Introduction
A 20-year-old boy was admitted to ICU with a traumatic brain injury following a road traffic accident 48 hours ago. His initial GCS at the scene was 5/15. He was intubated and ventilated by a paramedic and transferred to Accident and Emergency. A CT scan shows extensive cerebral contusions, massive haematoma and significant cerebral oedema. He has now developed fixed pupils bilaterally and has stopped triggering the ventilator. Both the neurosurgeons and intensivists have decided to perform brainstem death testing…