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CAEP Joint Position Statement – Management of devastating brain injuries in the emergency department: Enhancing neuroprognostication and maintaining the opportunity for organ and tissue donation

  • Andrew Healey (a1) (a2) (a3), Murdoch Leeies (a4) (a5), Carmen Hrymak (a4) (a5), Alecs Chochinov (a4), Brian Grunau (a6) (a7), Bojan Paunovic (a8) (a9) (a10), Jeanne Teitelbaum (a11), Lindsay C. Wilson (a12) and Sam D. Shemie (a13) (a14)...

Extract

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.

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Corresponding author

Correspondence to: Andrew Healey, Department of Medicine, Division of Emergency Medicine, McMaster University, Hamilton, ONL8S 4L8, Canada; Email: ahealeymd@gmail.com

References

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1.Souter, MJ, Blissitt, PA, Blosser, S, et al. Recommendations for the critical care management of devastating brain injury: prognostication, psychosocial, and ethical management: a position statement for healthcare professionals from the Neurocritical Care Society. Neurocrit Care 2015;23(1):413.
2.Harvey, D, Butler, J, Groves, J, et al. Management of perceived devastating brain injury after hospital admission: a consensus statement from stakeholder professional organizations. Br J Anaesth 2018;120(1):138–45.
3.Turgeon, AF, Lauzier, F, Simard, JF, et al. Mortality associated with withdrawal of life-sustaining therapy for patients with severe traumatic brain injury: a Canadian multicentre cohort study. CMAJ 2011;183(14):1581–8.
4.Hemphill, JC III, Newman, J, Zhao, S, Johnston, SC. Hospital usage of early do-not-resuscitate orders and outcome after intracerebral hemorrhage. Stroke 2004;35(5):1130–4.
5.Manara, AR, Thomas, I, Harding, R.A case for stopping the early withdrawal of life sustaining therapies in patients with devastating brain injuries. J Intensive Care Soc 2016;17(4):295301.
6.McCallum, J, Ellis, B, Dhanani, S, Stiell I, G. Solid organ donation from the emergency department – a systematic review. CJEM 2019;21(5):626–37.
7.Zavalkoff, S, Shemie, SD, Grimshaw, JM, et al. Potential organ donor identification and system accountability: expert guidance from a Canadian consensus conference. Can J Anaesth 2019;66(4):432–47.

Keywords

CAEP Joint Position Statement – Management of devastating brain injuries in the emergency department: Enhancing neuroprognostication and maintaining the opportunity for organ and tissue donation

  • Andrew Healey (a1) (a2) (a3), Murdoch Leeies (a4) (a5), Carmen Hrymak (a4) (a5), Alecs Chochinov (a4), Brian Grunau (a6) (a7), Bojan Paunovic (a8) (a9) (a10), Jeanne Teitelbaum (a11), Lindsay C. Wilson (a12) and Sam D. Shemie (a13) (a14)...

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