The Kerala government issued guidelines on Saturday to take a decision on Brain Dead cases. Kerala has become the first state to adopt Standard Operating Procedure in such cases. The rules implemented will apply to both government and private hospitals.
In fact, for a long time, brain death and organ donation was such a serious discussion between peoples. Health Minister K.K. Selja said that the patient will be called brain dead when there is no possibility of survival. There are several scientific procedures that will be followed to confirm brain death.
Process to declare Brain Dead
According to the rules, a medical board of four doctors will declare a patient dead. There will also be a government doctor in this board. These rules are divided into three phases. Precautions should be taken before the tests to confirm brain death, must see the process of brain, sleep test must also be done.
The rules also explain the difference between brain death and coma. According to this, coma is the state, when the specific nerves of the brain become unconscious due to damage. Brain cells are permanently destroyed due to excessive bleeding in brain death.
Sleep test must be done twice
According to the rules, if the patient has to be kept at the ventilator side in coma stage then the possibility of brain to be dead can increase. For confirmation of brain death, the team has to do a sleep test twice. There will be a gap of 6 hours between the two. This will make it clear that in the future the patient can breathe himself or not.
If the legal or scientific probability of breathing is very low, then it can be declared a brain dead. With this, the process of organ donation can also be started on receipt of consent from the family. All these have to be recorded on Form 10 of Transplantation and Tissue Rules 2014 and on this form four doctors will have to sign.