When "Time of Death" Is Subjective
The moment of death is obviously the seminal triggering event in the context of estate and trust law. As but one example, a Will speaks from the moment of death.
A recent article in the National Post raises an interesting question regarding when death actually occurs and how it is defined. There is a medical difference between "cardiac death" and "brain death." As the article notes, the issue is of most concern in the context or organ donation. Simply put, the cardiac death protocol provides that declaration of death may be made 5 minutes after cardiac death. However, in extremely rare instances, case have been reported of a "Lazarus syndrome" and "auto-resuscitation" as long as ten minutes after cardiac death. In any event, a person may still have brain activity for a period of time after cardiac death.
As Jocelyn Downie, an ethicist at Dalhousie University notes: "It is only after the declaration of death that certain things can happen: we can take your organs, we can bury you, we can do an autopsy...we can trigger all sorts of things around your property." Downie advocates a more rigid definition.
Legislation in most provinces suggests that death is to be determined by physicians according to "current medical practice." PEI's law is more specific (death can "include brain death"). In Quebec, there is no legal definition at all: the matter is left completely to the physician.
Ontario's Trillium Gift of Life Network endorsed the new donation-after-cardiac-death (DCD) protocol only after extensive research and consultation that ensured it is a moral and medically appropriate practice.
David M. Smith
