The integrity of the Brain Death or Death by Neurologic Criteria (BD/DNC) evaluation is crucial, as the presence of a single reflex or breath is the difference between being considered alive or dead. Deviating from established protocols or guidelines when evaluating a patient for BD/DNC can have catastrophic consequences for patients and erode trust in the medical field [1–7]. The responsibility to diagnose BD/DNC accurately is both clinically and ethically necessary. Variability in protocols, education, and performance of the evaluation leads to inequity of the death declaration. Prior research has revealed that BD/DNC protocols from leading US institutions varied significantly regarding the prerequisites for and the techniques by which BD/DNC was determined [8], even after practice guidelines were revised to provide more detail and uniformity [9–11].