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Taking off life support from clinically deceased people

by Marwane al hashemi
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Emirates Today received two complaints from families of deceased people in state hospitals, in which they said that life support had been removed from their patients without obtaining their prior consent.

They wondered whether this meant depriving them of a final chance to return to life, or whether it was just a medical procedure followed in certain cases.

On the other hand, officials in government hospitals confirmed that this procedure does not exist in state hospitals.

They said that life support is not removed from a clinically dead patient until he dies naturally, in which case his heart stops permanently, and liver and kidney functions are disrupted.

The Ministry of Health reported that there is no medical or legal law that permits the removal of life support from clinically deceased persons, whether at the request of them or their families or guardians.

In detail, the citizen (Umm Muhammad) told “Emirates Today” that she had a relative who died in a government hospital in Dubai, after he was taken off life support, despite his family’s opposition to this procedure.

She added that the doctor who was supervising her relative’s condition asked them to agree to take him off life support and donate his organs to patients in need.

She said, “The patient was admitted to the hospital suffering from fractures and wounds after being exposed to a car accident, in addition to spending almost a full week in a coma, from which he woke up before his doctor decided to take him off life support, but the doctor did not give him long, and insisted on considering him clinically dead, demanding that his organs be donated to patients.” Others.

Citizen Abdulaziz Ahmed said that his mother died in a government hospital after the devices were removed from her with his approval and the consensus of the treating doctors, given that she was living on the devices.

He continued: “My mother suffered from constant high blood pressure and diabetes, which required her to stay in the hospital for several months. The last time I took her to the hospital, she had a high fever and high blood pressure, as a result of which she fell into a coma.”


During her stay in the hospital, she suffered kidney failure and a stroke, according to doctors, who confirmed that her heart stopped for two minutes and then resumed beating slowly. They attributed this to the life support devices that kept her alive.

Ahmed confirmed that he agreed to this procedure after taking the opinion of a Sharia scholar.

In addition, Dr. Joseph Shukri, the senior consultant and head of the Department of Anesthesia, Central Care and Pain Medicine at Al Qasimi Hospital, denied that it would be possible to remove life support from patients in public and private state hospitals.

He said, “The procedures for dealing with clinically deceased patients require that life support be maintained until death is declared natural, with the heart stopping and liver and kidney functions being disrupted.”

In turn, the Executive Director of Al Qasimi Hospital, Dr. Alan Sandford, confirmed that there are clinically dead patients (brain death) who are not taken off life support, and whose condition is presented in a clear medical manner to their families and relatives to take the necessary medical action.

He added: “There are many cases for which life support was not taken off, and they remained in the hospital for days and months, depending on the nature of each of them’s condition,” denying an estimate or specifying a period for keeping the devices on the patient.

“Health” denies
For his part, the Undersecretary of the Ministry of Health for Media Affairs, Dr. Abdul Ghaffar Abdul Ghafour, confirmed that there is no medical or legal law that allows removing life support from clinically deceased people. and

The Federal National Council recently approved 14 articles of the Medical Liability Law, which stipulate that it is not permissible to end a patient’s life for whatever reason, even if that is based on his request or the request of his guardian or guardian.

Resuscitator
The cardiac resuscitation device is one of the most important devices in hospitals and medical centers, as it is relied upon to save the lives of many patients.

A cardiac resuscitator or electric shock device is used to correct irregular heart function or complete or sudden cessation of the heart’s function, to prompt it to perform its normal function.

Ambulance services center
The Dubai Ambulance Services Center seeks to shorten the time required for an ambulance to attend heart patients, through a service that will be launched soon, and provides a satellite-linked alarm device for patients in emergency cases. Its user can press a small key, to call the ambulance at a rapid speed, and information appears. Complete history of his illness.

The Executive Director of the Dubai Ambulance Services Center, Khalifa Hassan Bin Dray, explained to “Emirates Today” that “the center will provide a small-sized alarm device for heart patients in particular, and critical cases in general, in the emirate, enabling them, with the push of a button in case of emergency, to call an ambulance.” Pointing out that “the device will work with the satellite system, as it has been completed 70% of its preparation stages.”

Medical decision
Islamic preacher Dr. Ahmed Al-Kubaisi said that the decision to remove life support from the clinically deceased is a completely medical decision, noting that “religious scholars cannot interfere in it; Because it does not fall within their jurisdiction.”

Explaining that, “If doctors agree that the patient is clinically dead and that the resuscitation device preserves the soul of the deceased, and that if it is removed the patient will die in a second, then it must be removed. However, if there is a possibility that he will survive on life support, even if it is one in a million, then it is not permissible to remove the devices from him.”

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