http://www.metafilter.com/tags/nejm Posts tagged with 'nejm' at MetaFilter. Sun, 24 Aug 2008 04:42:07 -0800 Sun, 24 Aug 2008 04:42:07 -0800 en-us http://blogs.law.harvard.edu/tech/rss 60 http://www.metafilter.com/74364/Death%2Dby%2Dorgan%2Ddonation Is it time to redefine death? In a recent <a href="http://content.nejm.org/cgi/content/full/359/7/709">article</a> in the NEJM, a team of doctors described decreasing the period after cessation of heart function in order to collect donations and increase their viability. This has spiked some debate over the definition of brain death and the "irreversibility" of <a href="http://cancerweb.ncl.ac.uk/cgi-bin/omd?sourceid=Mozilla-search&query=asystole+">asystole </a> after removing life support. An <a href="http://content.nejm.org/cgi/content/full/359/7/749">introduction</a> to the situation and the arguments. An interesting round table <a href="http://content.nejm.org/cgi/content/full/359/7/674/DC1">discussion</a>, chaired by Atul Gawande. <a href="http://content.nejm.org/cgi/content/full/359/7/674">"The ethically relevant precondition is valid consent...with such consent, there is no harm or wrong done in retrieving vital organs before death, provided that anesthesia is administered."</a> <a href="http://content.nejm.org/cgi/content/full/359/7/672">"This means that under current law, it is not possible to procure a transplantable heart after cardiac death. There are two possible ways out of this dilemma. Both involve legal changes."</a> <a href="http://content.nejm.org/cgi/content/full/359/7/669">"To what extent should society permit manipulation of an organ donor or alteration of the determination of human death for the good of organ recipients?"</a> <a href="http://www.metafilter.com/59542/It-meets-the-legal-definition-of-death-because-there-is-no-intention-of-reviving-them"><small>Previously</small></a> More fun stuff: Legal definitions: <a href="http://www.law.upenn.edu/bll/archives/ulc/fnact99/1980s/udda80.htm">the death act (US)</a>; <a href="http://www.legislation.qld.gov.au/LEGISLTN/CURRENT/T/TransplAAnatA79.pdf">Transplantation and Anatomy Act, s45(1) (AUS)</a>; <a href="http://www.aic.cuhk.edu.hk/web8/brain_death_and_care_of_organ_do.htm">the UK has no precise definition for brain death</a>. <a href="http://classic.aacn.org/aacn/jrnlccn.nsf/0/5ebf8de743ead0fa8825674e005a8950?OpenDocument">Criteria for determining if someone is actually brain dead.</a> <a href="http://www.optn.org/latestData/rptData.asp">Statistics on US donors.</a> <a href="http://www.who.int/bulletin/volumes/85/12/06-039370/en/">The status of the international organ trade.</a> <a href="https://www.uktransplant.org.uk/ukt/newsroom/statements_and_stances/statements/opt_in_or_out.jsp">The issues of the opt-in vs opt-out system</a> And, of course, how to donate: <a href="http://www.donatelife.net/">US</a>, <a href="http://www.medicareaustralia.gov.au/public/services/aodr/index.jsp">AUS</a>, <a href="http://www.uktransplant.org.uk/ukt/how_to_become_a_donor/registration/consent.jsp">UK</a>. tag:metafilter.com,2008:site.74364 Sun, 24 Aug 2008 04:42:07 -0800 braindeath donation infant nejm organ transplantation trauma shokod http://www.metafilter.com/70516/Im%2Dsure%2Dthe%2DNRA%2Dwill%2Dhave%2Dsomething%2Dto%2Dsay%2Dabout%2Dthis As <a href="http://www.scotuswiki.com/index.php?title=DC_v._Heller">the Supreme Court </a><a href="http://en.wikipedia.org/wiki/District_of_Columbia_v._Heller">ponders the Second Amendment</a>, <a href="http://content.nejm.org/">The New England Journal of Medicine </a>weighs in <a href="http://content.nejm.org/cgi/content/full/358/14/1421">once</a>, <a href="http://content.nejm.org/cgi/content/full/358/14/1424">twice</a>, <a href="http://content.nejm.org/cgi/content/full/358/14/1503">three </a>times. tag:metafilter.com,2008:site.70516 Fri, 04 Apr 2008 07:51:45 -0800 dcvsheller guns NEJM secondamendment supremecourt TedW