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The Dead Donor Rule in the Era of Extremes in End-of-Life Care

By Deepa Malaiyandi, MD From ECMO to assisted dying, the options for end-of-life care truly span the spectrum of therapeutic intensity. In the age of autonomy, global perspectives from all along this spectrum contribute to medical, ethical and legal opinions of death, dying and organ donation...

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

By Piotr Tekiela (left), Lauren Ottenhoff (center) and Michael Schneck (right), Loyola University Chicago, Stritch School of Medicine With the steady rise of high acuity complex cases, physicians are increasingly finding themselves navigating the legal system about decisional capacity....

Blog Entry
Ethics Corner: Whose Call Is It?

By Deepa Malaiyandi, MD The do-not-resuscitate (DNR) status protects an individual’s right-to-die. As with any medical intervention, a DNR order must be prescribed by a physician or their delegate, but whose call should it be, and what process should be followed to write and implement them? To...

Blog Entry
It Takes a Village: Lessons on Multidisciplinary Care from the Practice of Clinical Ethics Consultation

By Michael Rubin, MD (left), and Daiwai M. Olson, PhD, RN, CCRN, FNCS (right) The theme of this year’s annual meeting is “It Takes a Village.” Every intensive care practitioner worth their salt has learned that they are much more effective if they cooperate with nurses, therapists, pharmacists...

Blog Entry
Ethics Corner: End-of-Life Ethics

By Ariane Lewis, MD Patients admitted to neurointensive care units frequently suffer sudden, unexpected and severe brain injuries that render them unable to participate in goals-of-care discussions. Facilitating decision making for this population can be very ethically challenging,...