Fernando D. Goldenberg
Fernando D. Goldenberg
Professor of Neurology; Director, Neuroscience Critical Care; Co-Director Comprehensive Stroke Center
Legal and medical experts and ethicists gathered to re-examine the neurological standard for the declaration of death, which remains a source of debate after 50 years. |
Fifty years after its inception, the current position on the Neurological Standard for Declaration of Death (NSDD) is subject to a number of persistent concerns and novel criticisms. There remains considerable public confusion both about the meaning of the term “brain dead” and about its relation to the death of a human being. There is persistent dissent by some clinicians, philosophers, and other critical observers who have never been convinced that “brain death” is, indeed, the death of the human being. There are, as well, pressures against insisting that declaring death, or at least “organ donation eligibility,” requires the irreversible loss of function in the whole brain. And, perhaps most important, there are critics who have published evidence of ongoing integrated bodily activities in some patients meeting the criteria of “whole brain death” and who have claimed that this evidence invalidates the rationale for today’s consensus position. These challenges invite—indeed, necessitate—a reexamination of the neurological standard enshrined in law and medical practice. This research project will undertake such a reexamination.
Professor of Neurology; Director, Neuroscience Critical Care; Co-Director Comprehensive Stroke Center
Associate Professor of Neurocritical Care, Departments of Neurology and Surgery (Neurosurgery)
Carolyn and Matthew Bucksbaum Professor of Clinical Medical Ethics; Associate Director, MacLean Center for Clinical Medical Ethics; Co-Director, Institute for Translational Medicine