Stages of organ donation after brain death

Identification stage

Identification methods include:

A: Transplant communicators: In each hospital, a person, usually the head nurse or one of the ICU staff, who is selected in coordination with the hospital director, notifies the unit if the patient has brain death.

B: Continuous contact made by the coordinator in the form of telephone calls to all hospitals covered every two days

C: Intermittent rebellion by coordinators in the form of intrusive visits to covered hospitals is usually performed every 2 weeks.

Initial visit stage:

After being informed of the presence of brain death patient, the coordinator of the provision unit will be dispatched to the hospital of origin. In the relevant hospital, the initial visit is made (some patients are removed in the initial examination) if the brain death is confirmed in the initial examination, then the initial E-tape is taken from the patient and the forms are filled out by the coordinator.

Transfer consent:

If the family consents to organ donation, the transfer consent form is signed by the patient's companions and the patient is discharged by his family.

 Find recipient step:

After this stage, while contacting the ministry, the recipient will be able to find work based on blood type and size, the general condition of the recipients and their turn in the waiting list and tissue matching.

Transfer stage:

After completing the consent form and carrying out the discharge process and after the necessary coordination, the equipped ambulance will be sent to the hospital of origin along with the anesthesiologist and unit coordinator and the donor will be transferred to Dr. Masih Daneshvari Hospital.

Maintenance stage:

After being transferred to Dr. Masih Daneshvari Hospital, the donor is transferred to the ICU and the patient's condition is stabilized by anesthesiologists and the care process begins. During the maintenance phase, an anesthesiologist and one of the coordinators and a highly qualified nurse constantly control the patient's condition.

Confirmation of brain death:

At this stage, neurosurgery, neurologists, internal medicine and anesthesiologists are invited separately to visit the patient and confirm or deny brain death in the donor. These specialists are chosen directly from the ministry without single intervention.

The stage of obtaining Harvest's consent:

After confirmation of brain death by all four persons of the brain death confirmation group, forensic specialists visit the patient and after final confirmation of brain death, a briefing will be held at the site of the transplant unit in the presence of organ donor, aid worker, psychologist, forensic representative, coordinators and donor family, and while justifying the family, final consent for organ donation will be obtained from them.

Coordination stage:

In this stage, coordination with different teams across the country and operating room officials and personnel about the time of operation and the next steps is done.

Harvest Stage:

At this stage, the patient will be taken to the operating room and delivered to the present team in the operating room. Members are removed. And at the end of the operation, the site of the operation is well restored by one of the surgeons and the patient delivers the morgue.

The transfer stage of the deceased:

At this stage, after the discharge process by the provision unit, the forensic ambulance will be notified by the unit for transfer to the forensics or burial place.

Appreciation stage and participation in the funeral:

At this stage, the coordinator of the collection unit with a special appreciation letter and a large bouquet of flowers attends the donor's funeral and, while appreciating the family, if the conditions allow him to read the text of the commendation behind the speaker.

The Writing Stage of the Harvest Report

After each harvest, the report of how to do it in all details is written by the organ donor.

Thank you for trying to save a human life

Persian page link :https://ehda-zendeghi.blogsky.com

Translator : Javad Eynaki Maleki

تاریخچه و اهمیت کارت اهدای عضو

کارت اهدای عضو یکی از بزرگترین نمادهای فرهنگی در زمینه ارتقای فرهنگ اهدای عضو می باشد.

از زمان راه اندازی واحدهای فراهم آوری اعضای پیوندی در کشورمان، مراکز مختلفی شروع به ثبت نام و صدور کارت اهدای عضو نمودند. در روزها و ماه‌های اول تعداد ثبت نام به بیش از 100 نفر در ماه نمیرسید، اما با شروع تبلیغات فرهنگی و برگزاری جشن نفس، تعداد بیشتری از مردم نیک اندیش سرزمینمان با این امر مقدس آشنا شدند و تعداد افراد متقاضی کارت اهدای عضو به بیش از 500 نفر در روز رسید...تقاضای دریافت کارت اهدای عضو روز به روز بیشتر شد، به اندازه ای که مدت زمان دریافت کارت اهدای عضو برای هر فرد به بیش از 5ماه رسید. باتوجه به اینکه کارت اهدای عضو صرفاً نشان دهنده رضایت قلبی هر شخص برای اهدای عضو در زمان مرگ میباشد و جنبه‌‌ی قانونی ندارد؛ لذا بر آن شدیم تا سامانه ای راه اندازی کنیم که مدت زمان دریافت کارت را به طرز چشمگیری کاهش دهد تا انتظار رسیدن این کارت، مردم ایثارگر میهن عزیزمان را آزرده خاطر نسازد.با توجه به مسائل فوق و همچنین پیرو تاکید مقام محترم وزارت بهداشت، درمان و آموزش پزشکی، ابداع روشی برای ثبت نام و صدور آنی کارت اهدای عضو در دستور کار این وزارت قرار گرفت و نتیجه تمامی بررسی ها، سامانه ای است که پیش روی شما می باشد. در این سامانه کد ملی هر فرد به صورت آنلاین کنترل شده و در صورتیکه اطلاعات مطابق کارت ملی وارد شده باشد، کارت اهدای عضو صادر شده و متقاضی میتواند همان لحظه کارت خود را ذخیره و چاپ نماید.اطلاعات داوطلبین دریافت کارت بلافاصله وارد سامانه کشوری کارت اهدای عضو شده و در آن ذخیره می گردد. لازم به ذکر است این سامانه از طریق کلیه بیمارستانهای کشور قابل دسترسی بوده و امکان جستجوی نام افراد مرگ مغزی بستری در این بیمارستانها وجود دارد.امید است با راه اندازی این سامانه قدمی هرچند کوچک برای ارتقای فرهنگ مقدس اهدی عضو و نجات جان بیماران نیازمند به پیوند اعضا برداریم...لطفا به نکات زیر توجه داشته باشید:
- عزیزانی که برای دریافت کارت اهدای عضو از طریق سامانه ehda.ir  یا سامانه های مشابه ثبت نام کرده اند، توجه داشته باشند که جهت پیگیری کارت خود لازم است به همان سامانه مراجعه کنند.
- داوطلبانی که در سامانه های دیگر ثبت نام نموده و از طریق این سامانه ها و یا از طریق مراجعه به هر یک از واحد های فراهم آوری کشور یا ارگانهای دیگر کارت دریافت نموده اند همچنین می توانند برای ثبت اطلاعات خود در سامانه www.ehdacenter.ir نیز اقدام نمایند تا اطلاعات آنها در سامانه مرکزی نیز ثبت شده و از تمام کشور قابل دسترسی باشد. .
- در صورتیکه علاوه بر ثبت اطلاعات تان در سامانه مرکزی اهدای عضو تمایل دارید کارت اهدای عضو را نیز دریافت نمائید، می توانید کارت خود را بلافاصله پس از تکمیل اطلاعات پرینت گرفته و کارت پرینت شده را پرس کرده و استفاده نمایید.
-درصورتی که قبلاً در این سامانه ثبت نام کرده اید، جهت ویرایش اطلاعات شخصی و یا چاپ مجدد کارت خود برروی دکمه ورود به سامانه کلیک نمائید، در غیر اینصورت جهت ثبت نام و دریافت کارت اهدای عضو خود برروی دکمه ثبت نام کارت اهدای عضو کلیک کنید.

