Common tests that must be done to determine brain death.

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Dogey

Brain Death Checklist

56 F w PMH of DM, HTN, bipolar dis, asthma was brought in after family member called EMS. Found her unresponsive at 11:30 pm. Pt was found unresponsive on bed (unknown downtime). Asystole on cardiac monitor, CPR initiated, intubated, 2 epinephrine given and became PEA. After 30 mins ROSC was achieved. 111/56, HR 65. In ED Pt again became pulseless, ACLS initiated. CM showed asystole. Pt received 2 Epinephrine and sodium bicarbonate, ROSC after 5 minutes. Urine Tox is positive for cocaine, opiates, cannabinoids, amphetamine. Pt is admitted S/p cardiac arrest likely 2/2 drug overdose. CTH in ED showed loss of grey white differentiation. Pt on ventilator support and unresponsive to painful stimuli. Vitals are in normal range. Other notes: decorticate posturing. Pupils dilated. CXR: no infiltrates CTH: diffuse hypoxic ischemic injury. Na 138, K 5.6, Cl 97, CO2 19, AG 22 BUN 19 Cr 3.21. AST 2553, ALT 1404 CK 13332, Trop 0.076, Lactate: 8.0. Notes: CONSIDER PALLIATIVE CONSULT. Grim

Brain Death Checklist

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