COL12010610GCA HEALTH AND SAFETY CH.83C MEDICAL STANDARD FOR DETERMINATION OF CEREBRAL DEATH (BRAIN DEAD) 1CHAPTER 83C MEDICAL STANDARD FOR DETERMI NATI ON OFCEREBRAL DEATH (BRAIN DEAD) § 83C101. Cerebral Death Determination § 83C102. Amendability SOURCE: This Chapter was added by P.L. 24 -249:5. § 83C101. Cerebral Death Determination . A person shall be declar ed dead if it is determined that there is irreversible cessation of all functions of the brain, including the brainstem b y a licensed attending physician and confirmed independently b y alicensed consulting physician. Neurological criteria for establishin g death and cessation of brain function (brain dead) shall include the following clinical conditions: (a) cerebral function must be absent; and (b) brainstem functions must be absent; Irreversibility of loss of brain function is declared if the following a re satisfied: (a) the cause of coma should be established and sufficient to account for the loss of brain function (Examples might include documented structural disease (massive intracranial hemorrhage or head trauma), or an irreversible systemic metabolic cause, such as severe anoxia resulting from cardiopulmonary xamples might include documented structural disease (massive intracranial hemorrhage or head trauma), or an irreversible systemic metabolic cause, such as severe anoxia resulting from cardiopulmonary arrest); (b) reversible conditions (specifically hypothermia, [core temperature less than 32 Celsius degrees]) and drug intoxication must be excluded; (If sufficient cause for the coma cannot be established, excluding these reversible conditions, further laboratory testing for drug intoxication may be required as well as a more extended period of observation.); (c) loss of brain function should persist for a period of twenty -four (24) hours; and (d) an EEG confirmation of neocortical death is optional. § 83C102. Amendability. Section 83C101 shall be amendable through the Administrative Adjudication Law, Rule Making Procedures, pursuant to Article 3, Chapte r 9 of Title 5 of the Guam Code Annotated. ----------COL120106
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