Understand the case of a baby presumed dead who returned to have vital signs 2 hours later The case of baby Noah Gabriel da Cruz Santos, who was pronounced dead at Santa Casa de Rio Claro (SP) and was found moving inside the funeral bag in which he would be taken for wake and burial, generated national repercussions this week. The boy had a cardiorespiratory arrest one month after his birth and was certified dead by the medical team. Two hours later, a funeral director noticed he was moving and making noise. Soon after, the baby was taken back to the Intensive Care Unit (ICU). ? Follow g1 São Carlos and Araraquara on Instagram Santa Casa reported that all protocols for ascertaining death were complied with and that it did not identify any failure or procedure that could be reviewed in light of the evidence at the time of ascertainment of death. Noah, one month old, showed vital signs about 2 hours after being pronounced dead in Rio Claro, SP Personal Archive Noah was transferred and remains hospitalized at the Hospital for Rehabilitation of Cranio-Facial Anomalies at USP, Centrinho, in Bauru. According to Letícia Cristina da Cruz Santos, the baby's mother, he is recovering in the Neonatal ICU. She considers the case a miracle. g1 gathered 12 points that detail everything about the case: How was Noah born? What happened on the day of the cardiac arrest? What did the parents see at that moment? How did they find out Noah was alive? What happened immediately after? Did the baby really die? Is there a medical explanation? How is Noah doing today? Does the family believe in medical error? What does the hospital say? Is there an investigation into the case? Why did the case attract so much attention? MORE arte/g1 1. How was Noah born? Noah was born prematurely on June 15th in Rio Claro. He was diagnosed with cleft palate, a congenital malformation that causes an opening in the roof of the mouth and can affect dental development, speech, hearing and breastfeeding. Because of this, he was admitted to the Neonatal ICU shortly after birth. 2. What happened on the day of the cardiac arrest? Baby shows vital signs about 2 hours after being pronounced dead in Rio Claro On July 15, while the baby was waiting for a transfer slot to undergo surgery at a specialized hospital, his health condition worsened. Noah suffered a cardiorespiratory arrest, and the medical team performed resuscitation maneuvers for around 45 minutes, but his death was confirmed late in the afternoon. 3. What did the parents see at that moment? The wake and burial of the boy Noah was scheduled by the funeral home in Rio Claro (SP) Reproduction/EPTV Letícia said that she and her husband witnessed the entire service and saw their son lifeless and with a purple color. After death was declared, Noah remained in the Santa Casa Neonatal ICU for about an hour. Then, the body was properly prepared, placed in a burial bag and sent to await the arrival of the funeral company that had been chosen by the family. The baby's wake and burial were scheduled for July 16th. (See the condolence message above with the times). 4. How did they find out that Noah was alive? The funeral director Regina Célia Paschoal noticed that the boy Noah was alive inside a bag at a hospital in Rio Claro (SP) Wesley Almeida/EPTV About two hours after the death was confirmed, the funeral director Regina Célia Paschoal went to remove the body and noticed that the boy was moving inside the funeral bag, which was closed with ribbons. Soon after, she decided to open it. "I opened it and the baby started to move even more, it made a noise, he wanted to breathe", said Regina. (See her report in the video below or read the full report). 'Big emotion', says funeral director who noticed vital signs of baby presumed dead 5. What happened immediately afterwards? As soon as the vital signs were noticed by the funeral director, Noah was immediately re-evaluated by the hospital doctors, readmitted to the Rio Claro Neonatal ICU and returned to receiving all necessary intensive care. On Friday, July 17th, Noah was transferred to Centrinho in Bauru (USP Cranio-Facial Anomalies Rehabilitation Hospital). 6. Did the baby really die? Santa Casa believes so. The protocols used by the medical team indicated the absence of vital signs after 45 minutes of attempted resuscitation. 7. Is there a medical explanation? Photo that the parents took with Noah after they were called to return to Santa Casa de Rio Claro because he showed vital signs Personal Archive Noah's case still does not have a definitive medical explanation. g1 questioned the Brazilian Society of Pediatrics about details of the death confirmation protocols and the baby's case, but the organization reported that it was unable to get feedback from specialists. The São Paulo Pediatrics Society was also contacted, but preferred not to comment. The report also tried to explain medical experts on the subject, but was unable to do so. 8. How is Noah today? Noah remains admitted to the Bauru hospital to continue specialized treatment for his cleft palate, using a vacancy he was already waiting for. According to his family, he is doing well. 9. Does the family believe in medical error? Parents with baby boy Noah after birth in Rio Claro (SP) Reproduction/EPTV No. The baby's mother, Letícia Cristina da Cruz Santos, stated that she does not believe in negligence or error on the part of the hospital's medical team. She r