Brain Death Checklist
Brain Death Checklist
General Items
- Follow hospital protocols for brain death determination
- Involve a second physician for confirmation if required
- Review applicable laws and guidelines for brain death in your location
Initial Assessment
- Confirm patient's clinical history and diagnosis
- Ensure the patient has an irreversible cause of neurological injury
- Assess vital signs and neurological status
Neurological Examination
- Check for coma (no response to stimuli)
- Evaluate cranial nerve reflexes (pupillary, corneal, and facial responses)
- Test for motor responses (no purposeful movements)
- Assess for decerebrate or decorticate posturing
Apnea Test
- Ensure proper conditions for apnea test (e.g., normocapnia)
- Disconnect from ventilator for 5-10 minutes
- Measure arterial blood gases after apnea period
Confirmatory Tests (if necessary)
- Perform EEG to check for electrical activity
- Conduct cerebral blood flow study (e.g., CT angiography)
- Consider nuclear medicine studies if indicated
Documentation and Family Discussions
- Document all findings and tests performed
- Communicate results to family and discuss next steps
- Ensure proper consent for organ donation if applicable
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