核心概念
Death determination standards clarified and reaffirmed by ACP.
摘要
The American College of Physicians (ACP) issued a position paper clarifying death determination standards, emphasizing the importance of transparency and patient welfare. The paper reaffirms existing standards, proposing minor changes to terminologies while highlighting the timeless values of honesty and integrity in medical practice.
Key Highlights:
- ACP's position paper revises terminology from "irreversible" to "permanent" for cardiorespiratory death.
- Emphasizes the distinction between circulatory and neurologic standards for determining death.
- Recommends additional education for clinicians and the public on death determination and communication.
- Stresses the ethical importance of the dead donor rule and transparency in medical practice.
- Acknowledges diverse views and potential future revisions based on technological advancements.
統計資料
"Today, irreversible is understood to encompass circumstances in which physiologic functions cannot resume (that is, it is not biologically possible)," the position paper states.
"The term permanent is understood to encompass not only circumstances in which physiologic functions cannot resume (that is, are irreversible) but also those in which function will not resume (for example, because resuscitation, although possible, will not be pursued out of respect for the patient's preferences)."
引述
"Permanency is paramount for both." - David M. Greer
"Having people be dead in one state and not another is still problematic." - David M. Greer