DONATION AFTER BRAIN DEATH VS. DONATION AFTER CIRCULATORY DEATH

	Donation After Brain Death (DBD)	Donation After Circulatory Death (DCD)
Injury	Severe brain injury from trauma, cerebral vascular accident, anoxic event, other	Severe brain injury from trauma,cerebral vascular accident, anoxic event,high cervical spine injuries, other
Meets Criteria after	Yes • Clinical exam • Confirmatory test, (in certain  circumstances)	No
Diagnosis/Prognosis	Brain death	No long-term prognosis for recovery from brain injury; cannot survive without mechanical ventilator
Action	Referral to LifeShare at imminent death Brain death is declared by a physician Patient is on ventilator until organs are recovered Transplant team spends 3-4 hours recovering organs	Referral to LifeShare at imminent death Family and physician elect to withdraw life support Referral to LifeShare for evaluation Withdrawal of ventilator support in operating room or intensive care Circulatory death is declared by a physician: Unresponsive No pulse No cardiac sounds No spontaneous respiration No blood pressure Transplant team begins organ recovery 5 minutes after declaration of death Transplant team spends 1-2 hours recovering organs
Organs Recovered	Heart, lungs, liver, pancreas, kidneys and intestines can be removed	Lungs, liver, kidneys and pancreas can be recovered