症例報告
頭部外傷による心肺停止で搬送され心拍再開後に救急外来で心停止後臓器提供に至った1例
2023 年 35 巻 2 号 p. 32-36
詳細
2023 年 35 巻 2 号 p. 32-36
Introduction: We report the case of a patient transported to emergency outpatient department by ambulance due to cardiopulmonary arrest following a head injury. He underwent systemic management, leading to organ donation.
Case: A 56-year-old man.
Current illness history/course: The patient sustained a head injury after falling from the bed of a truck and then suffered cardiopulmonary arrest. He was transported to the emergency department by ambulance. After his heart resumed beating, his intention to donate his organs was confirmed on the back of his health insurance card. Discussions with the organ donation hospital coordinator reveal that, donating organs after brain death was difficult due to the general condition; still the possibility of organ donation after cardiac arrest was considered. Systemic management was continued in the emergency department, and upon obtaining consent from his family, post-cardiac arrest organ donation was carried out.
Conclusion: Establishing a system to confirm the intention to donate organs is important. Donor management can be done by performing normal life-saving measures, but certain donor-specific matters require attention.
