[sumo] Police miss

[Judith Douglas]

In the simplest of terms,  most humans die of "heart failure" ;  but 
the other factors leading up to this are voluminous.  In order to die,  
the heart needs to fail (the brain may be dead,  but the heart can beat 
for a long while).   There is another type of heart failure called 
"congestive heart failure"  but this is often a primary disease.
When there have been insults to the body, too many to list,  the heart 
simply fails to pump oxygenated blood to the other organs.   
Essentially it can be called heart failure.  Cardiac ischemia implies 
that the blood going to the heart is not oxygenated properly.  This 
happens in the face of low blood pressure due to many factors;  ie:  
decreased blood volume,  low hemoglobin etc.   My nephew was in a 
motorcycle accident several weeks ago .  He sustained a serious head 
injury, which caused all sorts of problems to the multiple systems of 
his body. (electrolyte imbalance, increased intracranial pressure ,  
excessive bleeding, all which cause further complications to other 
systems, including disorder of the electrical conduction of the heart.  
  After many days of attempting to save him,  his heart failed.  It was 
the head trauma that caused his death.

Resuscitation efforts, including cardiac massage,  massive attempts to 
infuse volume to maintain blood pressure, can acutely cause cardiac 
enlargement.  The true analysis would be if there was evidence of 
cardiac enlargement prior to this incident.  Regardless,  it is very 
tragic.

Jude


On Oct 15, 2007, at 11:20 AM, Achim Pawelczyk wrote:

> An interesting Asahi article has more details about police errors in 
> the
> case of dead boy Saito.
> It was the Aichi prefecture police who announced the death as cardiac
> ischemia, implying a death by illness.
> The first hospital only had named it heart failure, leaving it open 
> weather
> by illness or by wrongdoing. No brain damage was found and the heart
> appeared to be enlarged. Any further examination by a police official 
> didn't
> happen.
>
> The hospital:
> we don't understand why the police announced it as cardiac ischemia
> The police:
> cardiac ischemia and heart failure are both one
>
> ---
> Akinomaki
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