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A person who is brain dead looks like they are unconscious or in a deep sleep. The eyes are usually closed, there is no purposeful or spontaneous movement, and if he is on a ventilator, his chest may rise and fall while the machine breathes for him. Because the ventilator is bringing oxygen into the body, the heart may continue to beat for a while, pumping blood through the blood vessels, so the skin may still be pink. The skin may be warm to the touch because the person is kept warm under a blanket, but he cannot keep himself warm independently. Judging by appearance alone, it may be difficult to tell that the person is dead. Even to a medical professional, a brain dead person on a ventilator may look surprisingly like a living person even though they are not alive. That is why the determination of brain death is so carefully documented and confirmed with appropriate testing.
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