Bishop73

25th Oct 2018

Common mistakes

Factual error: Whenever someone flatlines and a doctor (or nurse) grabs the defibrillator and is able to shock the person back to life. Defibrillators only work when the person still has a heartbeat, but the heart is in fibrillation. And even when doctors do use a defibrillator, they still perform regular CPR afterwards, which is rarely (if ever) shown being done. Usually in the film or show, the person comes back to life, sits up, and takes a huge gulp of air as if they had been holding their breath underwater.

Bishop73

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Suggested correction: The spirit of this entry is correct - defibrillation is WAY overused to add drama - but the facts are wrong. First, defibrillators are rarely used unless there is electrical activity but no heartbeat, as is the case when fibrillation is occurring. In fibrillation, the heart is not beating, only twitching without rhythm. CPR is never done after restoring the heartbeat, no doctor would perform compressions on traumatized heart. Finally, most patients suffer serious complications after defibrillation. A patient who jumps up after defib only happens... in the movies.

I did oversimplify when I said heartbeat. But a twitching heart is different than a completely stopped heart. And the point of the entry is the fact that defibrillation machines are over used and patients don't jump up afterwards, which you only confirmed, so the correction is unnecessary. And, where do you get your information about not performing CPR? The general consensus is to do CPR. Here's a short article. Again, this correction is unneeded. https://www.ncbi.nlm.nih.gov/m/pubmed/25597505/.

Bishop73

I think the original points that CPR is over depicted in films and TV, and that patients are debilitated after defibrillation is valid. You can make a better case by avoiding terms like always and never, because there is always an exception, and never and end to the comments. By the way, the article you cite is a database review of out-of-hospital cardiac arrest, not the hospital settings you describe, so now a correction IS needed.

21st Oct 2018

Common mistakes

Factual error: When someone dies with their eyes open and another character can close the dead person's eyes by gently running their hand over their face. The eyes of a dead body won't stay shut that way.

Bishop73

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Suggested correction: This is partially true. If the person is recently deceased then you can close the eyes with relative ease. If however they have been deceased long enough for rigor mortis to set in then the mistake is valid. It's a tough one to be honest.

Ssiscool

That's not true at all. Muscles can not contract after death. Therefore, if someone tries to close the eyes of someone who is dead, the eyes will open back up to their original positions. They only way they can stay closed is if someone seals them shut, in the case after death, a wet swap may work, which is not what they commonly do in films.

In addition to this, this was also why the old common practice of placing heavy coins over the eyelids was used in many cultures.

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