Fwd: AAN Calls for Uniform Definition of Brain Death

HM Epstein hmepstein at GMAIL.COM
Fri Jan 4 00:57:33 UTC 2019


The AAN is looking to harden a federal definition of brain death, the
ultimate diagnostic issue. But it was just a few month ago I shared an
article <https://www.medscape.com/viewarticle/902143?> that discussed how
difficult it was to do that because of the number of "dead" patients who
"woke" or moved in ways that indicated the assessment was premature.  A
pull-out from the attached article available free for all to read:

According to the AAN, brain death is defined as death due to irreversible
loss of function of the entire brain — comparable to circulatory death,
which is defined as irreversible loss of function of the circulatory
system. Such a state, as determined by one or more medical professionals
through application of accepted medical standards, is accepted as legal
death in all US jurisdictions.

The brain death standards for adults and children that are now widely
accepted and used are the AANs 2010 Evidence-Based Guideline Update:
Determining Brain Death in Adults and the 2011 Guidelines for the
Determination of Brain Death in Infants and Children, issued by the
Pediatric Section of the Society of Critical Care Medicine, the Sections of
Neurology and Critical Care, the American Academy of Pediatrics and the
Child Neurology Society.

Does SIDM have a point-of-view on this? Should we? And my fear is that
bureaucracy is incredibly slow moving. If this definition is accepted, how
hard will it be to update?

Best,
Helene


Website <http://hmepstein.com/> Twitter <https://twitter.com/hmepstein>
LinkedIn <https://www.linkedin.com/in/helenekepstein/>

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---------- Forwarded message ---------
From: Medscape News Alert <Medscape_News_Alert at mail.medscape.com>
Date: Thu, Jan 3, 2019 at 5:32 PM
Subject: AAN Calls for Uniform Definition of Brain Death
To: <HMEPSTEIN at gmail.com>


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AAN Calls for Uniform Definition of Brain Death
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