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- Alaska Statutes.
- Title 18. Health, Safety, and Housing
- Chapter 8. Emergency Medical Services
- Section 89. Authority to Pronounce Death.
previous: Section 88
next: Section 90
. [Renumbered as AS 18.08.200
AS 18.08.089. Authority to Pronounce Death.
- (a) A mobile intensive care paramedic or physician assistant registered or licensed under AS 08.64.107
or an emergency medical technician certified under this chapter may make a determination and pronouncement of death of
a person under the following circumstances:
- (1) the paramedic or emergency medical technician is an active member of an emergency medical service certified under this
- (2) neither a physician licensed under AS 08.64 nor a physician
exempt from licensure under AS 08.64 is immediately available for
consultation by radio or telephone communications;
- (3) the paramedic, physician assistant, or emergency medical technician has determined, based on acceptable medical
standards, that the person has sustained irreversible cessation of circulatory and respiratory functions.
- (b) A mobile intensive care paramedic, physician assistant, or emergency medical technician who has determined and
pronounced death under this section shall document the clinical criteria for the determination and pronouncement on the
person's emergency medical service report form and notify the appropriate medical director or collaborative physician
as soon as communication can be established. The paramedic, physician assistant, or emergency medical technician shall
provide to the person who signs the death certificate the
- (1) name of the deceased;
- (2) presence of a contagious disease, if known; and
- (3) date and time of death.
- (c) Except as otherwise provided under AS 18.50.230
, a physician licensed under AS 08.64 shall certify a death
determined under (b) of this section within 24 hours after the pronouncement by the mobile intensive care paramedic,
physician assistant, or emergency medical technician.
- (d) In this section,
- (1) "acceptable medical standards" means cardiac arrest accompanied by
- (A) the presence of injuries incompatible with life, including incineration, decapitation, open head injury with loss of
brain matter, or detruncation;
- (B) the presence of rigor mortis;
- (C) the presence of post mortem lividity; or
- (D) failure of the patient to respond to properly administered resuscitation efforts;
- (2) "failure of the patient to respond" means without restoration of spontaneous pulse or respiratory effort by the
- (3) "properly administered resuscitation efforts" means
- (A) when a person authorized to perform advanced cardiac life support techniques is not available and the patient is not
hypothermic, at least 30 minutes of properly performed cardiopulmonary resuscitation;
- (B) when a person authorized to perform advanced cardiac life support techniques is not available and the patient is
hypothermic, at least 60 minutes of cardiopulmonary resuscitation properly performed in conjunction with rewarming
techniques as described in the current State of Alaska Hypothermia and Cold Water Near-Drowning Guidelines published by
the division of public health, Department of Health and Social Services; or
- (C) at least 30 minutes of cardiopulmonary resuscitation and advanced cardiac life support techniques properly performed
by a person authorized to perform advanced life support services.
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