Weekly email clinical topic discussions. Respondents are a mixture of consultants, trainees and ANP’s.
Feel free to suggest a topic for debate.
All responses are personal opinions only.
In patients with a variety of acute neurosurgical ‘injuries’ the absence of pupillary responses, and failure of mannitol (or similar agent) to alter this, is often used as evidence for futility and subsequent refusal of surgical intervention (+/- transfer, if from a DGH). Is this a reasonable?