MRCP2-3628

MRCP2-3628

A 75-year-old man presents to the emergency department after experiencing a generalized tonic-clonic seizure at home. He did not fully regain consciousness during transport and had another seizure shortly after admission. The doctor in charge was able to stop the seizure with 2 mg of IV lorazepam, but the patient’s GCS remains at 9.

Upon reviewing the patient’s medical history, it is discovered that he has undergone two rounds of chemotherapy in the past six months for metastatic malignant melanoma with multiple brain metastases. He was last seen in the clinic one month ago, where it was determined that he had no viable treatment options left.

The patient’s family wishes to speak with you. What is the best course of action?