The Determination of Brain Death. James Zisfein, M.D. Chief, Division of Neurology Lincoln Hospital, Bronx, NY. Brain death: the early years. 1950's: ACLS and ventilators saved lives But there were also unanticipated outcomes Physicians saw things they never saw before
James Zisfein, M.D.
Chief, Division of Neurology
Lincoln Hospital, Bronx, NY
Note: the guidelines are different for diagnosis of brain death in infants under 1 year of age.
Perform a cerebral blood flow study (catheter angiogram, CTA, MRA, radionuclide study, transcranial doppler) when
>95% of brain death evaluations do not require a CBF study
1. Document your findings.
2. Obtain consultation from a designated brain death expert.
3. Contact the patient's family or significant other (if known).
4. Contact the NY Organ Donor Network: 1-800-GIFT-4-NY