Chief resident in neurology at Boston Medical Center and Boston University School of Medicine in Massachusetts.
Professor and the chair of the Department of Neurology at Boston Medical Center and Boston University School of Medicine in Massachusetts.
AMA J Ethics. 2020 Dec 1;22(12):E1027-1032. doi: 10.1001/amajethics.2020.1027.
Since it was proposed in 1980, the Uniform Determination of Death Act has provided the legal basis for determination of death by neurological criteria. The act contains language that allows for acceptable medical standards to be used to determine death. Since 1995, the American Academy of Neurology has provided guidelines for brain death determination (revised in 2010), but nationwide adherence to these guidelines has been incomplete. This variability could lead to misdiagnosis and erosion of public trust in this important medical practice. Physicians must work together as a profession to push for uniformity and accuracy in death diagnosis.
自 1980 年提出以来，《统一死亡判定法案》为神经学标准判定死亡提供了法律依据。该法案包含允许使用可接受的医疗标准来判定死亡的语言。自 1995 年以来，美国神经病学学会一直为脑死亡判定提供指南（2010 年修订），但全国范围内对这些指南的遵守并不完整。这种差异可能导致误诊，并侵蚀公众对这一重要医疗实践的信任。医生必须作为一个专业群体共同努力，推动死亡诊断的统一和准确性。
