What scares you the most– spiders, public speaking, death? These
three are high on every list of common fears, but it wasn’t so long ago that
another fear was in first place – taphophobia.
Never heard of it? I bet that its mere definition will be enough to send a
chill up your spine.
Technically, taphophobia means “fear of graves” (taphos = tomb, and phobia = fear of), but its common use is “fear of being buried alive.” Premature burial is not an urban legend, incidents have
been documented in nearly every society – and not all of them were just in the
movies or books.
In the 1800’s and earlier, being dead was a lot like being a
duck….. you know, if it looks like a duck, walks like a duck, and quacks like a
duck….. The appearance of death was often enough to make a diagnosis and start
going through their pockets.
As a good example of the wisdom of the age, George Washington
had these last words, "Have me decently buried, but do not let my body be
put into a vault in less than three days after I am dead…….., tis well." He
wanted a sufficient amount of time to pass to ensure that he was in fact dead.
The hopes of preventing the spread of infection often lead
to burying the dead before they were quite dead. I give you plague victim Eric Idle
in Monty Python’s Search for the Holy Grail – “But I’m not dead yet…. I’m
feeling much better.”
In an effort to see how bad the situation was, the English
reformer, William Tebb, in 1905 made a study of accidental premature burial. Tebb
was quite the joiner; the weirder the society, the more he wanted to join or
lead it. He worked with the Vegetarian Society, the anti-vivisection movement,
the national Canine Defense League, and formed National Anti-Vaccination League
in 1896.
In her 1996 book, The
Corpse: A History, Christine Quigley documents many instances of
premature
burial and near-premature burial (I LOVE the title). Skeletons were
outside their coffins, sitting up in the corner of their vault
after being opened years later. Others were found turned over in their
caskets, with tufts of their own hair in their hands.
How might this happen? What conditions might make it look so
much like you were dead that even your loved ones would let them plant you in
the ground? The list is long and varied, but here are some of the more common
things that can make you look dead:
Asphyxiation – anything
that cuts off your supply of air can make you look dead once you fall
unconscious – continuation of this condition leads to actual death. You look
dead enough and won’t respond to external stimuli, so people assume you are
dead. Close the coffin lid, and soon you really will be dead of asphyxia.
Catalepsy – Many
things can bring on this catatonic state in which the muscles are rigid (like
rigor mortis after death) and no pain is enough make you respond, one example
is epilepsy. Hypnotists call their trances catalepsy (Greek for to grab and
take down), but true catalepsy is much more severe and can last hours to days.
Severe emotional trauma can also bring it on, so you can certainly be scared
enough to look like you are dead.
To show how medicine has changed, there is now a battery of
assessments called the Glasgow coma scale (GCS) that are carried out on coma
victims to assess their state and prognosis. In centuries past, you might look
at them, hold a mirror under their nose, maybe lift and drop an arm….. bury
them.
The GCS has traditionally been used in the hospital
environment, but new evidence
shows that a prehospital GCS (assessment at scene or in route) can be just as
accurate and may benefit treatment choice in pediatric traumatic brain injury
patients. The study compared prehospital and emergency department GCS scores
and showed that they were similar. They also compared outcomes with prehospital
scores and showed a positive correlation. If assessment and treatment can be
begun earlier, outcomes should improve.
Apoplexy – this
not a very accurate term any longer, and has meant different things at
different times. It can refer to bleeding within an organ or bleeding during a
stroke. A stroke is very likely to leave survivors that look like they are
dead, and are unresponsive. Nevertheless, there are stroke victims who regain
consciousness.
Due to the above conditions, many people in the 1700’s and
1800’s made a hunk of change by promoting safety coffins and vaults. These
might be as simple as attaching a rope to the hand of the deceased, and running
this rope to the surface where it was attached to a bell.
In other coffins the alterations were more elaborate. There
might be glass plates to view the face of the dead or a periscope to keep an
eye on the corpse. Some thirty designs were patented just in Germany in the
second half of the 19th century, including some that contained
vibration sensors, and later… a telephone line.
Modern EEG and EKG have reduced the chance of premature
burial or cremation, but mistakes do get made. In 2007, a Venezuelan man awoke during
his own autopsy, and Quigley also writes of several modern instances of
near-premature burial. Furthermore, the need for quick burial during epidemics
has been replaced by the need for timely organ harvests – maybe they aren’t
done with that kidney yet!
No comments:
Post a Comment