you mean by that?
Sam Parnia: There’s a point used to define death: Your heart stops beating, your brain shuts down. The moment of cardiac arrest. Until fifty years ago, when CPR was developed, when you reached this point, you couldn’t come back. That led to the perception that death is completely irreversible.
But if I were to die this instant, the cells inside my body wouldn’t have died yet. It takes time for cells to die after they’re deprived of oxygen. It doesn’t happen instantly. We have a longer period of time than people perceive. We know now that when you become a corpse, when the doctor declares you dead, there’s still a possibility, from a biological and medical perspective, of death being reversed.
Of course, if someone dies and you leave them alone long enough, the cells become damaged. There’s going to be a time when you can’t bring them back. But nobody knows exactly when that moment is. It might not just be in tens of minutes, but in over an hour. Death is really a process.
‘The idea that electrochemical processes in the brain lead to consciousness may no longer be correct.’
Wired: How can people be brought back from death?
Parnia: Death is, essentially, the same as a stroke, and that’s especially true for the brain. A stroke is some process that stops blood flow from getting into the brain. Whether it’s because the heart stopped pumping, or there was a clot that stopped blood flow, the cells don’t care.
Brain cells can be viable for up to eight hours after blood flow stops. If doctors can learn to manipulate processes going on in cells, and slow down the rate at which cells die, we could go back and fix the problem that caused a person to die, then re-start the heart and bring them back. In a sense, death could become reversible for conditions for which treatments become available.
If someone dies of a heart attack, for example, and it can be fixed, then in principle we can protect the brain, make sure it doesn’t experience permanent cellular death, and re-start the heart. If someone dies of cancer, though, and that particular cancer is untreatable, then it’s futile.
2013-04-26 19:33:52
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