Trinity College Dublin, Dublin, Ireland
University College Cork, Cork, Ireland.
J Med Ethics. 2024 Jun 21;50(7):442-446. doi: 10.1136/jme-2023-109425.
Canada has recently published a new Clinical Practice Guideline on the diagnosis and management of brain death. It states that consent is not necessary to carry out the interventions required to make the diagnosis. A supporting article not only sets out the arguments for this but also contends that 'UK laws similarly carve out an exception, excusing clinicians from a prima facie duty to get consent'. This is supplemented by the claim that recent court decisions in the UK similarly confirm that consent is not required, referencing two judgements in We disagree with the authors' interpretation of the law on consent in the UK and argue that there is nothing in to support the conclusion that consent to testing is not necessary. Where there is a disagreement about testing for brain death in the UK, court authorisation is required.
加拿大最近发布了一份关于脑死亡诊断和管理的新临床实践指南。该指南指出,进行诊断所需的干预措施不需要征得同意。一篇相关的文章不仅阐述了这样做的理由,还认为“英国法律也有类似的例外,免除了临床医生获得同意的初步责任”。该文章还声称,英国最近的法院判决也同样确认不需要同意,引用了两个在 We 案中的判决。我们不同意作者对英国同意法的解释,并认为没有任何证据支持测试不需要同意的结论。在英国,对于脑死亡测试存在分歧的情况下,需要法院授权。