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[Legal problems of brain death].

A Laufs

    Der Nervenarzt
    |August 1, 1985
    PubMed
    Summary

    Determining the uniform time of death requires distinguishing the concept of death from medical proof. Current legal views establish death based on irreversible brain death, not just cessation of biological functions.

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    Area of Science:

    • Medical Ethics
    • Neurology
    • Legal Medicine

    Context:

    • Establishing a uniform time of death is crucial for legal and medical purposes.
    • Current medical and legal frameworks necessitate a clear definition of death.
    • The concept of death has evolved beyond the cessation of basic biological functions.

    Purpose:

    • To differentiate between the normative concept of death and medical criteria for its determination.
    • To clarify the legal and medical basis for declaring death, emphasizing brain death.
    • To guide physicians on the ethical and legal boundaries of therapeutic interventions.

    Summary:

    • The determination of death is a normative convention, not solely a medical one.
    • Legal consensus increasingly defines death based on irreversible brain death, irrespective of maintained circulatory function.
    • Brain death signifies the complete and irreversible collapse of all brain functions.

    Impact:

    • Physicians are ethically and legally compelled to discontinue life-prolonging measures upon confirmation of irreversible brain death.
    • This framework prevents the prolongation of death and respects the patient's end-of-life boundaries.
    • Clarifies physician obligations regarding intensive therapy when brain death is imminent or established.

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