Sunday, January 20, 2013

A Killer Performs Premortem Organ Harvest

In my story, the villain keeps the victim alive, while removing their organs (before eating them). I need a drug that will keep the victim alive but sedated. I don’t want to use curare. What would be a workable drug?

I’d suggest IV Propofol (the drug that killed Michael Jackson). It’s a powerful but short-acting sedative, a white liquid sometimes called “mother’s milk” by anesthesiologists. I've seen patients sedated enough to quit breathing, and wake up within 15-20 minutes. The drug is rapidly metabolized-- i.e. before "dinner" for your killer.

To do the proposed organ harvest (and have the victim not flailing around) the killer would need to administer enough to affect respiration, so your “surgeon” would require a way to breathe for the patient—a tube in the airway to get oxygen to the lungs. If your killer can put a tube down the victim's throat, or cut a hole in front in the trachea and put in a tube, breathing for the victim can be done two ways:

1) Someone could "bag" the victim (and a bellows-type bag squeezed 10-16 times a minute) until the killer gets the organs out. This would require a second person. In third world countries, medical organizations have used a McGyver version of this with a garbage bag as an oxygen reservoir and a bellows.

2) A mechanical ventilator. Consider having him steal a mechanical ventilator. An ambulance, Life Flight helicopter, or a doctor's office that has a surgical suite would be places to look.

These portable vents can be ordered online if you have a medical credential (maybe for your book, a fake credential). If I were your killer, I'd steal a portable ventilator and the propofol (which is a hospital item).

Questions? Comments?

~*~
Kelly has worked in the medical field for over twenty years, mainly at large medical centers. With experience in a variety of settings, chances are Kelly may have seen it.

Sometimes truth seems stranger than fiction in medicine, but accurate medicine in fiction is fabulous.
Find her fiction at www.kellywhitley.com.

Like crime scenes? I recommend Crime Scene Writer. To join: crimescenewriter@yahoogroups.com

8 comments:

  1. Sort of reminds me of a particular episode, "Astral Monkey," of "Charmed." A doctor goes bonkers and goes around harvesting organs, not to eat, but to donate for transplants. Leaves the kidney "donor" alive, but the heart "donor," not so much.

    Also, I did a flash piece titled "I Don't Bite" along these lines. But since I considered it fantasy, I just didn't worry about the drug, it was just something the killer secreted (she also had electric teeth to cauterized the wounds so the victim wouldn't bleed to death when she bit off a piece).

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    1. Interesting. I watched Charmed years ago, but hadn't seen this episode.
      I'd be interested in reading your flash--I write it too, mostly noir and humor.
      Cheers, Kelly

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  2. This reminds me of another book I read earlier this year titled 'The Donors' by Jeffrey Wilson.

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    1. Yeah, organ harvest has been used in suspense for years. I hope the "take" ends up being unique; execution (no pun intended) is crucial.
      Cheers, Kelly

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  3. Good info but don't want to read the book!

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  4. What a great find! Found you through the link you posted at crime scene writers yahoo group. This looks like a great resource!

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    1. Thanks, Monica. Browse and enjoy!
      Cheers, Kelly

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