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24 Cards in this Set
- Front
- Back
- 3rd side (hint)
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How to tell a family about a death:
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don't use euphemisms
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4 people to notify of a death;
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-family
-OPO -medical examiner or coroner -atteding physician |
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What to document:
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-Who I am
-What findings -When - time/date of death -How family was told, when |
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Do you have to ask for organ or tissue procurement after a death?
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You have to report all deaths to the state OPO or donor network - yes
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What about neonatal deaths?
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If >1000 grams
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Can you initiate discussions about organ procurement?
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No - only trained professionals can
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Do you only report death after it happens?
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No - report imminent death
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For what patients would you report imminent death?
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Patients with severe acute brain injury
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What is DCD?
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donation after cardiac death
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What's the process of DCD?
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-give heparin
-support withdrawal -declare patient -confirm death -procure organs |
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What's the deal about dcd?
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conflict of interest
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enfadado
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زَعلان
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زَعلانين - ات
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Do you still notify the ME after a death of a gsw patient who's been in the hospital for a month after the shot?
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YES - it's still a violent injury
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Brain death is:
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Irreversible cessation of function of the cortex and brain stem
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6 criteria for diagnosing breath death:
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-normothermic
-normotensive -normo-oxic No sedatives, non-neonatal, no brainstem/cortex function |
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What are 4 findings of absent cortical function?
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-Coma
-No voluntary movement -No posturing -No seizures |
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What may still persist in absence of cortical function?
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Spinal reflexes
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How can you test for absence of brainstem function?
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No gag/corneal reflexes, no breathing, etc.
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2 tests of brain activity to confirm braindeath:
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-eeg
-evoked potentials |
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Test of blood flow to confirm braindeath:
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Angiography
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What deaths need to be reported to the OPO?
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ALL DEATHS
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What is donation after cardiac death?
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Controversial
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Are organ/tissue donations required?
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YES
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Who can ask?
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Only trained requesters
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