Brain death assessment mandatory

1. Brain death assessment
mandatory
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2. Contd…
The Delhi government has issued a circular making it mandatory for all hospitals to
ascertain and certify brain death--irreversible loss of brain function due to any
disease or trauma. This, the government says, is not just necessary for boosting
organ donation. It will also check incidences where patients with irreversible brain
function are kept in hospitals causing anxiety and financial burden on their families.
According to the circular issued by state health secretary Dr Tarun Seem, many
medical practitioners are not following the prescribed procedure in all cases of
brain stem death. “All clinicians, when facing a situation where `brain stem death' is
suspected, must follow the procedure mentioned in Section 3(6) of Transplantation
of Human Organs and Tissues Act, 1994 to ascertain and certify brain stem death in
Form 10,“ the circular says.
Once a patient is certfied brain-dead, multiple organs and tissues can be harvested,
including heart, kidney , lung, liver and pancreas, for transplantation. Dr S K Sarin,
director of Institute of Liver and Biliary Sciences, said the move by the Delhi
government will increase the organ pool and help save many lives.
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3. Contd…
Sources said the Delhi Organ Transplant Cell, which is headed by Dr Anil
Aggarwal, held several meetings with forensic experts, police and transplant
surgeons before deciding that brain stem death assessment is mandatory .
The government is also contemplating nominating experts, who can assist
hospitals in this, said sources.
As per the provision of Transplantation of Human Organs Act (THOA), once
the brain stem death is declared, the doctor is required to make a request--
to let the patient's kin know about the option to authorise or decline the
donation of organs or tissues or both.
Dr Aarti Vij, chief of Organ Retrieval and Banking Organisation at AIIMS, said
“Our hospital has put a lot of focus on identiying such cases and then
requesting the family of such patients to donate the organs.
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