Course Catalogue

Canadian Clinical Guide to Organ Donation

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1. Course Overview

2. Identification and Referral

3. Neurological Determination of Death

  • Understand the pathophysiology that results in death by neurological criteria.
  • Recognize proximate causes for death by neurological criteria.
  • Understand that a physician must work in accordance with national standards to identify an irreversible proximate cause for death.
  • Recognize the differences in procedure between Neonates, Infants and Children, Adolescents and Adults.
  • Understand the support offered by your regional organ donation experts and the benefits they may provide when consulting on potential organ donors contacting a donation support physician.
  • Recognize various conditions capable of mimicking neurological death.
  • Recognize the baseline temperature required for NDD.
  • Identify situations in which confounding factors cannot be corrected and it is necessary to proceed to ancillary.
  • Assess for deep unresponsive coma.
  • Assess for the absence of brainstem reflexes.
  • Perform the apnea test and correctly interpret arterial blood gas results to be compatible with neurological death.
  • Recognize situations that make interpretation of the apnea test very difficult.
  • Recognize some clinical situations may render the neurological examination uninterpretable.
  • Understand the physiology and clinical significance of some uncommon exam findings in a neurologically dead patient.
  • Identify situations where your local donation expert may provide resources and assistance in the neurological determination of death.
  • Assess for deep unresponsive coma and brainstem reflexes in NDD in the presence of an irreversible etiology.
  • Recognize the steps of vestibular ocular (cold caloric).

4. Management of a Neurological Donor

5. Donation after Circulatory Death

6. Patient and Family-Centred Care of Critically Ill Patients Who Are Potential Organ Donors

7. Medical Assistance in Dying (MAiD)