In most movies, TV programmes whenever a persons life signs are to be tested they feel a pulse in the wrist or the neck, for a few seconds and pronounce them dead.
I find it impossible to get my own pulse in a few seconds without testing various areas on the wrist. Could not find neck pulse without atleast 10 attempts.
So isnt it plain bullshit what they do in screen as the Pulse of another person is difficult to find with your own fingers.
I would also think a doctor has to pronounce, not some random cop or EMT. IRL, wouldn’t they keep doing CPR and mouth to mouth until the MD tells them to stop? What about an obvious catastrophic injury…say a horrific car crash where the driver is cut in two?
It may vary on some people but I can find my neck and wrist pulse within a couple seconds on and with both hands, so that part isn’t BS… especially if you’re practiced at doing it and know where to feel +/- a quarter inch or so and how hard to press (which I imagine those responsible for checking vital signs should be).
Depending on what show you’re watching though there often is a BS factor in that that’s sometimes all the person does before pulling a sheet over the body. If it’s part of your professional job duties, it can be very embarrassing (if not job-threatening) to accidently say someone’s dead when they’re not. So I’d say in any sort of a situation where someone feels compelled to check vitals (I doubt they do so to a decapitated or dismembered person) they’ll do it thoroughly and in several forms, not just a quick 5-second run-through.
“Get Smart” lampshaded this trope back in the sixties. Max and 99 come across a body of a man lying on the ground:
Max: “Do you think he’s dead?”
99: “Yes. What do you think?”
Max: “Yes, I’m afraid so.”
Body on the ground: “No!”
Max: “Well, that’s two for and one against.”
As I’ve discussed in other threads, I have a visible pulse in both wrists. You wouldn’t even need to feel for it, you could just look to see if it was still there. Of course, it’s also simple to find it with your fingers – you just look for the throbbing vein and put your finger on it.
Just tested for my neck pulse. Got it on the first try, and it’s not even visible.
Of course that doesn’t change the fact that movies use shorthand all the time for procedures that would be boring to watch – at least more boring than moving on to the next dramatic development.
I thought they had to have at least two attempts with a defibrillator, and someone weeping “I love you!” over the putative corpse before anyone got near certifying death.
I’ve pronounced a few hundred people dead. I rely on checking for a carotid pulse (push HARD!) followed by using my stethoscope to listen for heart sounds. If those both come up empty, death’s confirmed. Listening for breath, fogging a mirror, checking for pulses in the arms or legs is otherwise a waste of time, as all those signs can be absent but the person’s heart is still beating.
The movie trope also doesn’t take into account situations where an untrained person would fail to detect a weak/thready pulse, especially in the wrist.
I was thinking of Monty Python and “Not dead yet!”
And to think they only came in for annual checkups. :eek:
My cousin-in-law once allegedly palpated an elderly patient to feel for the carotid pulse, and the patient keeled over dead in his office. But then again, he was a pulmonologist, and 95+% of his patients died within a few months anyway. As he put it, “dying people tend to have trouble breathing”.
But isn’t there a condition in which the heart can stop beating and the patient can seem as if dead when in fact they aren’t? Or have I been reading too much Poe (Premature Burial). I know there was much hysteria in the 19th century about the possibility of doctors wrongly pronouncing people as dead, with sales of coffin alarm systems skyrocketing. Was there any truth at all at the heart of this?