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July 21, 1969, Vol 209, No. 3 >
ARTICLE | July 21, 1969

Procedures for the Appropriate Management of Patients Who May Have Supportive Measures Withdrawn

Henry K. Beecher, MD; Raymond D. Adams, MD; William H. Sweet, MD
JAMA. 1969;209(3):405. doi:10.1001/jama.1969.03160160041010.
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  1. In cases where the brain death syndrome* is suspected, owing to the presence of most but not all of the required criteria, in other words when the physician is beginning to think along these lines, the findings should be recorded. At this time an electroencephalogram should be obtained and the results recorded. The EEG should be recorded from scalp or referential electrodes 10 cm or more apart with interelectrode resistance under 10,000 ohms (or impedance under 6,000 ohms). If no brain potentials exceed 2 microvolts, the state of electrocerebral silence is said to be present (Ad Hoc Committee of the American EEG Society, San Francisco, Sept 1968, to be published). If all of the findings are in accord with the brain death syndrome, follow with number 2.

  2. Call in a neurologist or a neurosurgeon, one of whom will be on call at all times.

  3. The physician and

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AAM 2010;304:1493-1495.
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BMJ 2010;341:c5893-c1494.
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