Cabinet of Ministers Regulations No. 215 in Riga in 2007 (March 27. No. 21) order, the brain and the biological fact of death and the dead man's funeral to transfer Issued in accordance with the law "on the dead man's body and human tissues and organs for use in medicine" article 7 1. determines the order in which the brain and the biological fact of death and the dead man's funeral service. 2. brain death-a deep state of unconsciousness, which features a complete and permanent of all brain function loss-finds, if the patient's heart and lungs maintain gas exchange using CPR or intensive care measures, and if the patient has the following symptoms: 2.1 a complete and permanent loss of consciousness;
2.2 wide or medium wide on light irritation unresponsive pupils;
2.3. the lack of spontaneous movement;
2.4. the reaction to the irritation of pain loss trigeminal ganglia area;
2.5. corneal reflex loss;
2.6. the okulocefāl reflex loss;
2.7. the okulovestibulār reflex loss;
2.8. the persistent loss of spontaneous breathing. 3. If the rules referred to in paragraph 2, the symptoms remain unchanged for at least 24 hours and the patient has not received narcotics pain killers, tranquilizers, sleeping, miorelaksant or other central nervous system inhibitory substances as well as the patient's body is artificially cooled, is the basis of the patient's brain death determination of the facts. If brain death in fact confirmed by using multi-channel elektroencefalogrāfij or brain angiography, or cerebral vascular doplerogrāfij, observation time is reduced. 4. If the last 24 hours used in these rules referred to in paragraph 3, medicine or the patient's body is artificially cooled, patient observation can be started 12 hours after cessation of exposure to these factors. 5. the decision on the determination of brain death in fact adopt the anaesthetist will visit his acquaintance Peteris Klava and a patient's brain death diagnosis the necessary examination data indicates the patient's brain death diagnostic card (annex 1). The patient's brain death diagnosis card added to the patient's medical documentation (medical records) and signed by the anaesthetist will visit his acquaintance Peteris Klava and a neurologist or neurosurgeon. If brain death confirmation of the facts using multi-channel elektroencefalogrāfij, cerebral angiography, or cerebral vascular doplerogrāfij, this map also signed the relevant doctor specialist. 6. After the death of the patient's brain fact finding visit his acquaintance Peteris Klava interrupted the Anaesthesiologist patient resuscitation or intensive therapy and records the time of the death of a patient's brain death diagnosis card and medical documentation in accordance with the laws and regulations on medical institutions, medical and accounting documentation record keeping procedures. 7. Biological death-the body's vital signs to be permanently lost mu, which is unavoidable with CPR or intensive therapy methods,-establishes the patient's treating physician. If the patient does not have a referring physician, the biological fact of death can be established any other doctor. 8. If the patient has taken CPR or intensive care measures the patient's treating doctor biological death time is determined by the patient's heart-stopping moment. The treating doctor fill out and sign the CPR Protocol measures (annex 2) and adds it to the patient's medical documentation (medical records). 9. If the biological death has occurred outside the hospital treatment services: 9.1. biological facts and the cause of death is determined and this rule 11.2. documentation referred to fill out the family doctor at which patients had been registered or of which the care was a patient, or a doctor's Assistant, who was in the care of the patient, or the duty doctor or family doctor whose death occurred in the Mainland;
9.2. the biological fact of death and this rule 11.2. documentation referred to fill an emergency medical crew, if biological death has occurred in a public place, and inform the national police. 10. the biological fact of death or they can determine the cause of the forensic expert or doctor or physician assistant who is participating in the review body in accordance with the criminal law, if a man is the biological death occurred outside the Hospital Authority for treatment. 11. After the death of the biological fact of establishing the patient's treating doctor or physician or physician assistant who found the fact of biological death: 11.1. assess whether the deceased has not shown signs of violent death, and if reasonable suspicion is a professional on violent deaths reported to the State police;
11.2. fill in the necessary documentation about fact or the cause of death in accordance with the laws and regulations on medical institutions, medical and accounting documentation record keeping procedures. 12. If the biological death of baby found up to one year of age, treatment of persons (other than emergency medical treatment person) organizes his arrival: 12.1. national society with limited liability "children clinical University Hospital" pathological examinations, if biological death occurred in a hospital child medical institution or sudden death occurred outside the hospital treatment services;
12.2. the national medical examination Center or the territorial division, if it is professionally substantiated suspicion of violent death. 13. the Hospital Authority provides medical transport in the fixed medical institution of the dead child (stillborn fruit) for cremation, if the child's parents or other relatives of dead children (the stillborn fetus) does not bury. 14. fixed medical institutions by toloģij chapters allowed do pathologist Ana tomisk investigation of treatment institutions fixed dead children aged from one year to 18 years. 15. Dead man's body was delivered to the national society with limited liability "the pathology Center" in the morgue or hospital's pathology department, morgue, where it has been established personality and if biological death occurred: 15.1. emergency medical vehicle and the deceased man has not shown signs of violent death;
15.2. outside the hospital, and the cause of death is a life time undiagnosed disease or undiagnosed for preventive measures, treatment or complications of the disease. 16. If a physician or physician assistant is unable to determine the cause of death and there are no visible signs of violent death, he organizes the body into the national society with limited liability "the pathology Center" or stationary hospital's pathology department. 17. fixed the medical establishment invited medical experts if the pathologist to perform the pathological investigation finds signs of violent death. Stationary treatment services manager shall inform the national police. 18. If the deceased human tissues or organs have been removed, stored or used in accordance with the laws of the human tissue and organ removal, storage and disposal, and the deceased made a judicial medical examination or pathological investigation, compulsory inpatient treatment institution or State forensic expertise Center: 18.1. transfer dead human body deceased relatives or their authorised persons for burial or cremation;
18.2. within three working days after the removal of tissues or organs or judicial medical examination, in the absence of objections from the process, inform the promoters of the municipality in whose territory is declared dead man's last residence or the deceased found biological fact of death, or where the deceased before death delivered to the medical institution where he doesn't belong. 19. The municipality after this rule 18.2. referred to information organized and provides deceased people: 19.1. burial or cremation within three working days;
19.2. death within seven days, if the dead person's identity has not been established. 20. The morgue or a room for the storage of the dead, or forensic expertise institution in the dead person's body kept in a temperature not exceeding 4 ° C. Prime Minister-Minister of defence (A). the Health Minister Slakter v. Veldr of annex 1 of the Cabinet of Ministers of March 27, 2007. the Regulation No. 215 in the patient's brain death diagnosis card Health Minister v. Veldr annex 2 Cabinet 27 March 2007 regulations No 215 CPR Protocol measures Health Minister v. Veldr MC