Brain dead and bleeding

Dean Lutrin deanlutrin at gmail.com
Thu Dec 21 17:11:48 GMT 2006

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Dear list

A quick question. What are your feelings on operating on a patient who comes
into your ER brain dead with intraabdominal bleeding? Do you treat the
abdomen on its own merits assuming that some of the low GCS may be
attributable to hypovolaemia etc...

I am of course assuming that the patient has been intubated without drugs,
there is no drug history etc etc...

We debated this a bit today where one of the surgeons did not operate on a
case because the CT brain showed unsurvivable injuries and was roundly
criticised.

Is this a matter of opinion or are there good answers?

Thanks 

Dean Lutrin
JHB, SA

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