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The author comments on an accompanying reprint of a landmark article, "A definition of irreversible coma," the 1968 report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Death. Joynt briefly describes the gradual acceptance of brain death as a medical and legal concept in the U.S. and examines the four criteria recommended by the Ad Hoc Committee for diagnosis of irreversible coma--unreceptivity and unresponsivity, no movements or breathing, no reflexes, and a flat EEG--in the light of current thinking. He notes that, while "irreversible coma" was an unfortunate choice of words for the definition, the term "brain death" is also inexact and confusing.
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