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Brain Death Anatomy and Physiology ,[object Object],[object Object],[object Object]
Historical Perspective ,[object Object]
Historical Perspective ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Death Current Consensus ,[object Object],[object Object],[object Object]
Normal Brain Anatomy
Normal Brain Anatomy Cerebral Cortex Brain Stem Reticular Activating System
Cerebral Cortex ,[object Object],[object Object],[object Object]
Brain Stem
Brain Stem ,[object Object],[object Object],[object Object],[object Object]
Brain Stem ,[object Object],[object Object],[object Object],[object Object]
Brain Stem ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reticular Activating System  ,[object Object],[object Object]
Causes of Brain Death Normal Cerebral Anoxia
Causes of Brain Death Normal Cerebral Hemorrhage
Causes of Brain Death Normal Subarachnoid Hemorrhage
Causes of Brain Death Normal Trauma
Causes of Brain Death Normal Meningitis
Mechanism of Cerebral Death Increased Intracranial  Pressure ICP>MAP is incompatible with life Neuronal Injury  Decreased Intracranial  Blood Flow  Neuronal Swelling
Conditions Distinct From Brain Death ,[object Object],[object Object],[object Object]
Persistent Vegetative State ,[object Object],[object Object],[object Object]
Locked-in Syndrome Ventral Pontine Infarct ,[object Object],[object Object],[object Object]
Minimally Responsive State ,[object Object],[object Object],[object Object],Static Encephalopathy
Brain Death Neurological Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Death Neurological Examination ,[object Object],[object Object],[object Object]
Coma ,[object Object],[object Object],[object Object],[object Object]
Absence of Brain Stem Reflexes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pupillary Reflex Pupils dilated with no constriction to bright light
Eye Movements  Occulo-Cephalic Response “ Doll’s Eyes Maneuver”
Eye Movements Oculo-Vestibular Response “ Cold Caloric Testing”
Facial Sensation and Motor Response ,[object Object],[object Object],[object Object],[object Object]
Apnea Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Apnea Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Confounding Clinical Conditions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Observations Compatible with Brain Death ,[object Object],[object Object],[object Object],[object Object]
Confirmatory Testing ,[object Object]
Confirmatory Testing EEG Normal Electrocerebral Silence
Confirmatory Testing ,[object Object],Normal No Intracranial Flow
Confirmatory Testing ,[object Object]
Confirmatory Testing ,[object Object]
Confirmatory Testing Transcranial Ultrasonography
Confirmatory Testing ,[object Object]
[object Object],[object Object]

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