History and importance of organ donation card

Organ donation card is one of the biggest cultural symbols in promoting organ donation culture

Since the establishment of transplant donation units in our country, various centers have started to register and issue donation cards.  In the first days and months, the number of registrations did not reach more than 100 people per month, but with the beginning of cultural propaganda and celebrations, more and more benevolent people of our country became acquainted with this sacred thing and the number of people applying for organ donation cards Reached 500 people per a day.

The demand for organ donation cards increased day by day, so much so that the period of receiving organ donation cards for each person reached more than 5 months.  Considering that the organ donation card only shows the heartfelt consent of each person to donate an organ at the time of death and has no legal aspect; Therefore, we decided to launch a system that significantly reduces the time it takes to receive the card so that waiting for the card to arrive does not bother the self-sacrificing people of our beloved homeland.

According to the above issues and also following the emphasis of the ministry of health and medical education, the invention of a method for registering and issuing organ donation cards instantly was on the agenda of the ministry and the result of all the reviews is the system that is ahead of you. In this system, each person's national code is controlled online and if the information is entered in accordance with the national card, the organ donation card is issued and the applicant can store and print his/her card at the same time.

The information of the volunteers for receiving the card is immediately logged into the national organ donation card system and stored in it. It should be noted that this system is accessible through all hospitals in the country and it is possible to search for the names of brain death patients hospitalized in these hospitals.

We hope that by launching this system, we will take a small step to promote the sacred culture of organ donation and save the lives of patients in need of organ transplants.

Please note the following points

     Dear ones who have registered to receive an organ donation card through ehda.ir system or similar systems, note that they need to refer to the same system to follow up their card

    Candidates who have registered in other systems and have received a card through these systems or by referring to any of the supply units of the country or other organs, can also register their information in the system www.ehdacenter.ir to take action so that their information is registered in the central system and is accessible from all over the country

    If you want to receive an organ donation card in addition to registering your information in the central organ donation system, you can take your card immediately after completing the printed information and press and use the printed card

   If you have already registered in this system, click on the login button to edit your personal information or reprint your card, otherwise click on the organ donation card registration button to register and receive your organ donation card.

Source: https://ehdacenter.ir

Translator : Javad Eynaki Maleki

Each of us can become an organ donation ambassador

According to the reporter of the Young Journalists Club of Tabriz, Farhad Choopani had suffered brain death 18 days ago due to an accident and in a godly act and with the consent of his family, five organs of his body were donated to kidney, heart and liver patients and gave them a second life, the body of this young man was buried today in his hometown of Yingjeh village of Azarshahr. (Publishdate: November 4, 2020)

The effect of the brain-dead family's awareness of the difference between brain death and coma is important for organ donation satisfaction:

Unlike a coma, there is no way for a person who has died of brain death due to brain and stem death to recover.  To confirm brain death, neurosurgeons, internal medicine and anesthesiology specialists are invited separately to visit the patient and confirm or deny the brain death to the donor.  These specialists are selected directly from the ministry without the intervention of a single unit. Unfortunately, many relatives of the brain dead person, due to lack of necessary knowledge, think that their loved one will return like a comatose person, but it is a misconception!  Within a few weeks, the complete death of the person will lead to brain death.

One of the reasons some families are reluctant to donate their beloved brain-dead organ is to deny brain death.  Because they think that when their loved one moves his chest, he is alive!  While they do not realize that their loved one's heart is beating due to artificial respiration, they do not know that after several days during the production of toxins in the body, the heart of the brain dead person will definitely stop moving.

Therefore, each of us can become an organ donation ambassador by registering an organ donation card and talking about this issue in the family and friends, and provide the role of creating awareness of families about the difference between brain death and coma.

With a good health wish

Thank you for trying to save a human life

Translator : Javad Eynaki Maleki

Persian page link :https://ehda-zendeghi.blogsky.com