Download PDF - Alcor Life Extension Foundation
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Cryopreservation Case Summary:<br />
The Cryopreservation of Patient A 1025<br />
By Tanya Jones, Director of Technical Operations<br />
Note: This case was completed several years ago, but it was<br />
not reported in the magazine. We are including it now<br />
to ensure reporting is done on all cases.<br />
Background<br />
Patient A 1025 first signed up for cryonics in March 1977,<br />
when <strong>Alcor</strong> was still known as the <strong>Alcor</strong> Society for Solid<br />
State Hypothermia. In a personal statement dated a few<br />
months later, he affirmed that he had "been interested in<br />
cryonics for several years. I know the techniques are<br />
experimental at this time, but my faith is in the future." His<br />
file contains archival documents from <strong>Alcor</strong> and the now<br />
defunct Cryonics Society of California.<br />
Born in 1914, this patient was 88 years old when he died in<br />
2003. Details on the circumstances of pronouncement are<br />
sketchy, but we believed he collapsed at his home in the<br />
Los Angeles area and remained undiscovered for at least<br />
two days, long enough for pressure wounds to form. The<br />
patient was taken to the emergency room by ambulance,<br />
where he was pronounced at 22:52 PST. He experienced<br />
cardiac arrest during an attempt to re hydrate him.<br />
Myocardial infarction brought on by coronary artery<br />
disease contributed to his death on March 1, 2003. Heparin<br />
was administered by an emergency room physician and<br />
manual chest compressions were used to circulate it.<br />
Several things complicated this case, including that much<br />
of the transport staff were attending a training session in<br />
Mayer, Arizona, and regional team members were<br />
performing a standby for another <strong>Alcor</strong> member in the<br />
southern California area.<br />
Stabilization and Transport<br />
A delay in transferring custody to <strong>Alcor</strong> occurred in the<br />
emergency room, when the friend who had assisted<br />
with admitting A 1025 to the hospital left and was still<br />
needed to sign release forms. Once the release was<br />
finally arranged more than two hours later, the patient<br />
was transported to Critical Care Research (CCR) for<br />
blood washout.<br />
When he arrived at 04:40 on March 2, 2003, the patient had<br />
been packed in crushed ice, and his nasopharyngeal<br />
temperature was 22°C. The transport team reported that<br />
the medications provided by CCR were administered, but<br />
no notes exist on the time of administration. Large volume<br />
medications, like tromethamine and mannitol, were<br />
introduced by CCR personnel. CCR generously provided<br />
these medications, because of the on going standby for<br />
another <strong>Alcor</strong> member in that region.<br />
During the washout, clotting was observed, and one<br />
carotid swelled from the beginning. The<br />
washout was completed by 07:00; and the<br />
patient's temperature had been reduced<br />
to 7.3°C.<br />
By 07:30, the patient was packed and<br />
ready for transport, but the paperwork<br />
for departing the state had not been<br />
obtained. Several hours of delay<br />
resulted, and there were also problems<br />
obtaining the death certificate, as the<br />
emergency room physician who<br />
pronounced was unwilling to sign.<br />
CCR personnel tracked down the<br />
patient's primary physician and<br />
arranged for his signature.<br />
Once the paperwork was secured, the<br />
patient was allowed to be removed to<br />
Arizona. Transit time to <strong>Alcor</strong> was five<br />
hours, and the patient arrived at 17:35 MST.<br />
12 A LCOR L IFE E XTENSION F OUNDATION • www.alcor.org