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Editorial| Volume 85, ISSUE 12, PA5-A6, December 2014

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“AWAREness during CPR: Be careful with what you say!”

  • Edgardo Olvera-Lopez
    Affiliations
    Universidad Autónoma de San Luis Potosi, Mexico

    Dorrington Medical Associates, Houston, TX, USA
    Search for articles by this author
  • Joseph Varon
    Correspondence
    Corresponding author at: 2219 Dorrington Street, Houston, TX 77030, USA.
    Affiliations
    The University of Texas Health Science Center at Houston, USA

    The University of Texas Medical Branch at Galveston, USA

    University General Hospital, Houston, TX, USA
    Search for articles by this author
      During cardiac arrest (CA), the clinical criteria for death (ie, no cardiac output, no respirations, and fixed and dilated pupils) are reached for a variable period of time, and loss of brain function eventually ensues.
      • Parnia S.
      • Waller D.G.
      • Yeates R.
      • Fenwick P.
      A qualitative and quantitative study of the incidence, features and etiology of near death experiences in cardiac arrest survivors.
      In that particular moment, or right after a CA, when cerebral blood flow and electrical brain activity are impaired or null, some patients experience a wide range of subjective phenomena, such as “seeing a tunnel”, a “bright light”, a “mystical being”, “feelings of peace”, and “out-of-body experiences”, in which people describe a feeling of separation from their bodies, as well as awareness of things during the episode or event.
      • Parnia S.
      • Waller D.G.
      • Yeates R.
      • Fenwick P.
      A qualitative and quantitative study of the incidence, features and etiology of near death experiences in cardiac arrest survivors.
      • Buunk G.
      • van der Hoeven J.G.
      • Meinders A.E.
      Cerebral blood flow after cardiac arrest.
      • Bennet D.R.
      • Nord N.M.
      • Roberts T.S.
      Prolonged “survival” with flat EEG following CA.
      • Moody R.A.
      Life after fife: the investigation of a phenomenon – survival of bodily death.
      These descriptions have been known for centuries. In 1740, Pierre-Jean du Monchaux, described a case of a near-death febrile patient who experienced similar features.
      • Charlier P.
      Oldest medical description of a near death experience (NDE), France, 18th century.
      The patient underwent several phlebotomies and during one of the last phlebotomies, he lost consciousness for a significant period of time, and then “he saw an extremely bright light and thought he was in heaven”.
      • Charlier P.
      Oldest medical description of a near death experience (NDE), France, 18th century.
      Moody, in his book Life after life, collected all the experiences from 150 people who had been close to death.
      • Moody R.A.
      Life after fife: the investigation of a phenomenon – survival of bodily death.
      He used for the first time, the term near-death experiences (NDE) for the recurring features noted in these survivors. Moody's observations were not limited to CA survivors, but included people who were considered sufficiently ill to have died without medical intervention.
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