Abstract：
The development of critical care stimulated brain death criteria formulation in response to concerns on treatment resources and unregulated organ procurement. The diagnosis centered on irreversible loss of brain function and subsequent systemic physiologic collapse and was subsequently codified into law. With improved critical care, physiologic collapse (while predominant) is not inevitable-provoking criticisms of the ethical and legal foundation for brain death. Other criteria have been unsuccessfully proposed, but irreversibility remains the conceptual foundation. Conflicts can arise when families reject the diagnosis-resulting in ethical, cultural, and communication challenges and implications for diversity, equity, and inclusion.
摘要：
重症监护的发展刺激了脑死亡标准的制定，以应对对治疗资源和不受监管的器官采购的关注。诊断集中在不可逆的脑功能丧失和随后的全身生理崩溃，随后被编入法律。随着重症监护的改善，生理崩溃（虽然占主导地位）并不是对脑死亡的道德和法律基础的不可避免的挑衅批评。其他标准没有成功提出，但不可逆性仍然是概念基础。当家庭拒绝诊断时，可能会出现冲突-导致道德，文化,以及传播挑战和对多样性的影响，股本，和包容。
