 That's where NRP comes in. After the patient has been declared dead because their heart and circulation has stopped, doctors quickly hook up a specialized external pump. That restores blood flow and sometimes a heartbeat to try to minimize damage from the organs being deprived of oxygen-rich blood. So when we put them on ice to be transported to the recipient center, the organs are in a healthier state and therefore when they get into the recipient, they perform better immediately and long-term.