Diffuse intracranial hemorrhage

Reference no: EM133718075

Question

A 57-year-old male construction worker fell from a ladder and sustained a spinal cord injury at the level of C6-C7. He has a diffuse intracranial hemorrhage but no midline shift, and his pupils are reactive and equal bilaterally with intact corneal reflexes. Respirations are irregular, and he requires intubation on arrival. The patient's sister states that he would not want to be kept alive as a paraplegic and demands that you do not intubate the patient. His mother is also at the hospital and insists that her son has stated he would want "everything" done. The patient does not have a living will or healthcare power of attorney. Which of the following is the best course of action?

A. Consent is not required; intubate and ventilate the patient.

B. Do not intubate the patient and proceed with comfort care.

C. Seek an ethics consult.

D. Respect the patient's mother's wishes because she is less likely to be acting out of self-interest.

Reference no: EM133718075

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