All about brain death-The need to create a culture for organ donation (in brain death cases)

All about brain death:

In brain death, blood flow to the brain is stopped, oxygen is not supplied to it. The brain loses all its function and suffers irreversible damage.  Although other organs, including the heart, liver, and kidneys, are still functioning after brain death, they will gradually decline over the next few days.  The brain dead patient does not speak, does not see, does not respond to any external stimuli, and will not be able to breathe without the use of a ventilator.

What are the most common causes of brain death?

Traffic accidents, severe head trauma, falling from height, waterboarding, poisonings, internal brain bleeding as well as stroke.

How does brain death occur?

Any severe damage to the brain can lead to tissue swelling. Since the brain is located in a closed space (skull bone) and there is no room for this volume increase, it puts pressure on the lower parts of the brain (brainstem), prevents circulation to the upper parts and prevents oxygenation more than ever.

This process may take a few minutes or days. The heart continues to function with the help of the ventilator, delivering oxygen to other organs, while brain tissue and brainstem, which are responsible for controlling breathing and heart rate, are deprived of this vital substance (oxygen) and die.

Why does the patient have heart rate and respiration for some time in brain death?

 The heart continues to beat as long as it has oxygen.  In the brain-dead patient, the ventilator will provide the oxygen needed for the heartbeat and will fail as soon as the device is separated from the heart patient.

What is a coma? Is it brain death?

Coma is a type of brain dysfunction that causes a severe decrease in the level of consciousness and does not respond to any of the stimulations around it. In a coma, there is a chance of recovery for some patients, while in brain death, the patient's recovery is impossible and his death is certain within a few days.

What is vegetable life and what is different with brain death?

 Vegetable life is completely different from brain death. 

This situation occurs almost always following the coma. Although the person appears to be awake (his eyes is open) and has a series of universal movements, there is no mental and cognitive performance. These are actually patients who seek extreme brain damage for many years of life, and in view, without being able to communicate with their surroundings.

Can the patient's appearance indicate that he has suffered brain death?

 No, a person with brain death is like someone who is fast asleep.  Her lungs are filled with air through a ventilator, her heart is beating due to oxygen, and her skin is even warm and pink.

Does the patient feel pain following brain death?

 No.  After brain death, there will be no pain or sorrow in humans.

Have there been cases of brain death that have improved?

 No, it is not possible for a brain dead patient to recover and return at all.  The things you've heard about brain death and then recovery are not really brain death.

 These patients are in a deep coma, but their relatives, or even some doctors and nurses who do not know enough about the difference between brain death and coma, have made such a misconception.

Thank you for trying to save a human life

Translator : Javad Eynaki Maleki

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

The need to create a culture for organ donation

Brain death :

In brain death, blood flow to the brain is stopped, oxygen is not supplied to it. The brain loses all its function and suffers irreversible damage.  Although other organs, including the heart, liver, and kidneys, are still functioning after brain death, they will gradually decline over the next few days.  The brain dead patient does not speak, does not see, does not respond to any external stimuli, and will not be able to breathe without the use of a ventilator.

The need to create a culture for organ donation:

Every day, several people in the country die due to the lack of transplanted organs. Meanwhile, every year, a large number of brain death cases (without organ donation) occur in the country!

Thank you for trying to save a human life

Translator : Javad Eynaki Maleki

Persian page link :https://ehda-zendeghi.blogsky.com/1396/09/17/post-41

The difference between brain death and coma and plant life

In this video, the difference between brain death and similar states of coma and plant life is compared.  Unlike a coma, there is no way for a person who has died of brain death due to brain death to recover.  Therefore, with the timely consent of the relatives of the brain dead person to donate his/her organs, the lives of several people can be saved.  But in a coma, organ donation does not make sense because the brain has not died and can return.  The symptoms of these two conditions are different and can be easily distinguished by specialist doctors.  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!  Due to the toxins caused by brain death, in a few weeks, the complete death of the person will lead to brain death, and if they do not agree to donate an organ, the lives of needy patients will not be saved from death!

Thank you for trying to save a human life

Translator : Javad Eynaki Maleki

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

Anyone with brain death can resuscitate eight people

Anyone with brain death can resuscitate eight people.  In brain death accidents, the lung is the first organ to be destroyed and a lung transplant requires special expertise, but the rest of the body, including the heart, kidneys, liver, etc., can be transplanted. Organ transplantation is the only way to survive for patients with advanced heart failure, liver, etc.

