The death of a patient who meets both of the following criteria:
Meets the eligible death definition with the exception that the patient has not been declared legally dead by neurologic criteria according to current standards of accepted medical practice and state or local law.
Has a severe neurological injury requiring ventilator support who, upon clinical evaluation documented in the OPO record or donor hospital chart, has no observed spontaneous breathing and is lacking at least two of the additional brain stem reflexes that follow:
Pupillary reaction
Response to iced caloric
Gag Reflex
Cough Reflex
Corneal Reflex
Doll’s eyes reflex
Response to painful stimuli
A patient who is unable to be assessed neurologically due to administration of sedation or hypothermia protocol does not meet the definition of an imminent neurological death. (OPTN Glossary May 2021 and OPTN Policy Definition May 2021)