UDDA 的语言足够准确和务实。

IF 3.1 3区 医学 Q2 CLINICAL NEUROLOGY
Neurocritical Care Pub Date : 2024-12-01 Epub Date: 2024-06-11 DOI:10.1007/s12028-024-02004-3
Eelco F M Wijdicks, Christopher Burkle
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引用次数: 0

摘要

我们有理由重视《统一死亡判定法》(UDDA)。自颁布以来,《统一死亡判定法》对美国公民、昏迷病人的家属以及照顾他们的医护人员至关重要。UDDA 规定了判定死亡的两个标准,并让医学界制定标准,以便医生判定是否达到了这些标准。神经科医生和神经重症监护专家一直是这项工作的核心。标准已完美确立,为何还要改变?最近对 UDDA 进行审查的导火索是质疑医学(神经学)权威的诉讼,导致对 UDDA 的措辞和准确性进行重新审视。一些团体对《统一药物滥用法案》的措辞提出了重大反对意见,导致统一法律委员会任命的一个委员会考虑对该法案进行几处重大修改。在经过几年的讨论而没有达成一致意见之后,委员会主席中止了这项工作。修改 UDDA 将导致法律危机和各州的混乱。我们提出了反对修订该法规的主要论点,并认为委员会未能修订 UDDA 实际上应被视为必要的成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Language of the UDDA is Sufficiently Precise and Pragmatic.

We have a reason to value the Uniform Determination of Death Act (UDDA). Since enactment, the UDDA has been of paramount importance to US citizens, families of comatose patients, and the health care professionals who care for them. The UDDA sets forth two standards for determining death and leaves to the medical community to elaborate criteria by which physicians can determine when those standards have been met. Neurologists and neurocritical care experts always have been center stage in this effort. Perfectly established, why change it? What ignited the recent review of the UDDA were lawsuits questioning medical (neurological) authority leading to the wording and accuracy of the UDDA being revisited. The major objections to the language of the UDDA by several groups led a committee appointed by the Uniform Law Commission to consider several substantial changes in the Act. After several years of discussion without reaching a consensus, the committee's chair suspended the effort. Upending the UDDA will lead to a legal crisis and confusion across the states. We present our main arguments against revising this statute and argue that the committee's failure to revise the UDDA should actually be seen as a necessary success.

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来源期刊
Neurocritical Care
Neurocritical Care 医学-临床神经学
CiteScore
7.40
自引率
8.60%
发文量
221
审稿时长
4-8 weeks
期刊介绍: Neurocritical Care is a peer reviewed scientific publication whose major goal is to disseminate new knowledge on all aspects of acute neurological care. It is directed towards neurosurgeons, neuro-intensivists, neurologists, anesthesiologists, emergency physicians, and critical care nurses treating patients with urgent neurologic disorders. These are conditions that may potentially evolve rapidly and could need immediate medical or surgical intervention. Neurocritical Care provides a comprehensive overview of current developments in intensive care neurology, neurosurgery and neuroanesthesia and includes information about new therapeutic avenues and technological innovations. Neurocritical Care is the official journal of the Neurocritical Care Society.
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