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CE: Brain Death: History, Updates, and Implications for Nurses
Aimee Milliken1, Melissa Uveges
1Aimee Milliken is a clinical ethicist, nurse scientist, and director of research at Brigham and Women's Hospital, Boston. Melissa Uveges is a postdoctoral fellow at Harvard Medical School, Boston. Contact author: Aimee Milliken, abmilliken@gmail.com. The author and planners have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the authors is available at www.ajnonline.com.
Abstract:
In 1968, the criteria for brain death were established by the Harvard Ad Hoc Committee. Despite what may appear to be unambiguous definitions, clinicians, ethicists, and the public have grappled with the concept of brain death since its inception. In light of recent public discourse on the topic, Harvard Medical School convened a conference to examine research and ethical inquiry conducted over the past 50 years related to death as defined by neurologic criteria. Drawing on the report produced by this conference, this article provides an overview of the development of brain death criteria, describes recent controversies and updates, and discusses implications of these criteria for nurses.
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