TANATHOLOGY part I

DefinitionTanatologi derived Thanatos meaning of words associated with death and logos meaning science. Tanatologi is part of the Forensic Medical Sciences (IKF) is learning about death and the changes that occur after death and the factors influencing those changes.In tanatologi known some of the terms of death, namely:A. Somatic death (clinical death)2. Suspended animation3. Cell death4. Died of cerebral5. Brain death (brain stem)
Somatic deathSomatic death occurs due to the cessation of life support functions of the three systems, namely the central nervous system, cardiovascular system, respiratory system and permanent (irreversible). Clinically not found reflex - reflex, EEG flat, no palpable pulse, heart rate does not sound, there tidaka respiratory movements and respiratory sounds are not audible on auscultation.
Suri death (suspended animation, apparent death)is the cessation of life on the third system is determined by a simple medical devices. With advanced medical equipment can still be proved that the three systems are still functioning. NDE is often found in cases of poisoning a sleeping pill, electric shock, and drowned.
Cell death (death molecular)An organ or tissue death that occur some time after somatic death. The survival of each - each organ or tissue is different - different, so the occurrence of cell death in each organ or tissue is not the same. This understanding is important in organ transplantation.As an illustration it can be argued that having the central nervous system cell death in 4 minutes, the muscles can still be stimulated (electricity) to about - about 2 hours post-death, and cell death experience after 4 hours; dilated pupils still occur on the provision of adrenaline 0.1% or injection of atropine 1% sulfas into anterior ocular camera, giving fisostigmin pilocarpine 1% or 0.5% would result in miosis to 20 hours post-death.The skin can still be sweating more than 8 hours post-death by subcutaneously injecting acetylcholine pilocarpine 2% or 20%, spermatozoa still survive a few days in the epididymis; can still be transplanted cornea and blood can still be used for up to 6 hours post-transplant death.
Cerebral deathThe second is the damage irreversible brain hemispheres, brain stem and cerebellum but, while the other two systems, namely the respiratory and cardiovascular systems are still functioning with the aid of tools.
Brain death (brainstem death)Is when the damage has occurred throughout the intracranial contents of irreversible neuronal brain stem and cerebellum including. With known brain death (brain stem death), it can be said as a whole person can not otherwise live longer, so that the tools can be stopped.Death is a process that can be recognized clinically in the form of a sign someone's death, the body changes that occur in the body. Such changes may occur early in the time of death or a few minutes later, such as the heart and blood circulation stops, breathing stops, the light reflex and corneal reflex is lost, pale skin and muscle relaxation.After some time arise post-death changes in a clear, allowing the diagnosis of death more certain. Sign - the sign is known as a sure sign of death in the form of black body (or lividitas hipostatis post-death), a rigid body (rigor mortis), decreased body temperature, decay, and adiposera mummifikasi.

Not Sure Sign of Death
A. Breathing stops, rated for more than 10 minutes (inspection, palpation, and auscultation)
2. Cessation of circulation, assessed for 15 minutes, the carotid pulse was not palpable
3. Pale skin, but not a sign that can be trusted, because it may happen that spasm of the agonal faces look bluish.
4. Muscle tone and relaxation disappeared. Relaxation of the muscles - facial muscles causes the skin to give rise, so sometimes - sometimes make people look younger. Muscle weakness called shortly after the death of the primary relaxation. This resulted in the leveling area - a depressed area, such as the shoulder blades and buttocks in a supine body
5. Segmentation of retinal blood vessels have a few minutes after death. Segment - the segment is moving towards the edge of the retina and then settle.
6. Kekruhan cause corneal drying in 10 minutes can still be removed with a drop of water.

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