A specialized, interdisciplinary, and longitudinal neuroprognostication program for disorders of consciousness after cardiac arrest was associated with more favorable provider attitudes. Surveys of 545 neurologists and critical care providers showed that those exposed to the program, compared to historical and contemporary controls, more often rated neuroprognostication as useful (94% vs 69% and 68%) and comprehensive (94% vs 76% and 66%), and 63% rated the program as much better than the conventional model. The findings suggest that such a program may improve the practice of neuroprognostication.
Reliving memories of recalled experiences of death (REDs), also known as authentic near-death experiences, engages brain networks involved in autobiographical memory and the default mode network, including the precuneus, posterior cingulate cortex, and medial prefrontal cortex. No activation was found in primary sensorimotor or limbic areas. The activation patterns were not consistent with those typically reported for primary sensory hallucinations, suggesting that these memories are vivid episodic recollections rather than imagined or false memories. The findings indicate that controlled reliving of REDs may be a useful paradigm for investigating multisensory autobiographical memory and neural processes related to conscious self-experience.