Trust and reality of clinical death and life support until brain death

Abstract

The nation is going through a mistrust and suspicion about timing of death.  A determination of death must be made in accordance with accepted medical standards. The question of dispute is the timing of brain or biological death.  The diagnosis of brain death has important medical, ethical and legal implications. There are three essential findings in brain death are coma, absence of brain stem reflexes, and apnoea. The brain/biological death occurs four to six minutes after clinical death. A person can be clinically dead but can still exist with the help of artificial life support. 

In Countries have different guideline or law for brain death.  The brain death criteria in some countries are left to the discretion of the physician; in others the criteria have been substantially expanded.  The Organ Transplant & Donation Act, 1999 of Bangladesh defined brain death (sect 5). The clinical death and it implication should be clarified in any law. Government may consider the situation of mistrust between patient and clinic about timing of death and make a rule to over some the crisis. This is a time to identify the criteria, complexities and indications for declaring a patient to be brain dead and resolve the concerns of the public.