Organ Donation in the Emergency Department
Though it may not seem as important as some of the things we do in ED Critical Care, managing the potential organ donor can lead to many lives saved. In this episode I interview Isaac Tawil, an Emergency Intensivist of University of New Mexico Health Sciences and associate medical director of New Mexico Organ Donor Services.
Here are the current standards for determining brain death
Brain Death Checklist
Tips on the Exam
from Wijdicks Crit Care 2020;24:648
Need only test pupil response to high-intensity flashlight. Pupils are mid-position (4-6 mm)
Use a Magnifying Glass if you don't have a pupilometer
Corneals (cotton swab or water)
Oculocephalic-Turn from middle to the side 90 degrees on both sides.
Cold calorics-30 mls of ice water. Normal response is slow deviation of eyes towards syringe
Pain Response to nailbeds, supraorbital
Gag reflex with yankeur
No cough during deep suctioning
Checklist from the Paper
What to Exclude
J Crit Care 2019;53:212
Here is a video of Dr. Tawil demonstrating the brain death exam
Additional New Information
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