Death Data Report

The Academy gathers specifics about different aid-in-dying medication regimens and their results, to analyze data, improve our knowledge base, and recommend specific protocols. Clinicians are encouraged to participate and anonymously file their results below (about 3 minutes to complete).

This patient data is solely for the American Clinicians Academy on Medical Aid in Dying. It will be anonymized and no practitioner or patient information will be available to the public, press, or health institutions — other than as anonymous aggregated data.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • D: Diazepam 1gm; D: Digitalis 100mg; M: Morphine 15gm; A: Amitriptyline 8gm; Ph: Phenobarbital 5gm
  • Examples: Gastroparesis or other GI disorder. For full Red Flag Checklist for Risk of Prolonged Death: