12-21-2014, 08:25 PM
A 35-year-old man is brought to the emergency room after sustaining gunshots to the head. After initial hemodynamic stabilization, the patient is transferred to intensive care unit. The following day, after consultations with the neurosurgeons, you conclude that he is brain dead, and there is no chance of any meaningful recovery. While searching for a contact address, the nurse finds an organ donation card in his pocket. You contact his family, and they confirm that he had always wanted to donate his organs. Which of the following is the most appropriate next step in the management of this patient?
A. Completely stop the mechanical ventilation.
B. Discontinue intravenous hydration but continue ventilation.
C. Decrease the ventilator rate to 4 breaths per minute.
D. Have a surgical team on standby while waiting for cardiac arrest.
E. Arrange for his transfer to a transplant center.
A. Completely stop the mechanical ventilation.
B. Discontinue intravenous hydration but continue ventilation.
C. Decrease the ventilator rate to 4 breaths per minute.
D. Have a surgical team on standby while waiting for cardiac arrest.
E. Arrange for his transfer to a transplant center.