<s>[INST] May I ask you What "Anoxia. cardiac arrest from circulatory failure due to severe acute internal haemorrhage;Multiple rib fractures and pulmonary lacerations; trauma to the brain and brain stem;ischemic heart disease. means to you . I am confused.... [/INST] Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that the clinical situation of the patient seems to be really serious and life-threatening. He may have had an accident, which has lead to a lot of bleeding, and low blood flow to the brain. His heart has stopped (I don't understand if the patient is dead or resuscitated) . From the other hand his brain has been seriously damaged by the trauma. Hope you will find this answer helpful!Kind regards!Dr. Iliri </s>