Thaddeus Mason Pope

Bioethics, Health Law, Patient Rights

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Brain Death - Background
On this page I have collected some key resources concerning "total brain failure," a clinical diagnosis that is legally sufficient for the determination of death by neurological criteria ("brain death"). Other pages collect statutes and court cases.  
     1.  Major Reports
     2.  Major Conferences
     3.  Brain Death Toolkit
     4.  My Articles

Major Reports
Pontifical Academy of Sciences (2006)
Pontifical Academy of Sciences (2008)
President's Commission (1981)
President's Commission (1983)
President's Council (2008)
World Health Organization (2012)
Major Conferences
In April 2018, the Harvard Medical School Center for Bioethics convened an amazing depth and breadth of expertise on brain death for a three-day conference. Materials from "Defining Death: Organ Transplantation and the 50-Year Legacy of the Harvard Report on Brain Death" are available here.

In December 2018, the VIII International Symposium on Brain Death and Disorders of Consciousness convened in Havana Cuba.

VII International Symposium on Brain Death (Cuba 2018)
Certificates of Participation
Professor Pope - PowerPoint Presentations
Pope - PPT - Emory Healthcare Ethics Consortium (March 21, 2019)
Pope - PPT - Harvard Annual Bioethics Conference (April 12, 2018)
Brain Death Toolkit

The Neurocritical Care Society has develioped a "Brain Death Toolkit" available here.

It includes a variety of helpful resources and educational offerings, including instructional videos and web-based courses. It also provides a sample brain death policy and checklist, which may be used as a template for adoption at individual institutions/hospitals. The Toolkit has resources to explain the pitfalls and challenges in brain death determination, and includes Frequently Asked Questions (FAQ’s), both for medical practitioners and the general public.


Pope Articles on Brain Death
Brain Death and the Law – Hard Cases and Legal Challenges, 48 HASTINGS CENTER REPORT (2018).

Brain Death Forsaken: Growing Conflict and New Legal Challenges, 37(3-4) JOURNAL OF LEGAL MEDICINE 265-324 (2017).

New Legal Guidelines for Determination of Brain Death, 14(3) JOURNAL OF BIOETHICAL INQUIRY (2017).

Physician Power to Declare Death by Neurologic Criteria Threatened, 26 NEUROCRITICAL CARE (2017) (with Ariane Lewis).

Legal Standards for Brain Death, 13 JOURNAL OF BIOETHICAL INQUIRY 173-178 (2016).

Brain Death: Legal Duties to Accommodate Religious Objections, 148(2) CHEST e69 (2015).


Brain Death Rejected: Expanding Legal Duties to Accommodate Religious Objections, in LAW, RELIGION, AND AMERICAN HEALTH CARE (Cambridge University Press forthcoming 2017) (proceedings from 2015 Petrie-Flom Center Annual Conference at Harvard Law).


Brain Death: Legal Obligations and the Courts, 35(2) SEMINARS IN CLINICAL NEUROLOGY: THE CLINICAL PRACTICE OF BRAIN DEATH DETERMINATION 174-179 (2015) (with Christopher M. Burkle).


Legal Briefing: Brain Death and Total Brain Failure, 25(3) JOURNAL OF CLINICAL ETHICS 245-257 (2014).


Pregnant and Dead in Texas: A Bad Law, Badly Interpreted, LOS ANGELES TIMES (Jan. 16. 2014) (with Art Caplan).


Legal Briefing: Organ Donation, 21(3) J. CLINICAL ETHICS 243-263 (2010).

June 2018 Poster - When Is the Patient Dead? Growing Challenges to the Status of Brain Death