More than one million people worldwide are currently receiving organ transplant treatment, and some of these patients have survived for more than twenty five years.  Meanwhile, the golden period for organ transplantation is only a few days, an issue that does not have an organ donation card after obtaining organ donation consent from families who have died of brain death.  Organ donation is difficult for coordinating members.  In many cases, families do not easily consent to donating an organ, and the process of obtaining consent from them takes up to four days, during which time the golden time for donating some vital organs, including the lungs, is lost.

Organ donation is a multifaceted category that requires different individuals and organizations to enter to improve the culture in this field.  Officials, NGOs, charities, artists and other influential people in the community play an important role in creating a culture of organ donation.

The organ donation card that people apply for is not legal in Iran, it is the consent of the parents that determines the organ donation of the brain dead person.  But experience has shown that after a person dies of brain damage, when the organ donation card is shown to his family, the family will surely comply with his request.

In our country, the Ministry of Health is taking action to donate an organ with a www.ehdacenter.ir  address. has created a field where people interested in receiving an organ donor card can easily receive it by filling out an online form.  After filling out the online form, the organ donor card comes up and people can take a print of it and take this card with them without the need to go to a special office.

Thank you for trying to save a human life

Translator : Javad Eynaki Maleki

Persian page link :https://ehda-zendeghi.blogsky.com/1400/01/15/post-58

هر فردی که دچار مرگ مغزی می‌شود، می‌تواند هشت نفر را احیا کند.

هر فردی که دچار مرگ مغزی می‌شود، می‌تواند هشت نفر را احیا کند. در تصادفات مرگ مغزی، ریه اولین عضوی است که از بین می‌رود و پیوند ریه تخصص خاصی لازم دارد اما باقی اعضای بدن اعم از قلب، کلیه، کبد و... قابل پیوند است. پیوند اعضا تنها راه ادامه حیات برای بیماران مبتلا به نارسایی پیشرفته قلب، کبد و... است.

در حال حاشضر بیش از یک میلیون نفر در جهان از درمان پیوند عضو بهره مند هستند و بقای تعدادی از این بیماران به بیش از ۲۵ سال رسیده است. در این میان، مدت طلایی برای پیوند عضو تنها چند روز است، مساله ای که با گرفتن رضایت اهدای عضو از خانواده‌هایی که بیمار مرگ مغزی شده آنها کارت اهدای عضو ندارد، برای اعضای هماهنگ‌کننده اهدای عضو مشکل است. بسیاری از مواقع خانواده‌ها به راحتی به اهدای عضو فرد رضایت نمی‌دهند و فرایند رضایت گرفتن از آنها گاهی تا چهار روز طول می‌کشد که در این زمان وقت طلایی برای اهدای برخی اعضای حیاتی از جمله ریه از بین می‌رود. اهدای عضو یک مقوله چندوجهی است که برای بهبود فرهنگ در این زمینه نیاز است که افراد و سازمان های مختلفی ورود پیدا کنند. برای فرهنگسازی در زمینه اهدای عضو، مسئولان، سازمان های مردم نهاد، خیران، هنرمندان و سایر افراد تاثیرگذار در جامعه نقش مهمی دارند. 

کارت اهدای عضو که افراد برای گرفتن آن اقدام می کنند به هیچ عنوان وجه قانونی و حقوقی ندارد و در ایران رضایت اولیای دم است که اهدای اعضای فرد مرگ مغزی را تعیین می‌کند. اما تجربه ثابت کرده است که بعد از مرگ مغزی شدن فرد، زمانی که کارت اهدای عضو او به خانواده اش نشان داده می شود، خانواده حتما به خواسته او عمل خواهند کرد. در کشور ما وزارت بهداشت اقدام به راه اندازی سایت کشوری اهدای عضو با آدرس  www.ehdacenter.ir  کرده است تا زمینه‌ای را به وجود آورد که افراد علاقه‌مند به گرفتن کارت اهدای عضو به راحتی و با پر کردن فرم اینترنتی بتوانند کارت اهدای عضو دریافت کنند. پس از پر کردن فرم اینترنتی کارت اهدای عضو بالا می‌آید و افراد می‌توانند با گرفتن یک پرینت از آن، این کارت را همراه خود داشته باشند بدون این که نیازی به مراجعه به اداره خاصی باشد.

منبع : http://arassnews.ir/