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Home > List Archives

head injury- termi ation of resuscitative efforts

Ronald Gross Rgross at harthosp.org
Tue Dec 19 17:18:36 GMT 2006


I treat the family.  The patient is dead, and will stay dead, regardless
of what you do.  Now is the time to help the family honor the patient's
wishes, if known, and to call the organ donation service in your region.
 Lastly, thoracotomy IS indicated - to procure the heart and lungs for
transplantation. (so there - I did come forward and admit it!)

Take care,
Ron
>>> "oded private" <tangentcarrot at hotmail.com> 12/19/2006 11:47 AM >>>
Hello list

I'd like to hear your opinion about deciding to terminate treatment for

isolated TBI resulting in cardiac arrest.

What if the pateint is still in PEA? Will you attempt to defibrilate
VF, if 
it happened for some reason?

If you do treat him- what will you do?  ET intubation and ventilation
alone? 
CPR? Does anybody here practice thoractomy in the scenario and is ready
to 
"come forward" and admit to it?

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