See Comments. Abstract Brain death has been accepted as a legal definition of death in most countries, but practices for determining brain death vary widely.
Footnotes Funding information and disclosures are provided at the end of the article. Explore this topic: NPub. Forgot your user name or password? Purchase access. The Nerve! Robbins and James L. Published July 06, Published June 12, Stay timely. Submit only on articles published within the last 8 weeks. Do not be redundant. Read any comments already posted on the article prior to submission. Reference 1 must be the article on which you are commenting.
Practice Current: When do you order ancillary tests to determine brain death?
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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. You May Also be Interested in. Back to top. Article Abstract A brief history of brain death Brain death determination The use of ancillary testing in the determination of brain death Controversies in brain death diagnosis: Brainstem death or whole brain death and ancillary tests of cortical function Expert opinion Author contributions Study funding Disclosure Footnotes References.
Related Articles No related articles found. Topics Discussed Brain death Practice Current. These technologies offer the opportunity to enhance both research and patient care in acute diagnostic neurology. Together these factors will likely drive important innovations in care delivery for patients presenting common, acute neurologic symptoms where diagnostic approaches are paramount.
Selected Tables and Figures from - Eelco Fm Wijdicks - Häftad () | Bokus
Critical to this process will be development and dissemination of clinical decision tools e. Ideally these decision tools will guide clinical decisions related to advanced diagnostic test use e. Respected champions within the discipline have the greatest potential to transform culture. Engaging champions from both disciplines is likely to facilitate optimal communication. Likewise, it will be important to assess neurology perspectives on EM deficits and their own.
By systematically identifying gaps, it will be possible to focus educational and quality improvement initiatives. Specific gaps might be addressed by the application of dedicated programs such as certification in use of specialized examination techniques e. They might even include a concentration on one or more specific symptoms or diseases. By emphasizing the importance of efficient, accurate diagnosis in the new financial health care landscape, advocates may impress upon leaders the need for resources to support innovation in clinical practice and education.
They should leverage access to existing infrastructure where possible, such as clinical trials networks e. They should write systematic reviews of bedside diagnosis for key acute diagnostic neurology topics e. Acute diagnostic neurology is an important subspecialty within the field of neurologic emergencies. It deserves special attention because it is underserved in clinical care, education, and research. Millions of patients each year present to U. EDs with common neurologic symptoms such as dizziness, vertigo, headaches, and back pain.
Billions of dollars are spent annually on care for these patients, much of it focused on intensive diagnostic pursuit of uncommon, yet dangerous neurologic causes. More effective partnerships between EM and neurology departments could help facilitate future advances in clinical care, education, and research for acute diagnostic neurology.
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Academic Emergency Medicine Volume 22, Issue 3.
Commentary Free Access. David E. Jeffrey J. The authors have no relevant financial information or potential conflicts of interest to disclose.
Ethical dilemmas across neurologic diseases
Tools Request permission Export citation Add to favorites Track citation. Share Give access Share full text access. Share full text access. Please review our Terms and Conditions of Use and check box below to share full-text version of article. What Is Acute Diagnostic Neurology? Why Is There A Problem? Challenges And Opportunities The changing landscape of U. Neurologic education in emergency medicine training programs. Acad Emerg Med ; 12 : — Crossref PubMed Google Scholar. Google Scholar. Citing Literature.
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