​DONATION AFTER BRAIN DEATH (DBD) VS.
​DONATION AFTER CIRCULATORY DEATH (DCD)

c	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	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	​Lungs, liver, pancreas and kidneys