Brain Death – Overview Brain death is the complete and irreversible loss of all brain function, including activity in the brainstem. It is legally and medically recognised as death in South Africa and most countries around the world. While a person’s heart may continue to beat with the help of machines, a confirmed diagnosis means the person has permanently lost the capacity for consciousness, breathing, and brain activity. This condition is different from a coma or a vegetative state. In coma, some brain functions may remain, and recovery is possible. In this brain condition, there is no chance of recovery — the brain has ceased to function entirely, often due to swelling, bleeding, or oxygen deprivation. Common causes of brain death include: A person who is brain-dead may still appear alive. Their chest may rise and fall (due to mechanical ventilation), their skin may be warm, and reflex movements may occur. However, these are not signs of consciousness or recovery — they are automatic or machine-induced responses. In South Africa, this condition is legally defined and must be confirmed by two independent medical professionals, typically using a strict series of neurological tests. In many cases, once it’s confirmed, the conversation turns to organ donation, which can save multiple lives. Understanding brain death is emotionally difficult for families, but clarity about its meaning is essential. It marks the end of life — even when machines are keeping the body functioning temporarily. 👉 [Next: Causes and Diagnosis of Brain Death]