Abstract
The primary purpose of this statement is to improve neuroprognostication after devastating brain injury (DBI), with a secondary benefit of potential organ and tissue donation.
Highlights
Devastating brain injury is defined as a neurological injury that is assessed as an immediate threat to life or incompatible with good functional recovery and where early limitation or withdrawal of therapy is being considered.[1,2]
The outcomes for patients who present in the emergency department (ED) with devastating brain injury (DBI) are often death or, in some cases, survival with extremely limited capacity
Mortality rates were significantly impacted by varying approaches to withdrawal of life-sustaining measures (WLSM), highlighting deficiencies of early prognostic strategies in trauma.[3]
Summary
CAEP, CCCS, and CNSF Position Statement – Management of devastating brain injuries in the emergency department: Enhancing neuroprognostication and maintaining the opportunity for organ and tissue donation. Andrew Healey , MD*†‡; Murdoch Leeies, MD, MSc§¶; Carmen Hrymak, MD, MSc§¶; Alecs Chochinov, MD§; Brian Grunau, MD, MHSc**††; Bojan Paunovic, MD‡‡§§¶¶; Jeanne Teitelbaum, MD***; Lindsay C.
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