[az_accordion_section] [accordion title=”History” id=”acc-1″]A 27yo man presents to the Emergency Department with an out of hospital cardiac arrest. He regained spontaneous output after a prolonged resuscitative effort. The man had a long history of depression & chronic pain, but no other medical conditions. The cause of the arrest was thought to be an intentional polypharmacy drug overdose (there was a suicide note, multiple empty blister packs, & empty alcohol bottles found by paramedics). The patient had targeted temperature management to 33 degrees (as per the current ARC guidelines).
It is now day 4 post arrest. The patient is intubated in ICU, has GCS 3 despite no sedation for over 72hrs. He is otherwise physiologically normal: no inotropic requirements, good gas exchange, normal renal function etc. You are concerned he may have hypoxic brain injury & decide to get a CT brain. The bedside nurse asked if you are going to test for brain death. What do you say?