CAEP Position Statement - Management of devastating brain injuries in the emergency department: Enhancing neuroprognostication and maintaining the opportunity for organ and tissue donation

Andrew Healey; Murdoch Leeies; Carmen Hrymak; Alecs Chochinov; Brian Grunau; Bojan Paunovic; Jeanne Teitelbaum; Lindsay C Wilson; Sam D Shemie

doi:10.1017/cem.2020.357

CAEP Position Statement - Management of devastating brain injuries in the emergency department: Enhancing neuroprognostication and maintaining the opportunity for organ and tissue donation

CJEM. 2020 Sep;22(5):658-660. doi: 10.1017/cem.2020.357.

Authors

Andrew Healey^{1

2

3}, Murdoch Leeies^{4

5}, Carmen Hrymak^{4

5}, Alecs Chochinov⁴, Brian Grunau^{6

7}, Bojan Paunovic^{8

9

10}, Jeanne Teitelbaum¹¹, Lindsay C Wilson¹², Sam D Shemie^{13

14}

Affiliations

¹ Department of Medicine, Division of Emergency Medicine, McMaster University, Hamilton, ON.
² Critical Care, William Osler Health System, Brampton, ON.
³ Donation, Trillium Gift of Life Network, Toronto, ON.
⁴ Department of Emergency Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB.
⁵ Organ Donation, Transplant Manitoba, Winnipeg, MB.
⁶ Department of Emergency Medicine, University of British Columbia, Vancouver, BC.
⁷ Centre for Health Evaluation and Outcome Sciences, Michael Smith Foundation for Health Research, Vancouver, BC.
⁸ WRHA Critical Care, Critical Care Medicine, Winnipeg, MB.
⁹ Department of Internal Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB.
¹⁰ Health Sciences Centre, Winnipeg, MB.
¹¹ Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, Montreal, QC.
¹² Deceased Donation, Canadian Blood Services, Toronto, ON.
¹³ Division of Critical Care, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC.
¹⁴ Deceased Donation, Canadian Blood Services, Montreal, QC.

Abstract

The primary purpose of this statement is to improve neuroprognostication after devastating brain injury (DBI), with a secondary benefit of potential organ and tissue donation.

Keywords: Organ donation; brain injury; emergency medicine.

MeSH terms

Brain Injuries* / diagnosis
Brain Injuries* / therapy
Emergency Service, Hospital
Humans
Tissue Donors
Tissue and Organ Procurement*