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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

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