Therapeutic study, level III.

Current measures of organ failure and dysfunction do not predict the success of organ donation. Successful donor management in the face of severe organ dysfunction and failure can result in lives saved.

he patient was a 27-year-old male with a complex past medical history of type 1 diabetes since the age 5 years; bipolar, schizoaffective disorder; and polysubstance abuse. He presented with severe diabetic ketoacidosis that developed during an episode of acute opioid withdrawal and was admitted to the medical intensive care unit.

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