TY - JOUR PY - 2020// TI - Just the facts: Organ donation in the emergency department: When you can't save one, save eight JO - Canadian journal of emergency medicine A1 - Hancock, Jennifer A1 - Huang, Simon A1 - Zavalkoff, Samara SP - 155 EP - 158 VL - 22 IS - 2 N2 - A 16-year-old female presents to a community emergency room following a suicide attempt by hanging. Prehospital, on arrival of paramedics, the patient was in a pulseless electrical activity rhythm. Paramedics provided advanced cardiac life support for 20 minutes before they obtained return of spontaneous circulation. In the emergency department, she had another 25-minute cardiac arrest with ultimate return of spontaneous circulation. She is now hemodynamically stable on Levophed 0.2 µg/kg/min. Her neurological exam shows pupils to be 3 mm and fixed bilaterally, absent cough and gag, and no response to central or peripheral pain. She occasionally triggers 2-3 spontaneous breaths per minute above the set rate on the ventilator. Her CT head scan shows severe anoxic changes and cerebral edema.

Language: en

LA - en SN - 1481-8035 UR - http://dx.doi.org/10.1017/cem.2019.456 ID - ref1 ER -