Neurocritical Care Society

Leading Insights

Leading Insights, Ethics

Behavioral Safety & Patient Alerts in the EMR: Helpful or Harmful?

Written By: Vishal N. Patel, MD; Julia Durrant, MD; Krista Lim-Hing, MD; Matthew N. Jaffa, DO

A 48-year-old African American man with a previous history of poly-substance abuse, traumatic brain injury, epilepsy, and behavioral issues with...

Leading Insights, Ethics

Consent for Brain Death Determination: The Ends Justify the Means - or It Does Not

Written By: Clotilde Balucani, MD; Julia Durrant, MD; Richard K. Choi, DO

A 78-year-old woman has been admitted to the Neurocritical Care Unit. She arrived following a cardiac arrest in the setting of a Hunt and Hess 5...

Leading Insights, Ethics

Medical Futility: An Ongoing and Evolving Challenge

Written By: Vishal N. Patel, MD; Krista Lim-Hing, MD; Richard K. Choi, DO; Matthew N. Jaffa, DO

A 78-year-old woman has been admitted to the Neurocritical Care Unit. She arrived following a cardiac arrest in the setting of a Hunt and Hess 5...

Leading Insights, Ethics

The Ethical Conundrums of Normothermic Regional Perfusion

Written By: Richard Choi, DO; Misti Tuppeny, MSN, APRN-CNS, CCRN, CNRN, CCNS; Alexandra Reynolds, MD

Heart transplantation has proven to be lifesaving for thousands of patients with advanced heart failure since its inception in 1967. Despite our...

Leading Insights, Ethics

The Nursing Code of Ethics and Patient Advocacy

Written By: Michelle Schober, MD, MS; Audrey Paulson, DNP, FNP-BC, CCRN, CNRN, SCRN

Ethical principles common to the various health care professions include the concepts of justice, nonmaleficence, beneficence, and autonomy. The...

Leading Insights, Ethics

Ethical Hazards of Variability in Brain Death: A Call for Standardizing Education

Written By: Matthew Jaffa, DO; Matthew Kirschen, MD, PhD; Krista Lim-Hing, MD; Michelle Schober, MD; Mitchell Hargis, MD; Jamie Labuzetta, MD, MSc, MPhil

The art of medicine requires practice honed through careful study of masters. Before we are tasked with snaking a 7Fr catheter into the subclavian...

Leading Insights, Ethics

Anticipatory Ethics: The Time is Now

Written By: Krista Lim-Hing, MD; Michelle Schober, MD

Circulation of clinical guidelines and release of novel therapeutics, diagnostic technologies and other practice-changing scientific advances all...

Leading Insights, Ethics

Consent for Thrombolysis: More Ethics than Science

Written By: Matthew Jaffa, DO; Evie Marcolini, MD

Nearly every clinical decision presents us with the opportunity to lean into the historical ethos attributed to Hippocrates to “first, do no...

Leading Insights, Ethics

Withdrawal of Care: Who Decides? A Comparison of US and UK Cases

Written By: Piotr Tekiela; Lauren Ottenhoff; Michael Schneck

With the steady rise of high acuity complex cases, physicians are increasingly finding themselves navigating the legal system about decisional...

Leading Insights, Ethics

Ethics Corner: End-of-Life Ethics

Written By: Ariane Lewis, MD

Patients admitted to neurointensive care units frequently suffer sudden, unexpected and severe brain injuries that render them unable to...

More Leading Insights

Leading Insights

Tricks of the Trade: A Stepwise Approach to Managing Post-TBI Agitation

Written By: Christine Picinich, MS, AGACNP-BC, CCRN

Patients with traumatic brain injury (TBI) commonly develop agitation during their recovery.

Leading Insights

Beyond Survival: Mapping Recovery Paths After Cardiac Arrest in the POST-ICECAP Study

Written By: Sachin Agarwal, MD, MPH; Natalie Fisher, MS; Liz O’Donohue, MPH; Danielle A. Rojas, MS; Romergryko G. Geocadin, MD; Clifton W. Callaway, MD, PhD

Out-of-hospital cardiac arrest (OHCA) represents a critical medical emergency with high immediate mortality rates, but survival rates have...

Leading Insights

Examining Perceptions of Racism: Ebonye Green’s Insights and Preview of Her NCS 22nd Annual Meeting Presentation

Written By: Ebonye Green, MNSc, APRN, FNCS, UAMS

In this insightful Q&A, NCS editorial staff dives into a conversation with Ebonye Green, DNP, APRN, FNCS, who will be presenting...