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Texas Organ Sharing Alliance Employee Reviews

Determining brain death Understanding Death Before Donation To understand organ donation and the shortage of organs for transplants, one needs to have a basic understanding of how people die and what impact it has on whether they can, in fact, be donors or not.

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Brain Death and Organ Donation Most deceased organ donors are brain dead. They have suffered complete and irreversible loss of all brain function and are clinically and legally dead.

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Mechanical ventilation and medications keeps their heart beating and blood flowing to their organs. These are usually patients who suffer an injury to the brain resulting from a trauma, stroke or lack of oxygen and are rushed to the hospital, where doctors aggressively work to save their lives but cannot. Brain death can be confusing for families who are confronted with the sudden death of someone they love.

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When this happens, some families expect that the person they love can simply be kept on the ventilator in hopes that their condition will improve. But to be brain dead is to be dead, and no improvement or recovery is possible.

Defibrillators used to "shock" a heart may get it functioning again within the first several minutes after it stops.

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But there is no such method to jump-start or revive a brain that has been deprived of blood and whose cells have died. How does brain death occur?

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When the brain is injured, it responds in source the same way as an injury like a twisted ankle - it swells. Unlike the muscles and tissue of the ankle, however, the brain is in a confined space — the skull — and has no room to swell.

A head trauma, bleeding in the brain from a stroke or aneurysm, or prolonged cardiac arrest that deprives the brain of oxygen will cause the brain tissue to swell. The action of the brain swelling inside a closed space and the build-up of pressure is what can ultimately lead to brain death. As the brain swells inside the skull, it pushes downward toward the brain stem blocking all upward flow of blood.

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Depending on the type of injury.

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